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Bikini textile contact dermatitis : A Sherlockian approach revealing 2.4-dichlorophenol as a potential textile contact allergen

Pesqué, David (författare)
Autonomous University of Barcelona
March-Rodriguez, Álvaro (författare)
Autonomous University of Barcelona
Dahlin, Jakob (författare)
Lund University,Lunds universitet,Yrkes- och miljödermatologi,Forskargrupper vid Lunds universitet,Occupational and Environmental Dermatology,Lund University Research Groups
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Isaksson, Marléne (författare)
Lund University,Lunds universitet,Yrkes- och miljödermatologi,Forskargrupper vid Lunds universitet,Occupational and Environmental Dermatology,Lund University Research Groups
Pujol, Ramon M. (författare)
Autonomous University of Barcelona
Giménez-Arnau, Elena (författare)
University of Strasbourg
Giménez-Arnau, Ana M. (författare)
Autonomous University of Barcelona
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 (creator_code:org_t)
2021-08-04
2021
Engelska.
Ingår i: Contact Dermatitis. - : Wiley. - 0105-1873 .- 1600-0536. ; 85:6, s. 679-685
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Different textile constituents may act as allergens and/or irritants and provoke textile contact dermatitis (TCD). Objectives: To report a case of TCD caused by ethylene glycol monododecyl ether and 2.4-dichlorophenol, present in a bikini. Methods: A woman presented with an eczematous, pruritic rash in the area of the bikini straps and back. Patch testing was performed with the European baseline, textile, sunscreen, and photo-patch series, the bikini “as is”, and ethanol and acetone extracts of the bikini. Thin-layer chromatography (TLC) of the extracts and gas chromatography–mass spectrometry (GC–MS) analysis were used to elucidate the culprit agents. Results: Positive reactions were found to the bikini “as is” and to the ethanol and acetone extracts. Patch testing with TLC strips showed a strong reaction to spots-fractions 3 and 4. GC–MS was performed to identify substances in each fraction and those suspected to be skin sensitisers were patch tested. On day (D) 4 positive reactions to ethylene glycol monododecyl ether (irritant reaction) and 2.4-dichlorophenol (++) were observed. Conclusion: A myriad of chemical compounds can be found in clothing. Ethylene glycol monododecyl ether and 2.4-dichlorophenol were identified as the potential culprits of this bikini TCD. Highlights: We have combined chemical analyses (thin-layer chromatography and gas chromatography–mass spectrometry) to study a case of textile contact dermatitis. As such, the presence of a myriad of chemical compounds was found in a bikini, suggesting that clothing in general may become impregnated or contaminated by a wide range of external substances that may be harmful to the skin. Textile contact dermatitis could in this case be attributed to ethylene glycol monododecyl ether (CAS No. 4536-30-5) and 2.4-dichlorophenol (CAS No. 120-83-2), the latter not yet previously described as a textile contact allergen.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Dermatologi och venereologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dermatology and Venereal Diseases (hsv//eng)

Nyckelord

2.4-dichlorophenol
allergic contact dermatitis
ethylene glycol monododecyl ether
gas chromatography–mass spectrometry
irritant contact dermatitis
patch test
textile contact dermatitis
thin-layer chromatography

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art (ämneskategori)
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