Publications by authors named "Cecilia Svedman"

The first ICDRG (International Contact Dermatitis Research Group) classification of patch test reactions was published in 1970. With this classification, many weak reactions were classified as allergic reactions. A second classification was therefore implemented one decade later on behalf of the ICDRG and the North American Contact Dermatitis Group.

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Background: There is a current fashion for the use of methacrylate-containing nail cosmetics that can induce allergic contact dermatitis. European Union (EU) legislation was introduced in 2021 that had the aim of preventing its development.

Objectives: To assess prevalence and exposures causing contact allergy to 2-hydroxyethyl methacrylate (HEMA) prior to and following implementation of the legislation.

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  • Rubber gloves often have rubber accelerators that can cause allergic reactions, but their specific content is not well understood.
  • A study tested 51 gloves from various brands, finding that 90% of disposable gloves contained sensitizing rubber accelerators, particularly zinc dibutyldithiocarbamate (ZDBC) and zinc diethyldithiocarbamate (ZDEC).
  • The research highlights the need for better labeling of rubber gloves, as even those claimed to be free of accelerators were found to have them, necessitating more transparency from manufacturers.
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  • Rubber accelerators like TETD and ZDEC, used in rubber vulcanization, can cause allergic reactions and may trigger cross-reactivity between each other.
  • A study on mice showed that sensitization and subsequent exposure to either TETD or ZDEC resulted in increased skin irritation and immune cell proliferation.
  • The findings indicate that individuals allergic to one compound may react to the other, suggesting such patients should avoid both substances to prevent allergic responses.
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Fragrance materials are widely used in various types of products in daily life and many of them can be contact sensitizers. Contact allergy to fragrances has been reported to be common worldwide. Unlike other groups of contact allergens such as metals and preservatives, fragrance materials in consumer products can be present as single fragrance chemicals or in the form of mixtures known as natural complex substances.

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  • - The study examines the prevalence of contact allergies to methylisothiazolinone (MI) and related preservatives in cosmetic products across Europe after regulatory changes implemented in the late 2010s.
  • - A total of 2554 patients were patch tested, revealing MI allergy at 2.9%, benzisothiazolinone (BIT) at 3.1%, and octylisothiazolinone (OIT) at 0.7%, with rinse-off products being the main source of MI-related allergies.
  • - The research highlights a decrease in MI allergies due to regulations, though BIT has become a more common allergen, indicating ongoing consumer exposure to older products.
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In the armed forces, marching still remains a major component in the training of the young recruits. In the following we describe a young recruit who, following instructions, prophylactically used adhesives to prevent chafing. The recruit developed an allergic contact dermatitis with generalized spreading.

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Background: The use of insulin pumps (continuous subcutaneous insulin infusion [CSII]) in individuals living with type 1 diabetes (T1D) improves disease control. However, adverse skin reactions may hamper compliance. We aimed to assess the relationship of insulin pumps, particularly that of infusion set therapy, used in children and adults with T1D and dermatitis including allergic contact dermatitis (ACD).

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Background: Allergic contact dermatitis (ACD) from rubber glove usage is usually caused by rubber additives such as the accelerators. However, in analyses of the suspected gloves, ordinary rubber allergens are not always found. Accelerator-free rubber gloves are available, but some patients with accelerator allergy do not tolerate them and might also be patch test positive to them.

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Allergic contact dermatitis is reported among individuals using continuous glucose monitoring systems and insulin pumps. The aim of this study was to describe contact allergy patterns for allergens in the Swedish baseline series and medical device-related allergens among users. Contact allergy to baseline series allergens and isobornyl acrylate was compared between diabetes patients and dermatitis patients patch-tested at the Department of Occupational and Environmental Dermatology during 2017 to 2020.

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Background: Quantitative risk assessment (QRA) for skin sensitization is used to derive safe use levels of sensitising fragrance ingredients in products. Post-marketing surveillance of the prevalence of contact allergy to these ingredients provides relevant data to help evaluate the performance of these measures.

Objectives: To determine a suitable patch test concentration for five fragrance materials that had hitherto not been tested on a regular basis.

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Increasing trends of oxidized linalool contact allergy have been reported. However, the impact of reactivity and dose in eliciting allergic contact Dermatitis caused by linalool hydroperoxides is insufficiently investigated. To perform repeated open application tests (ROATs) using the real-world concentrations of linalool hydroperoxides in patients and control participants.

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Background: Many people live with ostomies after life-saving surgery. Ostomy patients often suffer from peristomal dermatitis. Allergic contact dermatitis (ACD) has been reported, mostly due to contact allergy (CA) to topical agents.

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Background: Allergic contact dermatitis (ACD) has been reported as an adverse effect from the use of several glucose sensors and insulin pumps from different manufacturers. Isobornyl acrylate (IBOA) has been identified as a major culprit sensitizer, but also other acrylates and (modified) colophonium have been reported as causes of ACD.

Objectives: To report the two first cases diagnosed with ACD caused by the Dexcom G7 (DG7) glucose sensor.

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Fibromyalgia is a common chronic pain condition. Rates of contact allergy in individuals with fibromyalgia have not been widely studied. Systemic contact allergy can present with muscle and joint pain and general malaise.

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Article Synopsis
  • Medical adhesive tapes are widely used to prevent friction blisters in activities like hiking and military exercises, but prolonged use can lead to skin issues.
  • A study on 26 military conscripts revealed a significant outbreak of tape-related foot dermatitis, with 77% showing contact allergies to the tapes and 61% to colophonium.
  • The findings indicate that extended use of these tapes can cause allergic reactions, stressing the need for safety assessments for medical devices before they are sold.
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  • A study was conducted to examine if mint-flavoured snuff is linked to contact allergy from carvone, which has been noted in patients with oral lichenoid lesions (OLL).
  • Two patients with OLL were found to be allergic to carvone through patch testing, and they had been using mint-flavoured snuff for years; carvone was also detected in their snuff samples.
  • After being advised to stop using mint-flavoured products, the patients showed significant improvement in their oral symptoms within three months, suggesting that mint-flavouring can worsen OLL.
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Background: Contact allergy rates of linalool and limonene hydroperoxides (HPs) have increased.

Objectives: To demonstrate the patterns of simultaneous positive patch test (PT) reactions and prevalences of multiple contact allergies (MCAs) in patients with contact allergy to linalool and/or limonene HPs.

Methods: A retrospective analysis of consecutive dermatitis patients in 2015-2020 was performed.

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Background: Simultaneous overrepresentations of contact allergies and photocontact allergies are common in individuals with photocontact allergy to ketoprofen.

Aims: To investigate whether contact allergy to oxidised (ox.) geraniol, geraniol, geranial, neral and citral is overrepresented in individuals with photocontact allergy to ketoprofen.

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