Publications by authors named "Peter J Frosch"

Background: Contact allergy to fragrances is common, and impairs quality of life, particularly in young women.

Objective: To provide current results on the prevalences of sensitization to fragrance allergens used as markers in the baseline series of most European countries.

Methods: Data of patients consecutively patch tested between 2009 and 2012 in 12 European countries with fragrance allergens contained in the baseline series were collected by the European Surveillance System on Contact Allergies network and descriptively analysed.

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  • P-phenylenediamine (PPD) is a common contact allergen, and while patch testing with 1% PPD can sometimes cause sensitization, 0.3% PPD is considered safer.
  • A study was conducted on 2042 patients to compare the effectiveness of PPD 0.3% pet. and 1% pet. for detecting sensitization, revealing a 6% positivity for 1% and 4.7% for 0.3%.
  • The results suggest that PPD 0.3% pet. reliably detects sensitization and could replace PPD 1% pet. in routine testing.
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  • Contact sensitization patterns to allergens vary by country, influenced by exposure differences, with a focus on data from 2007-2008.
  • Analysis of patch test results from over 25,000 patients revealed metals and fragrances as the most common allergens, with potential new additions like methylisothiazolinone.
  • The findings suggest certain countries show higher rates of specific sensitization, indicating a need for further research into exposure causes and potential updates to the baseline allergen series.
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Background: The proportion of patients with a positive patch test reaction to at least one allergen from the baseline series differs between departments.

Objectives: To further define the above mentioned proportion, termed the 'P' measure, to examine factors associated with this measure, to describe its variation over time and between centres, and to discuss possible uses.

Patients And Methods: Eighteen departments have been 'long-term' participants in the Information Network of Departments of Dermatology (IVDK; www.

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Background: Adverse reactions to permanent hair dyes are frequent, and primarily result from sensitization to p-phenylenediamine (PPD).

Objectives: To investigate the degree of cross-reactivity to a chemically similar dye, hydroxyethyl-p-phenylenediamine sulfate (HPPS), and whether this might be a dyeing alternative for patients who are sensitive to PPD.

Method: HPPS was patch tested in two concentrations in a total of 216 patients suspected of having contact dermatitis caused by hair dyes and/or hair cosmetics.

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Objective: To identify the concentration of the fragrance compound hydroxyisohexyl 3-cyclohexene carboxaldehyde (INCI) (HICC) that is sufficiently low not to cause an allergic reaction in patients with proven sensitization.

Methods: Repeated open application testing (ROAT) in 64 subjects with 2 preparations (perfume and cream) in different concentration (0.005-2.

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Background: Continual surveillance based on patch test results has proved useful for the identification of contact allergy.

Objectives: To provide a current view on the spectrum of contact allergy to important sensitizers across Europe.

Patients/methods: Clinical and patch test data of 19 793 patients patch tested in 2005/2006 in the 31 participating departments from 10 European countries (the European Surveillance System on Contact Allergies' (ESSCA) www.

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  • A randomized trial compared the effectiveness of ciclosporine (CsA) and mycophenolate mofetil (MMF) in treating chronic plaque psoriasis over 12 weeks.
  • Both treatments showed similar relapse times and side effects, but CsA resulted in a larger decrease in psoriasis severity as measured by the PASI score.
  • Overall, CsA was found to be more effective than MMF in managing psoriasis symptoms after the treatment period.
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Background: Hidden allergen exposure may contribute to persistence and relapse of chromate dermatitis. According to case reports, chromated metal products, such as screws, fittings, etc., may be relevant allergen sources for patients sensitized to chromate.

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Annular lichenoid dermatitis of youth was first described by Annessi et al. in 2003. Clinical criteria are persistent erythematous macules and annular lesions with a red-brown edge and a central hypopigmentation usually found on the flanks and groins of children and adolescents.

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Steatocystoma multiplex is a rare,almost exclusively autosomal dominant disease of the sebaceous glands. The sites of predilection are the sternal region, upper back, axillae and proximal parts of the extremities. A 78-year-old woman developed multiple yellowish nodules only on the face over a few months.

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Background: The proper reading of patch test (PT) reactions, based on morphological criteria, is of utmost importance. Digital images are increasingly used for medical training.

Objectives: To assess the diagnostic validity of readings of 20 digital images of various PT reaction grades by congress attendants.

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To study the frequency of sensitization to 26 fragrances to be labelled according to current European regulation. During 4 periods of 6 months, from 1 January 2003 to 31 December 2004, 26 fragrances were patch tested additionally to the standard series in a total of 21 325 patients; the number of patients tested with each of the fragrances ranged from 1658 to 4238. Hydroxymethylpentylcyclohexene carboxaldehyde (HMPCC) was tested throughout all periods.

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Its incidence is rising, as more and younger people dye their hair

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Background: Although many allergens in metalworking fluids (MWF) are identified, there are still some MWF components, which are not sufficiently investigated concerning their sensitizing properties.

Objectives: To investigate sensitization to 10 frequently used MWF components, which are not part of the established MWF test series, in metalworkers with suspected occupational dermatitis due to MWF.

Patients/methods: Oleyl alcohol, myristyl alcohol, dimethylolurea, 4,4'-methylenebis morpholine, imazalil, 1-amino-2-propanol (monoisopropanolamine; MIPA), 2-amino-2-ethyl-1,3-propanediol (AEPD), 2,5-bis(n-octyldithio)-1,3,4-thiadiazole, zinc alkyl dithiophosphate and dibenzyl disulfide have been patch tested in 144 patients.

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Hemophagocytic lymphohistiocytosis is a rare and potentially fatal syndrome associated with a variety of genetic, malignant, autoimmune, or infectious conditions. The importance of cutaneous presentations of this syndrome has only recently been brought forward. We report the first case of Epstein-Barr-virus-associated hemophagocytic lymphohistiocytosis presenting with papulonodular and granulomatous skin lesions.

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  • Anogenital dermatoses (AGD) are common and often distressing skin conditions where it can be difficult to differentiate between allergic and irritant dermatitis, making it crucial to identify specific allergens or irritants for effective treatment.
  • A study analyzed data from 1,168 patients with suspected allergic contact dermatitis in the anogenital area, revealing that 24.6% were confirmed with allergic dermatitis, while irritant contact dermatitis was diagnosed in 11.8% of cases.
  • The study found significant sensitization to certain compounds like cinchocaine, benzocaine, and bufexamac among patients, suggesting these should be used cautiously; it also recommended comprehensive patch testing for accurate diagnosis and treatment planning.
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