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7.
An. sist. sanit. Navar ; 38(3): 409-416, sept.-dic. 2015. tab, ilus
Article in Spanish | IBECS | ID: ibc-147334

ABSTRACT

Fundamento: El eccema labial es un problema poco frecuente en las Unidades de Eccema de Contacto (UEC). Hasta el momento han sido publicadas escasas series que muestren el perfil de estos pacientes y las causas de su eccema, ninguna de ellas española. El objetivo de este estudio fue el de analizar el perfil epidemiológico de los pacientes que acuden a la UEC en nuestro entorno, los diagnósticos principales y los alérgenos relevantes. Material y métodos: Se realizó una revisión retrospectiva de los pacientes remitidos a la UEC en el periodo 2005-2014. Se realizaron pruebas epicutáneas con la serie estándar ampliada del Grupo Español de Investigación en Dermatitis Alérgica de contacto (GEIDAC), productos propios y otras baterías complementarias. Resultados: En los 78 pacientes estudiados, los diagnósticos más frecuentes fueron la dermatitis de contacto alérgica y la dermatitis atópica. Los alérgenos relevantes más frecuentes fueron los cosméticos y los fármacos tópicos. Conclusiones: Es fundamental estudiar a los pacientes con eccema labial con pruebas epicutáneas para poder filiar correctamente su etiología y según esto, realizar un tratamiento más adecuado (AU)


Background: Lip eczema is an infrequent problem in Contact Dermatitis Units (CDU). Very few series have been published to date that show the profiles of such patients and the causes of their eczemas, and none are Spanish. The goal of this study was to analyze the epidemiological profile of the patients who attend a CDU in our setting, the main diagnoses and the relevant allergens. Methods: A retrospective review was made of the patients referred to the CDU in the 2005-2014 period. Patch tests were carried out with the extended standard series of the Spanish Research Group on Allergic Contact Dermatitis (Grupo Español de Investigación en Dermatitis Alérgica de contacto - GEIDAC), our own products and other complementary sets. Results: The most frequent diagnoses in the 78 patients studied were allergic contact dermatitis and atopic dermatitis. The most frequent relevant allergens were cosmetics and topical medications. Conclusions: It is essential to study the patients with lip eczema with patch tests to be able to correctly determine their etiology and accordingly to carry out the most suitable treatment (AU)


Subject(s)
Humans , Male , Female , Dermatitis, Atopic/complications , Dermatitis, Atopic/pathology , Patch Tests/nursing , Dermatitis, Allergic Contact/genetics , Hypersensitivity/blood , Cosmetics/toxicity , Cheilitis/pathology , Dermatitis, Atopic/genetics , Patch Tests/methods , Patch Tests/standards , Dermatitis, Allergic Contact/classification , Dermatitis, Allergic Contact/complications , Hypersensitivity/metabolism , Cosmetics/chemical synthesis , Pharmaceutical Preparations/metabolism , Cheilitis/complications , Cheilitis/diagnosis
8.
An Sist Sanit Navar ; 38(1): 163-7, 2015.
Article in Spanish | MEDLINE | ID: mdl-25963475

ABSTRACT

BACKGROUND: Tea tree oil is an essential oil, whose use is increasing in our setting, due both to its supposed medicinal effects and to its aromatic properties. We describe our experience with allergic contact dermatitis following the application of this oil. MATERIAL AND METHODS: Five patients in the last 5 years (0.4% of all the patients studied in specialized consultation) reacted to a 5% concentration of tea tree oil in Vaseline. RESULTS: All the patients presented strong reactions, and in all cases these were considered relevant. Three of them also reacted to oxidized d-limonene, one of the components of tea tree oil, which is present in our standard series. CONCLUSIONS: Different cases have been described in the literature on allergic contact dermatitis due to tea tree oil, but until recently it was infrequent in our setting. With the increased popularity of alternative and natural therapies we have witnessed several cases of sensitization to this essential oil, which had been used to treat several supposedly "infectious" skin diseases, but which were very probably different forms of dermatitis.


Subject(s)
Dermatitis, Allergic Contact/etiology , Tea Tree Oil/adverse effects , Administration, Topical , Adolescent , Adult , Female , Humans , Male , Middle Aged , Tea Tree Oil/administration & dosage
9.
An. sist. sanit. Navar ; 38(1): 163-167, ene.-abr. 2015. ilus
Article in Spanish | IBECS | ID: ibc-136596

ABSTRACT

Fundamento: El aceite de árbol de té es un aceite esencial, cuyo uso está aumentando en nuestro medio, tanto por sus supuestos efectos medicinales, como por sus propiedades aromáticas. Se describe nuestra experiencia en dermatitis alérgica de contacto tras la aplicación de este aceite. Material y Métodos: Cinco pacientes en los últimos 5 años (0,4% de todos los pacientes estudiados en consulta especializada) reaccionaron a una concentración de 5% de aceite de árbol de té en vaselina. Resultados: Todos los pacientes presentaron reacciones fuertes, y en todos los casos éstas fueron consideradas relevantes. Tres de ellos reaccionaron también a d-limoneno oxidado, uno de los componentes del aceite de árbol de té, que está presente en nuestra serie estándar. Conclusiones: Se han descrito diversos casos en la literatura de dermatitis alérgica de contacto al aceite de árbol de té, pero hasta hace poco ha sido infrecuente en nuestro medio. Con el aumento de popularidad de terapias alternativas y naturales hemos sido testigos de varios casos de sensibilización a este aceite esencial, que había sido utilizado para tratar varias enfermedades de la piel supuestamente "infecciosas", pero que eran muy probablemente diferentes formas de dermatitis (AU)


Background: Tea tree oil is an essential oil, whose use is increasing in our setting, due both to its supposed medicinal effects and to its aromatic properties. We describe our experience with allergic contact dermatitis following the application of this oil. Material and methods: Five patients in the last 5 years (0.4% of all the patients studied in specialized consultation) reacted to a 5% concentration of tea tree oil in Vaseline. Results: All the patients presented strong reactions, and in all cases these were considered relevant. Three of them also reacted to oxidized d-limonene, one of the components of tea tree oil, which is present in our standard series. Conclusions: Different cases have been described in the literature on allergic contact dermatitis due to tea tree oil, but until recently it was infrequent in our setting. With the increased popularity of alternative and natural therapies we have witnessed several cases of sensitization to this essential oil, which had been used to treat several supposedly "infectious" skin diseases, but which were very probably different forms of dermatitis (AU)


Subject(s)
Humans , Male , Female , Adolescent , Middle Aged , Dermatitis, Allergic Contact/diagnosis , Tea Tree Oil/adverse effects , Complementary Therapies/adverse effects , Anti-Infective Agents, Local/adverse effects
10.
An Sist Sanit Navar ; 38(3): 409-16, 2015.
Article in Spanish | MEDLINE | ID: mdl-26786367

ABSTRACT

BACKGROUND: Lip eczema is an infrequent problem in Contact Dermatitis Units (CDU). Very few series have been published to date that show the profiles of such patients and the causes of their eczemas, and none are Spanish. The goal of this study was to analyze the epidemiological profile of the patients who attend a CDU in our setting, the main diagnoses and the relevant allergens. METHODS: A retrospective review was made of the patients referred to the CDU in the 2005-2014 period. Patch tests were carried out with the extended standard series of the Spanish Research Group on Allergic Contact Dermatitis (Grupo Español de Investigación en Dermatitis Alérgica de contacto - GEIDAC), our own products and other complementary sets. RESULTS: The most frequent diagnoses in the 78 patients studied were allergic contact dermatitis and atopic dermatitis. The most frequent relevant allergens were cosmetics and topical medications. CONCLUSIONS: It is essential to study the patients with lip eczema with patch tests to be able to correctly determine their etiology and accordingly to carry out the most suitable treatment.


Subject(s)
Dermatitis, Atopic/diagnosis , Eczema/diagnosis , Lip , Mouth Diseases/diagnosis , Tertiary Care Centers , Allergens , Humans , Patch Tests/adverse effects , Retrospective Studies
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