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1.
Forensic Sci Int ; 280: 87-94, 2017 Nov.
Article in English | MEDLINE | ID: mdl-28965000

ABSTRACT

In this study we demonstrate the use of Direct Analysis in Real Time Mass Spectrometry (DART) as a powerful tool for detection of nonoxynol in vaginal fluid post contact with a condom, enabling rapid tracing and added evidences in sexual assault crimes. Vaginal fluid was sampled using cotton swabs and glass rods and measured directly with DART. Sample preparation using water, hexane, methanol, and dichloromethane extraction, was explored for comparison and optimization of signals. Nonoxynol was detected up to eight hours after sampling. Optimal sampling conditions and mass spectrometry parameters are reported and discussed.


Subject(s)
Cervix Mucus/chemistry , Condoms , Lubricants/chemistry , Nonoxynol/analysis , Spermatocidal Agents/analysis , Female , Forensic Medicine , Humans , Male , Mass Spectrometry/methods , Specimen Handling , Time Factors
2.
Article in English | MEDLINE | ID: mdl-25016165

ABSTRACT

Nonoxynol-9 (N-9), a microbicidal spermicide, has been in use as an over-the-counter contraceptive since the 1960s. A detailed account of its pharmacokinetic profile using highly sensitive detection method has not been reported yet. We developed and validated a rapid, selective and sensitive high-performance liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) method for N-9 detection in plasma and simulated vaginal fluid. The analytes were quantified using reverse phase Thermo Accucore C18 (150 mm × 4.6mm, 5 µm) column with isocratic elution using acetonitrile: 0.1% formic acid in triple distilled water (90:10, v/v) as mobile phase. The ionization was optimized using ESI (+) and selectivity was achieved by tandem mass spectrometric analysis using MRM transition, m/z 617.4→133.2 for N-9 and m/z 180.1→138.1 for phenacetin. The method was linear over the range 0.195-100 ng/mL. The method was accurate and precise with intra-batch and inter-batch accuracy (% bias) of less than ± 15% and precision (% CV) of <15% for N-9. The mean peak plasma concentration (Cmax) 4.87 ± 0.37 ng/mL was achieved 1.0h after vaginal application with terminal half-life 1.45 ± 0.07 h in rabbits. The validated method was successfully applied for pharmacokinetic study of N-9 in rabbits after vaginal administration.


Subject(s)
Body Fluids/chemistry , Chromatography, High Pressure Liquid/methods , Nonoxynol/analysis , Nonoxynol/pharmacokinetics , Tandem Mass Spectrometry/methods , Animals , Drug Stability , Female , Limit of Detection , Linear Models , Nonoxynol/chemistry , Rabbits , Reproducibility of Results , Vagina/metabolism
3.
J Mass Spectrom ; 48(7): 774-8, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23832933

ABSTRACT

Desorption electrospray ionization mass spectrometry (DESI-MS) is employed in the forensic analysis of chemical components present in condoms and imaging of latent fingerprints as circumstantial evidence of sexual assault. Polymers such as nonoxynol-9, polyethylene glycol, and polydimethylsiloxane, as well as small molecules additives such as N-methylmorpholine, N-octylamine, N,N-dibutyl formamide, and isonox 132, commonly used in lubricated condom formulations, were successfully characterized by DESI. The results suggest that DESI-MS is useful for identification of this type of evidence, and it has advantages over conventional extractive techniques, in terms of speed of analysis and ease of use.


Subject(s)
Condoms , Forensic Medicine/methods , Sex Offenses , Spectrometry, Mass, Electrospray Ionization/methods , Amines/analysis , Amines/chemistry , Dermatoglyphics , Dimethylpolysiloxanes/analysis , Dimethylpolysiloxanes/chemistry , Humans , Morpholines/analysis , Morpholines/chemistry , Nonoxynol/analysis , Nonoxynol/chemistry , Rubber/chemistry
4.
Huan Jing Ke Xue ; 33(9): 3295-300, 2012 Sep.
Article in Chinese | MEDLINE | ID: mdl-23243895

ABSTRACT

Nonylphenol ethoxylates (NPEOs), as an important group of non-ionic surfactants, have raised the society's serious concern because they can be transformed into their metabolites such as nonylphenol (NP) after biodegradation, which could cause potential disrupting effects on the endocrine system of wild animals. In this paper, NPEOs and their metabolites were taken as the research objects, and the occurrence and output pathways of NPEOs and their metabolites during the municipal wastewater treatment process were investigated, as well as the affecting factors of their removal efficiency. The results showed that NPEOs and their metabolites were ubiquitous in the influents of municipal wastewater plants, and the concentrations were related to seasons, geographic locations, living habits and so on. NPEOs and their metabolites entering WWTPs were output mainly through three pathways: biodegradation, adsorption onto sludge and release via effluents. Endocrine disrupting chemicals such as NP and NPECs were produced during the wastewater treatment process and entered the environment via effluents and sludge. The results of this paper could provide a scientific basis for the construction of safety control techniques in the municipal wastewater treatment plant.


Subject(s)
Nonoxynol/analysis , Nonoxynol/metabolism , Waste Disposal, Fluid/methods , Wastewater/chemistry , China , Cities , Endocrine Disruptors/analysis , Environmental Monitoring , Phenols/analysis , Sewage/chemistry , Surface-Active Agents/analysis , Surface-Active Agents/metabolism
5.
J Am Soc Mass Spectrom ; 23(5): 996-9, 2012 May.
Article in English | MEDLINE | ID: mdl-22359093

ABSTRACT

The spermicide nonoxynol-9 is actually a complex mixture of dozens of closely related amphiphilic compounds, and the chemical properties of this assortment significantly hamper its characterization by GC-MS. The inability to perform routine GC-MS testing on nonoxynol-9 has limited its evidentiary value in forensic casework, which relies heavily on this technique for analysis. A disturbing trend in sexual assault is the use of condoms by assailants, to avoid leaving behind DNA evidence that can connect a perpetrator to a victim. This observation necessitates the development of alternative methods for the analysis of trace evidence that can show causal links between a victim and a suspect. Detection of lubricants associated with sexual assault is one such way to establish this connection. The development of GC-MS methods that permit facile detection of both nonoxynol-9 alone and nonoxynol-9 extracted from other complex matrices that have potential as trace evidence in sexual assault is reported. A detection limit of 2.14 µg of nonoxynol-9 is demonstrated, and a detailed mass spectral profile that elaborates on what is known of its structure is provided.


Subject(s)
Gas Chromatography-Mass Spectrometry/methods , Nonoxynol/analysis , Spermatocidal Agents/analysis , Forensic Medicine , Limit of Detection , Methylene Chloride , Nonoxynol/isolation & purification , Spermatocidal Agents/isolation & purification
6.
J Chromatogr A ; 1137(2): 188-97, 2006 Dec 29.
Article in English | MEDLINE | ID: mdl-17070820

ABSTRACT

A new methodology capable of performing the simultaneous analysis of the main surfactants--linear alkylbenzene sulfonates (LAS), alkyl ethoxysulfates (AES), alkyl sulfates (AS), nonylphenol polyethoxylates (NPEOs) and alcohol polyethoxylates (AEOs)--and their carboxylated metabolites--sulfophenyl carboxylic acids (SPCs) and alkylphenol ethoxycarboxylates (APECs)--in environmental samples has been developed for the first time. Extraction is carried out by solid-phase extraction (SPE) and pressurized liquid extraction (PLE) from water and sediment, respectively. Identification and quantification of the target compounds is performed using a liquid chromatography-mass spectrometry (LC-MS) system equipped with an electrospray interface (ESI) operating in mixed-mode. Optimization of parameters such as pH, ionic strength, temperature and solvents has been carried out in order to obtain recoveries in the range from 70 to 107% for most homologs, while the limits of detection are 0.05-0.5 ng mL(-1) in water and 1-10 ng g(-1) in sediment. The proposed methodology has been applied for the simultaneous determination of all the target compounds in samples taken from aquatic ecosystems in the SW of Spain. Values for LAS, AS, AES, NPEOs and AEOs are up to 38.7, 3.0, 2.9, 5.0 and 1.2 microg L(-1) in waters, and in the ranges of 1.73-12.80, 0.11-0.24, 0.02-0.59, 1.94-2.70 and 0.64-3.64 mg kg(-1) in sediments, respectively. The highest concentrations of metabolites found in water are 149.6 microg L(-1) of SPCs and 3.9 microg L(-1) of APECs.


Subject(s)
Carboxylic Acids/analysis , Chromatography, Liquid/methods , Spectrometry, Mass, Electrospray Ionization/methods , Surface-Active Agents/analysis , Water Pollutants, Chemical/analysis , Benzenesulfonates/analysis , Biodegradation, Environmental , Ethyl Ethers/analysis , Nonoxynol/analysis , Solid Phase Extraction/methods , Sulfuric Acid Esters/analysis , Surface-Active Agents/metabolism
7.
Environ Int ; 32(7): 907-14, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16842850

ABSTRACT

Spatial distribution of nonylphenol polyethoxylates (NPEOs) and nonylphenol (NP) was investigated in a field study in Lanzhou Reach of the Yellow River. NPEOs and their metabolites were found in the river, with the maximum dissolved concentrations of 6.38 nmol/L for NPEOs, 0.19 nmol/L for nonylphenol ethoxy acetic acids (NPECs) and 0.79 nmol/L for NP, respectively. The maximum concentrations in the sediment and suspended particle samples were 1.50 and 5.09 nmol/g for NPEOs and NP, respectively. The effects of particles, light and microorganism on the dissipation of NPEOs in the river water were investigated based on lab-scale experiments. When natural particles were removed, 72% and 22% degradation of NPEOs were achieved at 120 h in non-sterile and sterile conditions with light, respectively. Different concentrations of NPECs were also observed in these experiments. When suspended particle matters (SPMs) were present, about 38-50% of NPEOs were sorbed to the particulate phase in only 1 h. As a result, the degradation of NPEOs and production of NPECs were inhibited. However, the combined sorption and degradation in the presence of SPMs resulted in lower dissolved NPEO concentrations than those in the absence of SPMs. Biodegradation was the most important pathway for NPEOs degradation in the river water, while NPECs seemed to be produced through both biological and abiological pathways.


Subject(s)
Geologic Sediments/analysis , Nonoxynol/analysis , Rivers/chemistry , Surface-Active Agents/analysis , Water Pollutants, Chemical/analysis , Absorption , Animals , Environmental Monitoring , Geologic Sediments/chemistry , Nonoxynol/chemistry , Particle Size , Surface-Active Agents/chemistry , Time Factors
8.
Chemosphere ; 63(1): 31-8, 2006 Mar.
Article in English | MEDLINE | ID: mdl-16213551

ABSTRACT

Sorption of nonylphenol (NP), nonylphenol monoethoxylate (NP1EO) and nonylphenol diethoxylate (NP2EO) as well as their binary and ternary mixtures were studied and compared on three simulated suspended particulate matters (SPMs). Sorption dynamics of NP on the three SPMs could be divided into two phases, the rapid sorption phase and the slow sorption phase. A third phase, 'apparent desorption' occurred before the slow sorption phase for NP1EO and NP2EO as well as for all mixtures. Initial sorption rate increased with the OC% content of the SPMs. At low concentration, the sorption of NP, NP1EO and NP2EO (only at low concentration for 3# SPM) followed linear isotherm on the three SPMs. The linear Kd value of NP or NP1EO increased with the OC% content of SPM. In mixtures, sorption of NP, NP1EO and NP2EO increased significantly, and a 'critical point', after which sorption increased significantly, was observed in certain sorption isotherms.


Subject(s)
Nonoxynol/analysis , Water Pollutants, Chemical/analysis , Adsorption , Biodegradation, Environmental , Hydrogen-Ion Concentration , Micelles , Nonoxynol/chemistry , Nonoxynol/metabolism , Particle Size , Surface-Active Agents/analysis , Surface-Active Agents/chemistry , Surface-Active Agents/metabolism , Temperature , Time Factors
9.
J Forensic Sci ; 48(5): 1065-74, 2003 Sep.
Article in English | MEDLINE | ID: mdl-14535669

ABSTRACT

A condom can be described as a protective sheath used as a contraceptive or to protect against sexually transmitted diseases. However, individuals also use condoms during the commission of sexual assaults to prevent identification through deposited biological material. Raman spectroscopy offers a novel approach to identifying the presence of condom lubricant components. Furthermore, Raman chemical imaging expands on conventional Raman spectroscopy to characterize multiple condom lubricant components simultaneously in a manner that effectively demonstrates heterogeneous sample mixtures both spectrally and spatially. Known reference materials, liquid and solid lubricant components of common condom brands were successfully characterized using Raman dispersive spectroscopy and Raman chemical imaging without extensive sample preparation inherent to other analytical methods. The characterization of these materials demonstrates the potential of this technique to become a routine screening method for condom lubricants. This preliminary investigation provides a basis for future studies to determine the feasibility of Raman spectroscopy and Raman chemical imaging for condom lubricant trace detection in case type samples.


Subject(s)
Condoms , Dimethylpolysiloxanes/analysis , Nonoxynol/analysis , Silicones/analysis , Spectrum Analysis, Raman , Spermatocidal Agents/analysis , Forensic Medicine/methods , Humans , Lycopodium/chemistry , Polyethylene Glycols/analysis , Spores/chemistry , Surface-Active Agents/analysis
10.
J Forensic Sci ; 44(4): 783-8, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10432613

ABSTRACT

Electrospray ionization (ESI) and matrix-assisted laser desorption/ionization (MALDI) mass spectrometry have been used to examine evidence in a sexual assault investigation. Because condoms are being used increasingly by sexual assailants and some condom brands include the spermicide nonoxynol-9 (nonylphenoxy polyethoxyethanol) in the lubricant formulation, the recovery, and identification of nonoxynol-9 from evidence items may assist in proving corpus delicti. A method was developed for the recovery of nonoxynol-9 from internal vaginal swabs and for its identification by reverse phase liquid chromatography/electrospray ionization mass spectrometry (LC ESI-MS), nanoelectrospray ionization (nanoESI) mass spectrometry, and high resolution MALDI Fourier transform mass spectrometry (MALDI-FTMS). The method was tested on extracts from precoitus, immediate postcoitus, and four-hours postcoitus vaginal swabs provided by a volunteer whose partner does not normally use condoms, but for this trial used a condom having a water-soluble gel-type lubricant that includes 5% nonoxynol-9 in its formulation. Subsequently, LC ESI-MS was used to identify traces of nonoxynol-9 from the internal vaginal swab of a victim of a sexual assault.


Subject(s)
Forensic Medicine/methods , Nonoxynol/analysis , Rape/diagnosis , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/methods , Spermatocidal Agents/analysis , Condoms , Female , Gas Chromatography-Mass Spectrometry/methods , Humans , Male , Nonoxynol/chemistry , Rape/legislation & jurisprudence , Spectroscopy, Fourier Transform Infrared/methods , Spermatocidal Agents/chemistry
11.
Contraception ; 56(2): 103-10, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9315419

ABSTRACT

The objectives of this study were to determine the amount of nonoxynol-9 (N-9) remaining in the vagina 30 min and 1, 1.5, 2, and 4 h after vaginal insertion of a single sheet of VCF containing 70 mg N-9 and to compare these results to the manufacturer's instructions for use of this product. A new method of vaginal lavage was used to obtain samples for N-9 determination. This was an open-label, noncomparative, pharmacokinetic study in 12 healthy women volunteers not at risk for pregnancy. The study consisted of a screening visit followed by five test visits approximately 1 month apart and a final visit 1 week after all test visits were completed. At each test visit, the investigator inserted a single sheet of VCF in the vagina of the volunteer at midcycle. The volunteer remained in the clinic and underwent vaginal lavage with normal saline after one of five specified time intervals had elapsed. The sequence of the intervals completed by each volunteer was determined by randomization. When undissolved film was found in the vagina, it was removed prior to lavage and assayed for N-9 content separately from that recovered in lavage fluid. It was assumed that the N-9 in undissolved film would not contribute significantly to sperm immobilization. Between 18.5 and 28.5 mg of N-9 were recovered in lavage fluid after intervals of 0.5, 1, 1.5, and 2 h. These levels did not differ statistically (p > 0.05). The amount of N-9 recovered dropped significantly at 4 h to 11.0 mg. If it is assumed that an N-9 concentration of 0.100 mg/mL is required to immobilize sperm in vitro, this study suggests that the amount of N-9 remaining in the vagina in the form of dissolved film up to 4 h after insertion of VCF is sufficient to immobilize sperm. The lavage procedure may not have recovered all N-9 remaining in the vagina. However, intercourse did not take place between insertion and lavage; if it had, the proportion of the film remaining undissolved and the total amount N-9 remaining in the vagina at the time of examination might have been affected.


PIP: The amount of nonoxynol-9 (N-9) remaining in the vagina 0.5, 1.0, 1.5, 2.0, and 4.0 hours after vaginal insertion of a single sheet of a contraceptive film (VCP) containing 70 mg of N-9 was investigated in a pharmacokinetic study involving 12 US women. At each of 5 test visits, approximately 1 month apart, a single sheet of VCF was inserted at midcycle. Vaginal lavage with normal saline was then performed after 1 of the 5 specified time intervals had elapsed. At 30 minutes, an average of 34.4 mg (49% of the total N-9) could be recovered. After intervals of 1.0, 1.5, and 2.0 hours, 18.5-28.5 mg of N-9 was recovered in lavage fluid. The amount of recovered N-9 dropped significantly to 11.0 mg after 4.0 hours. It is assumed that an N-9 concentration of 0.100 mg/mL is required to immobilize sperm. Thus, the amount of N-9 remaining in the vagina up to 4.0 hours after insertion of VCF is sufficient for contraception. The VCF label states that intercourse may take place 15 minutes after film insertion. Although lavage was not performed at this time point, it can be assumed that at least 49% of the original N-9 would be present. Since this study is limited by the fact that intercourse did not take place, future studies should include postcoital measures of the amount of N-9 persisting at various intervals.


Subject(s)
Contraceptive Agents, Female/pharmacokinetics , Nonoxynol/pharmacokinetics , Spermatocidal Agents/pharmacokinetics , Vagina/metabolism , Administration, Intravaginal , Contraceptive Agents, Female/administration & dosage , Contraceptive Agents, Female/analysis , Female , Humans , Kinetics , Nonoxynol/administration & dosage , Nonoxynol/analysis , Spermatocidal Agents/administration & dosage , Spermatocidal Agents/analysis , Therapeutic Irrigation , Vagina/chemistry
12.
Contraception ; 55(4): 261-3, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9179459

ABSTRACT

A feasibility study was performed in 11 healthy nonpregnant premenopausal women to determine a method for collection and recovery of vaginally administered nonoxynol-9. We also determined if nonoxynol-9 could be quantitated in vaginal lavage fluid obtained 2 h after instillation of a standard precoitol dose of a foam formulation of nonoxynol-9. Samples were analyzed in batch using a validated normal phase high-performance liquid chromatography (HPLC) method. Two hours after instillation of one dose of Delfen Contraceptive Foam (100 mg), the quantity of nonoxynol-9 collected ranged from 10.8 to 67.8 mg (mean: 35.4 mg). This corresponds to a recovery of 11.70%, of the administered dose. Quantitation of vaginally administered nonoxynol-9 is both practical and feasible. These data represent a critical first step in the evaluation of the safety and effectiveness of nonoxynol-9-containing products in the prevention of sexually transmitted diseases.


PIP: In clinical trials, nonoxynol-9 has been shown to protect against the transmission of sexually transmitted pathogens. Conversely, there are concerns that frequent use may lead to vaginal irritation and thus increase the risk of transmission of sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV). Nonoxynol-9 is available as a foam, cream, gel, film, and suppository. These routes of administration differ from each other in their total unit dose, ability to irritate genital tissues, rates of dissolution, and ability to coat the vagina. To determine a method for collection and recovery of vaginally administered nonoxynol-9, and thereby facilitate research on the role of nonoxynol-9 in the prevention of HIV, a feasibility study was performed in 11 healthy, premenopausal US women. Also investigated was whether nonoxynol-9 could be quantitated in vaginal lavage fluid obtained 2 hours after instillation of 100 mg of nonoxynol-9 foam (Delfen). The quantity of nonoxynol-9 collected at this time ranged from 10.8-67.8 mg (mean, 35.4 mg), corresponding to a recovery rate of 11-70% of the original dose. Although further studies are needed to optimize methods for nonoxynol-9 recovery from the vagina, this study suggests it is feasible to quantitate nonoxynol-9 after single-dose vaginal administration.


Subject(s)
Nonoxynol/analysis , Spermatocidal Agents/analysis , Vagina/metabolism , Administration, Intravaginal , Adolescent , Adult , Chromatography, High Pressure Liquid , Female , Humans , Nonoxynol/administration & dosage , Premenopause , Spermatocidal Agents/administration & dosage , Therapeutic Irrigation
13.
J Chromatogr B Biomed Appl ; 677(1): 204-8, 1996 Feb 23.
Article in English | MEDLINE | ID: mdl-8925098

ABSTRACT

A sensitive normal-phase high-performance liquid chromatographic method using a bonded-phase aminosilica column has been developed for the measurement of the spermicide nonoxynol-9 in vaginal lavage fluid. The mean multiple correlation coefficient (r2) for nonoxynol-9 was 0.999 over the calibration range 3.125-50 micrograms/ml for the standards. Quality control samples measured at two different concentration levels gave intra-day precision values (coefficient of variation, C.V.) in the range of 0.61 to 1.63% and the intra-day accuracy values (mean relative error, M.R.E.) in the range of 0.13-0.62%. Inter-day precision and accuracy values from five different calibration standard concentration values ranged from 2.25 to 5.09% C.V. and 4.02 to 7.56% M.R.E. Nonoxynol-9 samples examined for peak area stability at room temperature over a 24-h time period had a M.R.E. of 14.9%. Quality control samples stored at -70 degrees C, and tested after one month by comparison to baseline samples, had a M.R.E. of -10% and 7.53% for the low and high quality control samples, respectively. The method is sensitive and simple, with short runtimes, to enable the processing of numerous samples from a clinical trial.


Subject(s)
Nonoxynol/analysis , Spermatocidal Agents/analysis , Vagina/chemistry , Calibration , Chromatography, High Pressure Liquid , Female , Humans , Quality Control , Reference Standards , Reproducibility of Results , Specimen Handling , Spectrometry, Fluorescence , Therapeutic Irrigation
14.
J Forensic Sci Soc ; 34(4): 245-56, 1994.
Article in English | MEDLINE | ID: mdl-7844517

ABSTRACT

A polydimethylsiloxane (PDMS) liquid is used as a lubricant by many condom manufacturers. Because the use of condoms in sex crimes is likely to increase, a protocol was developed that could extract PDMS and the spermicide nonoxynol-9 from evidence items and separately identify them by Fourier transform infrared spectroscopy. Additionally, at least some discrimination was provided by microscopically identifying insoluble lubricants such as corn starch, lycopodium, silica, and talc which are added to some brands. Desorption chemical ionization mass spectrometry was used to compare the PDMS used by different manufacturers and to detect as little as 20 ng. The protocol was successfully used in two actual cases, one in which the assailant wore a lubricated condom, and a second in which he did not, but claimed to have done so.


Subject(s)
Condoms , Dimethylpolysiloxanes/analysis , Rape , Silicones/analysis , Adolescent , Adult , Female , Humans , Male , Mass Spectrometry , Nonoxynol/analysis , Spectrophotometry, Infrared
15.
Photodermatol Photoimmunol Photomed ; 10(5): 198-201, 1994 Oct.
Article in English | MEDLINE | ID: mdl-7880758

ABSTRACT

Nonoxynols are nonionic surface-active agents used as surfactant in numerous cosmetic products and antiseptic preparations. Recently nonoxynol contact allergy has been described. We report two patients who presented a contact photosensitivity to nonoxynol 10 contained in Hexomédine transcutanée. Among 32 control subjects, we found 13 positive photopatch tests to Hexomédine transcutanée and 4 positive photopatch tests to nonoxynol 10. Surprisingly, the authors observed that only undiluted nonoxynol was phototoxic.


Subject(s)
Anti-Infective Agents, Local/administration & dosage , Benzamidines/administration & dosage , Dermatitis, Contact/etiology , Nonoxynol/adverse effects , Photosensitivity Disorders/etiology , Administration, Cutaneous , Adult , Aged , Anti-Infective Agents, Local/analysis , Benzamidines/analysis , Female , Humans , Leg Dermatoses/diagnosis , Male , Nonoxynol/analysis , Panniculitis/drug therapy , Patch Tests , Pharmaceutical Vehicles/adverse effects , Pharmaceutical Vehicles/analysis
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