Aluminium allergy in patients hyposensitized with aluminium-precipitated antigen extracts

During hyposensitization therapy with aluminium‐precipitated antigen solutions, a small % of patients develop persistent subcutaneous nodules at the injection site; the existence of delayed sensitivity to aluminium has been implicated in the pathogenesis of these nodules. We studied the prevalence o...

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Veröffentlicht in:Contact dermatitis 1994-07, Vol.31 (1), p.37-40
Hauptverfasser: Lopez, S., Peláez, A., Navarro, L. A., Montesinos, E., Morales, C., Carda, C.
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container_end_page 40
container_issue 1
container_start_page 37
container_title Contact dermatitis
container_volume 31
creator Lopez, S.
Peláez, A.
Navarro, L. A.
Montesinos, E.
Morales, C.
Carda, C.
description During hyposensitization therapy with aluminium‐precipitated antigen solutions, a small % of patients develop persistent subcutaneous nodules at the injection site; the existence of delayed sensitivity to aluminium has been implicated in the pathogenesis of these nodules. We studied the prevalence of aluminium sensitivity (using patch, prick and intradermal tests) and common contact allergens (TRUE Test™) in 20 healthy subjects, and in 40 patients treated with aluminium‐containing extracts, 20 of whom had persistent subcutaneous nodules that remained for more than 2 months, the other half having no nodular reactions or nodules that remained for less than 2 months. Aluminium sensitivity was found only in those patients of the treated group who had persistent nodular reactions, 4 cases of positivity to an aluminium chloride patch test being found. All 4 cases were women, nodules remained for more than 6 months, and intracutaneous tests were negative. 3 of them also had contact sensitivity to nickel. In 2 cases, nodules were removed for histological and histochemical examination, showing non‐specific inflammatory granulomas, and aluminium crystals being found in only 1 case. It is concluded that delayed sensitivity to aluminium appears to be implicated in the pathogenesis of persistent nodular reactions, but sensitivity to aluminium was not found in patients treated with aluminium‐precipitated extracts without persistent nodular reactions.
doi_str_mv 10.1111/j.1600-0536.1994.tb01903.x
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A.</creatorcontrib><creatorcontrib>Montesinos, E.</creatorcontrib><creatorcontrib>Morales, C.</creatorcontrib><creatorcontrib>Carda, C.</creatorcontrib><title>Aluminium allergy in patients hyposensitized with aluminium-precipitated antigen extracts</title><title>Contact dermatitis</title><addtitle>Contact Dermatitis</addtitle><description>During hyposensitization therapy with aluminium‐precipitated antigen solutions, a small % of patients develop persistent subcutaneous nodules at the injection site; the existence of delayed sensitivity to aluminium has been implicated in the pathogenesis of these nodules. 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It is concluded that delayed sensitivity to aluminium appears to be implicated in the pathogenesis of persistent nodular reactions, but sensitivity to aluminium was not found in patients treated with aluminium‐precipitated extracts without persistent nodular reactions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>aluminium</subject><subject>Aluminum - adverse effects</subject><subject>Antigens - administration &amp; dosage</subject><subject>Biological and medical sciences</subject><subject>Chemical Precipitation</subject><subject>delayed hypersensitivity</subject><subject>Desensitization, Immunologic - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Hypersensitivity, Delayed - diagnosis</subject><subject>Hypersensitivity, Delayed - etiology</subject><subject>Immunopathology</subject><subject>immunotherapy</subject><subject>Immunotherapy (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>negative intradermal tests</subject><subject>negative prick tests</subject><subject>persistent subcutaneous nodules</subject><subject>positive patch tests</subject><subject>side-effects</subject><subject>Skin Tests</subject><issn>0105-1873</issn><issn>1600-0536</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkM1u1DAUhS0EKkPhEZAixIJNgn_inyCxqGZoQRq1QipCrCzHuWk9JJlgO-oMT4-jiWaPN16c71xffwi9I7gg6XzcFURgnGPOREGqqixijUmFWXF4hlbn6DlaYYJ5TpRkL9GrEHYYE1FSdYEuZEVLWtEV-nXVTb0b3NRnpuvAPxwzN2SjiQ6GGLLH47gPMAQX3V9osicXHxO3NPLRg3WjiyamzAzRPcCQwSF6Y2N4jV60pgvwZrkv0Y_rL_frr_n27ubb-mqb21IomQNpJcF1yTlX1DQUGm4qhSWprWxKy5WqhKGsUhRAsbLlom0bY3FtuBS0lewSfTjNHf3-zwQh6t4FC11nBthPQROVRkiSBiT00wm1fh-Ch1aP3vXGHzXBejard3rWp2d9ejarF7P6kMpvl3emuofmXF1Upvz9kptgTdd6M1gXzlhJBBGUJ-zzCXtyHRz_YwG9vtuw-bv5qe9ChMO5b_xvLSSTXP-8vdHfbzneXt9v9Ib9AygOpgg</recordid><startdate>199407</startdate><enddate>199407</enddate><creator>Lopez, S.</creator><creator>Peláez, A.</creator><creator>Navarro, L. 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A. ; Montesinos, E. ; Morales, C. ; Carda, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4687-e1f710b455582ad2ed5a98071bc7d4c58896a23982ee834f56ffdac0ba5762f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>aluminium</topic><topic>Aluminum - adverse effects</topic><topic>Antigens - administration &amp; dosage</topic><topic>Biological and medical sciences</topic><topic>Chemical Precipitation</topic><topic>delayed hypersensitivity</topic><topic>Desensitization, Immunologic - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Hypersensitivity, Delayed - diagnosis</topic><topic>Hypersensitivity, Delayed - etiology</topic><topic>Immunopathology</topic><topic>immunotherapy</topic><topic>Immunotherapy (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>negative intradermal tests</topic><topic>negative prick tests</topic><topic>persistent subcutaneous nodules</topic><topic>positive patch tests</topic><topic>side-effects</topic><topic>Skin Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lopez, S.</creatorcontrib><creatorcontrib>Peláez, A.</creatorcontrib><creatorcontrib>Navarro, L. 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A.</au><au>Montesinos, E.</au><au>Morales, C.</au><au>Carda, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aluminium allergy in patients hyposensitized with aluminium-precipitated antigen extracts</atitle><jtitle>Contact dermatitis</jtitle><addtitle>Contact Dermatitis</addtitle><date>1994-07</date><risdate>1994</risdate><volume>31</volume><issue>1</issue><spage>37</spage><epage>40</epage><pages>37-40</pages><issn>0105-1873</issn><eissn>1600-0536</eissn><coden>CODEDG</coden><abstract>During hyposensitization therapy with aluminium‐precipitated antigen solutions, a small % of patients develop persistent subcutaneous nodules at the injection site; the existence of delayed sensitivity to aluminium has been implicated in the pathogenesis of these nodules. We studied the prevalence of aluminium sensitivity (using patch, prick and intradermal tests) and common contact allergens (TRUE Test™) in 20 healthy subjects, and in 40 patients treated with aluminium‐containing extracts, 20 of whom had persistent subcutaneous nodules that remained for more than 2 months, the other half having no nodular reactions or nodules that remained for less than 2 months. Aluminium sensitivity was found only in those patients of the treated group who had persistent nodular reactions, 4 cases of positivity to an aluminium chloride patch test being found. All 4 cases were women, nodules remained for more than 6 months, and intracutaneous tests were negative. 3 of them also had contact sensitivity to nickel. In 2 cases, nodules were removed for histological and histochemical examination, showing non‐specific inflammatory granulomas, and aluminium crystals being found in only 1 case. It is concluded that delayed sensitivity to aluminium appears to be implicated in the pathogenesis of persistent nodular reactions, but sensitivity to aluminium was not found in patients treated with aluminium‐precipitated extracts without persistent nodular reactions.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>7924292</pmid><doi>10.1111/j.1600-0536.1994.tb01903.x</doi><tpages>4</tpages></addata></record>
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ispartof Contact dermatitis, 1994-07, Vol.31 (1), p.37-40
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language eng
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source MEDLINE; Wiley Online Library All Journals
subjects Adolescent
Adult
aluminium
Aluminum - adverse effects
Antigens - administration & dosage
Biological and medical sciences
Chemical Precipitation
delayed hypersensitivity
Desensitization, Immunologic - adverse effects
Female
Humans
Hypersensitivity, Delayed - diagnosis
Hypersensitivity, Delayed - etiology
Immunopathology
immunotherapy
Immunotherapy (general aspects)
Male
Medical sciences
Middle Aged
negative intradermal tests
negative prick tests
persistent subcutaneous nodules
positive patch tests
side-effects
Skin Tests
title Aluminium allergy in patients hyposensitized with aluminium-precipitated antigen extracts
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