Patch testing with rubber series in Europe: a critical review and recommendation

Summary Background Rubber additives constitute an important group of contact allergens, particularly in certain occupations. Objectives To collect information regarding the current practice of using a ‘rubber series’ in Europe, and discuss this against the background of evidence concerning the preva...

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Veröffentlicht in:Contact dermatitis 2017-04, Vol.76 (4), p.195-203
Hauptverfasser: Warburton, Katharine L., Uter, Wolfgang, Geier, Johannes, Spiewak, Radoslaw, Mahler, Vera, Crépy, Marie‐Noëlle, Schuttelaar, Marie Louise, Bauer, Andrea, Wilkinson, Mark
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container_end_page 203
container_issue 4
container_start_page 195
container_title Contact dermatitis
container_volume 76
creator Warburton, Katharine L.
Uter, Wolfgang
Geier, Johannes
Spiewak, Radoslaw
Mahler, Vera
Crépy, Marie‐Noëlle
Schuttelaar, Marie Louise
Bauer, Andrea
Wilkinson, Mark
description Summary Background Rubber additives constitute an important group of contact allergens, particularly in certain occupations. Objectives To collect information regarding the current practice of using a ‘rubber series’ in Europe, and discuss this against the background of evidence concerning the prevalence of allergy in order to derive a recommendation for a ‘European rubber series’. Methods The following were performed: (i) a survey targeting all members of the COST action ‘StanDerm’ consortium, (ii) analysis of rubber contact allergy data in the database of the European Surveillance System on Contact Allergies, and (iii) a literature review. Results Information from 13 countries was available, from one or several departments of dermatology, and occasionally occupational health. Apart from some substances tested only in single departments, a broad overlap regarding important allergens was evident, but considerable variation existed between departments. Conclusions An up‐to‐date ‘European rubber series’ is recommended, with the exclusion of substances only of historical concern. A ‘supplementary rubber series’ containing allergens of less proven importance, requiring further analysis, is recommended for departments specializing in occupational contact allergy. These should be continually updated as new evidence emerges.
doi_str_mv 10.1111/cod.12736
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Objectives To collect information regarding the current practice of using a ‘rubber series’ in Europe, and discuss this against the background of evidence concerning the prevalence of allergy in order to derive a recommendation for a ‘European rubber series’. Methods The following were performed: (i) a survey targeting all members of the COST action ‘StanDerm’ consortium, (ii) analysis of rubber contact allergy data in the database of the European Surveillance System on Contact Allergies, and (iii) a literature review. Results Information from 13 countries was available, from one or several departments of dermatology, and occasionally occupational health. Apart from some substances tested only in single departments, a broad overlap regarding important allergens was evident, but considerable variation existed between departments. Conclusions An up‐to‐date ‘European rubber series’ is recommended, with the exclusion of substances only of historical concern. A ‘supplementary rubber series’ containing allergens of less proven importance, requiring further analysis, is recommended for departments specializing in occupational contact allergy. These should be continually updated as new evidence emerges.</description><identifier>ISSN: 0105-1873</identifier><identifier>EISSN: 1600-0536</identifier><identifier>DOI: 10.1111/cod.12736</identifier><identifier>PMID: 28032352</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Allergies ; clinical epidemiology ; contact allergy ; Dermatitis, Allergic Contact - diagnosis ; Dermatitis, Allergic Contact - epidemiology ; Dermatitis, Allergic Contact - etiology ; Dermatitis, Occupational - diagnosis ; Dermatitis, Occupational - epidemiology ; Dermatitis, Occupational - etiology ; Female ; Humans ; Latex Hypersensitivity - diagnosis ; Latex Hypersensitivity - epidemiology ; Latex Hypersensitivity - etiology ; Male ; Occupations ; patch testing ; Patch Tests - methods ; Prevalence ; Rubber - adverse effects ; rubber additives ; standardization</subject><ispartof>Contact dermatitis, 2017-04, Vol.76 (4), p.195-203</ispartof><rights>2016 John Wiley &amp; Sons A/S. 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Objectives To collect information regarding the current practice of using a ‘rubber series’ in Europe, and discuss this against the background of evidence concerning the prevalence of allergy in order to derive a recommendation for a ‘European rubber series’. Methods The following were performed: (i) a survey targeting all members of the COST action ‘StanDerm’ consortium, (ii) analysis of rubber contact allergy data in the database of the European Surveillance System on Contact Allergies, and (iii) a literature review. Results Information from 13 countries was available, from one or several departments of dermatology, and occasionally occupational health. Apart from some substances tested only in single departments, a broad overlap regarding important allergens was evident, but considerable variation existed between departments. Conclusions An up‐to‐date ‘European rubber series’ is recommended, with the exclusion of substances only of historical concern. A ‘supplementary rubber series’ containing allergens of less proven importance, requiring further analysis, is recommended for departments specializing in occupational contact allergy. 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Objectives To collect information regarding the current practice of using a ‘rubber series’ in Europe, and discuss this against the background of evidence concerning the prevalence of allergy in order to derive a recommendation for a ‘European rubber series’. Methods The following were performed: (i) a survey targeting all members of the COST action ‘StanDerm’ consortium, (ii) analysis of rubber contact allergy data in the database of the European Surveillance System on Contact Allergies, and (iii) a literature review. Results Information from 13 countries was available, from one or several departments of dermatology, and occasionally occupational health. Apart from some substances tested only in single departments, a broad overlap regarding important allergens was evident, but considerable variation existed between departments. Conclusions An up‐to‐date ‘European rubber series’ is recommended, with the exclusion of substances only of historical concern. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Allergies
clinical epidemiology
contact allergy
Dermatitis, Allergic Contact - diagnosis
Dermatitis, Allergic Contact - epidemiology
Dermatitis, Allergic Contact - etiology
Dermatitis, Occupational - diagnosis
Dermatitis, Occupational - epidemiology
Dermatitis, Occupational - etiology
Female
Humans
Latex Hypersensitivity - diagnosis
Latex Hypersensitivity - epidemiology
Latex Hypersensitivity - etiology
Male
Occupations
patch testing
Patch Tests - methods
Prevalence
Rubber - adverse effects
rubber additives
standardization
title Patch testing with rubber series in Europe: a critical review and recommendation
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