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Contact allergy trends in Sweden: a retrospective comparison of patch test data from 1992, 2000, and 2009
Department of Dermatology, Örebro University Hospital, Örebro, Sweden .
Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden .
Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden .
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden .
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2015 (English)In: Contact Dermatitis, ISSN 0105-1873, E-ISSN 1600-0536, Vol. 72, no 5, 297-304 p.Article in journal (Refereed) Published
Abstract [en]

Background: Contact allergy prevalence rates change over time as a result of variations in allergen exposure. Data from patch test clinics are often used as markers for allergy trends.

Objectives: The aim of the present retrospective study was to describe trends in rates of sensitization to allergens in the Swedish baseline series.

Patients/materials/methods: Prevalence rates are described by comparing consecutive patch test data from 1992, 2000 and 2009 in Swedish patch test clinics. In total, 3680 patients were included in 1992, 3825 in 2000, and 3112 in 2009.

Results: Among test substances with a sensitization rate above 2% in 2009, significant decreases were noted for nickel sulfate, cobalt chloride, colophonium, and methylchloroisothiazolinone (MCI)/methylisothiazolinone (MI), and a significant increase for p-phenylenediamine, as compared with 1992. Potassium dichromate reactions had increased among younger women, whereas reactions to nickel and cobalt had decreased in this group. Sensitization to chromium, cobalt and fragrance mix I had decreased among older men, and sensitization to nickel had decreased among younger men.

Conclusions: It is probable that these changes in 1992-2009 reflect both changes in regulations for nickel, lower levels of chromium in cement and of MCI/MI in cosmetics, and increasing use of hair dyes.

Place, publisher, year, edition, pages
2015. Vol. 72, no 5, 297-304 p.
Keyword [en]
contact allergy; contact dermatitis; epidemiology; patch testing; prevalence; trends
National Category
Dermatology and Venereal Diseases
Research subject
Dermatology and Venerology
Identifiers
URN: urn:nbn:se:oru:diva-44673DOI: 10.1111/cod.12346ISI: 000353043300004PubMedID: 25600880Scopus ID: 2-s2.0-84927690605OAI: oai:DiVA.org:oru-44673DiVA: diva2:813276
Note

Funding Agencies:

Edvard Wellander foundation, Sweden

County Council in Örebro, Sweden

Available from: 2015-05-22 Created: 2015-05-22 Last updated: 2017-10-18Bibliographically approved

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Citation style
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