A case of contact urticaria syndrome due to di(2-ethylhexyl) phthalate (DOP) in work clothes

Contact Dermatitis
Keiji SugiuraKazumi Sasaki

Abstract

We previously reported a case of contact urticaria syndrome (CUS) due to di(2-ethylhexyl) phthalate (DOP) in a polyvinyl chloride (PVC) grip on cotton gloves. The patient reported in this previous paper was careful not to have any contact with PVC products in his daily life or in his working environment. He discontinued the use of protective gloves with a PVC grip that was the cause of CUS. When working, he used cotton gloves without a PVC grip. We prescribed antihistamines which slightly improved his condition. However, when he wore work clothes while on duty, CUS relapsed. This condition was severe and made him feel anxious. When we advised him to wear a cotton shirt under his work clothes, the contact urticaria did not develop. We suspected that some component of the work clothes was the cause of his symptoms. A prick test with the extract solution of his work clothes showed a wheal and flare at the 15 min reading. The common component of the grip and the work clothes was found by analysis to be DOP.

References

Nov 1, 1989·British Journal of Industrial Medicine·H S LeeS C Poh
Jul 1, 1985·Contact Dermatitis·L KanervaT Estlander
Jan 1, 1986·Contact Dermatitis·T EstlanderL Kanerva
Jul 1, 1985·Contact Dermatitis·R HayakawaA Nakamura
Jul 1, 1983·Contact Dermatitis·J C Mitchell
Mar 1, 1997·American Journal of Contact Dermatitis : Official Journal of the American Contact Dermatitis Society·S AminH I Maibach

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Citations

Sep 1, 2005·Environmental Toxicology and Pharmacology·P L MinciulloS Gangemi
Apr 12, 2008·Journal of Occupational Health·Shin Goo ParkJeong Hyun Shin
Nov 5, 2015·Journal of Exposure Science & Environmental Epidemiology·Mingjie XieLinsey C Marr
Jul 8, 2009·Dermatologic Clinics·Lauren Y CaoJames S Taylor
Feb 19, 2010·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Stefanie WeimannSwen Malte John
Dec 14, 2011·Contact Dermatitis·Denis Sasseville, Mimi Thériault
Aug 27, 2014·Contact Dermatitis·Luca StingeniPaolo Lisi
Jul 20, 2016·International Journal of Environmental Research and Public Health·Peter WallnerHans-Peter Hutter

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