Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers
Medical adhesive tapes are commonly recommended for the prevention of friction blisters during hiking and military marches. The aim of this paper is to report on the results of investigations into an outbreak of tape-related foot dermatitis in 26 military conscripts following continuous use of medic...
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Format: | Article |
Language: | English |
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Medical Journals Sweden
2023-12-01
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Series: | Acta Dermato-Venereologica |
Subjects: | |
Online Access: | https://medicaljournalssweden.se/actadv/article/view/18428 |
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author | Nils Hamnerius Jakob Dahlin Magnus Bruze Kristina Nilsson Thanisorn Sukakul Cecilia Svedman |
author_facet | Nils Hamnerius Jakob Dahlin Magnus Bruze Kristina Nilsson Thanisorn Sukakul Cecilia Svedman |
author_sort | Nils Hamnerius |
collection | DOAJ |
description | Medical adhesive tapes are commonly recommended for the prevention of friction blisters during hiking and military marches. The aim of this paper is to report on the results of investigations into an outbreak of tape-related foot dermatitis in 26 military conscripts following continuous use of medical adhesive tapes for several days during a field exercise. Patch tests were performed using baseline series and aimed testing was performed with colophonium-related substances and different medical adhesive tapes. Contact allergy to the adhesive tapes used was found in 20 (77%) subjects, and contact allergy to colophonium in 16 (61%). Chemical analysis detected colophonium-related substances in the culprit tapes. Compared with consecutive dermatitis patients investigated at our Department of Occupational and Environmental Dermatology in the previous 10 years, conscripts with colophonium allergy had increased odds ratios for concomitant contact allergy to phenol formaldehyde resins and fragrance substances including hydroperoxides of limonene and linalool. The results show that prolonged use of medical adhesive tapes on intact skin carries a high risk for allergic contact dermatitis. Prior to their introduction on the market, medical devices should be assessed for possible side-effects.
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first_indexed | 2024-03-09T02:11:01Z |
format | Article |
id | doaj.art-ac4756daa3fd46beb0e32bce50d13a69 |
institution | Directory Open Access Journal |
issn | 0001-5555 1651-2057 |
language | English |
last_indexed | 2024-03-09T02:11:01Z |
publishDate | 2023-12-01 |
publisher | Medical Journals Sweden |
record_format | Article |
series | Acta Dermato-Venereologica |
spelling | doaj.art-ac4756daa3fd46beb0e32bce50d13a692023-12-07T12:35:24ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572023-12-0110310.2340/actadv.v103.18428Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in SoldiersNils Hamnerius0Jakob Dahlin1Magnus Bruze2Kristina Nilsson3Thanisorn Sukakul4Cecilia Svedman5Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SwedenDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SwedenDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SwedenDepartment of Current Operations, Army Command, Swedish Armed Forces, SwedenDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SwedenDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SwedenMedical adhesive tapes are commonly recommended for the prevention of friction blisters during hiking and military marches. The aim of this paper is to report on the results of investigations into an outbreak of tape-related foot dermatitis in 26 military conscripts following continuous use of medical adhesive tapes for several days during a field exercise. Patch tests were performed using baseline series and aimed testing was performed with colophonium-related substances and different medical adhesive tapes. Contact allergy to the adhesive tapes used was found in 20 (77%) subjects, and contact allergy to colophonium in 16 (61%). Chemical analysis detected colophonium-related substances in the culprit tapes. Compared with consecutive dermatitis patients investigated at our Department of Occupational and Environmental Dermatology in the previous 10 years, conscripts with colophonium allergy had increased odds ratios for concomitant contact allergy to phenol formaldehyde resins and fragrance substances including hydroperoxides of limonene and linalool. The results show that prolonged use of medical adhesive tapes on intact skin carries a high risk for allergic contact dermatitis. Prior to their introduction on the market, medical devices should be assessed for possible side-effects. https://medicaljournalssweden.se/actadv/article/view/18428allergic contact dermatitiscolophoniumcontact allergymedical devicemilitary personneloccupational dermatitis |
spellingShingle | Nils Hamnerius Jakob Dahlin Magnus Bruze Kristina Nilsson Thanisorn Sukakul Cecilia Svedman Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers Acta Dermato-Venereologica allergic contact dermatitis colophonium contact allergy medical device military personnel occupational dermatitis |
title | Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers |
title_full | Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers |
title_fullStr | Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers |
title_full_unstemmed | Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers |
title_short | Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers |
title_sort | colophonium related allergic contact dermatitis caused by medical adhesive tape used to prevent skin lesions in soldiers |
topic | allergic contact dermatitis colophonium contact allergy medical device military personnel occupational dermatitis |
url | https://medicaljournalssweden.se/actadv/article/view/18428 |
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