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...

Full description

Bibliographic Details
Main Authors: Nils Hamnerius, Jakob Dahlin, Magnus Bruze, Kristina Nilsson, Thanisorn Sukakul, Cecilia Svedman
Format: Article
Language:English
Published: Medical Journals Sweden 2023-12-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access:https://medicaljournalssweden.se/actadv/article/view/18428
_version_ 1797401500606005248
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.
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
work_keys_str_mv AT nilshamnerius colophoniumrelatedallergiccontactdermatitiscausedbymedicaladhesivetapeusedtopreventskinlesionsinsoldiers
AT jakobdahlin colophoniumrelatedallergiccontactdermatitiscausedbymedicaladhesivetapeusedtopreventskinlesionsinsoldiers
AT magnusbruze colophoniumrelatedallergiccontactdermatitiscausedbymedicaladhesivetapeusedtopreventskinlesionsinsoldiers
AT kristinanilsson colophoniumrelatedallergiccontactdermatitiscausedbymedicaladhesivetapeusedtopreventskinlesionsinsoldiers
AT thanisornsukakul colophoniumrelatedallergiccontactdermatitiscausedbymedicaladhesivetapeusedtopreventskinlesionsinsoldiers
AT ceciliasvedman colophoniumrelatedallergiccontactdermatitiscausedbymedicaladhesivetapeusedtopreventskinlesionsinsoldiers