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Repeated exposures to cobalt and chromate on the hands of patients with hand eczema and contact allergy to that metal

Tidsskriftartikel - 2000

Resume

The present study aimed at evaluating the effects of daily repeated exposures to low cobalt or chromate concentrations on the hands of patients with hand eczema and cobalt or chromate allergy. For 2 weeks, the patients immersed a finger for 10 min daily into the appropriate metal salt solution in water. During the 1st week, this was a 10 or 50 mg/l cobalt concentration or a 10 mg/l chromate concentration, and, during the 2nd week, a 100 or 200 mg/l cobalt concentration or a 100 mg/l chromate concentration. This regimen elicited a flare of hand eczema only in the chromate-exposed chromate-sensitive patients. During the exposure period, accumulation of cobalt or chromate in the nail was demonstrated. Standardization of chemical methods of quantification of skin exposure to allergens, combined with experimental exposure studies in patients with specific contact allergy, will increase the possibility of providing evidence-based medicine in the area of allergic contact dermatitis in the future.

Reference

Nielsen N, Kristiansen J, Borg L, Christensen J, Poulsen L, Menné T. Repeated exposures to cobalt and chromate on the hands of patients with hand eczema and contact allergy to that metal. Contact Dermatitis 2000;43(4):212-215.
doi: 10.1034/j.1600-0536.2000.043004212.x

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