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    Experimental inhalation of fragrance allergens in predisposed subjects: Effects on skin and airways.
        
        Br. J. Dermatol. 162, 598-606 (2010)
    
    
    
				BACKGROUND: Exposure to fragrances is increasingly encountered in the environment. Some fragrances are known to be important skin and potential airway sensitizers.OBJECTIVES: We investigated whether patients with contact allergy to isoeugenol (ISO) or hydroxyisohexyl-3-carboxaldehyde (HICC) would react to inhalation exposure at the level of the airways and skin.METHODS: Eleven patients sensitized to ISO and 10 patients sensitized to HICC were exposed for 60 min to 1000 microg m(-3) of these compounds in an exposure chamber at rest, and to geraniol 1000 microg m(-3) as a control. Patients wore protective clothing to prevent skin exposure. Assessments were performed prior to exposure, and immediately, 2, 5, 24 and 72 h afterwards. There were no significant changes in lung function but a tendency towards an increased bronchial hyper-responsiveness after exposure to any of the compounds. Laboratory parameters of inflammation did not indicate responses. Single patients reported respiratory symptoms unrelated to objective measures. In contrast, the observed skin symptoms corresponded to the patients' specific sensitization. Four patients reported symptoms compatible with delayed-type hypersensitivity, and two demonstrated a flare after ISO. On re-exposure they did not respond to a lower, more realistic level of ISO.Inhalation of high concentrations of fragrance contact allergens apparently poses a risk for some patients of developing manifest haematogenic contact dermatitis, while the changes in the respiratory tract are limited to symptoms in some subjects without objective changes.
			
			
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
     
    
    
        Schlagwörter
        bronchial hyper-responsiveness; fragrance;  haematogenic; hydroxyisohexyl-3-carboxaldehyde; isoeugenol
    
 
     
    
    
        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2010
    
 
     
    
        HGF-Berichtsjahr
        2010
    
 
    
    
        ISSN (print) / ISBN
        0007-0963
    
 
    
        e-ISSN
        1365-2133
    
 
     
     
     
	     
	 
	 
    
        Zeitschrift
        British Journal of Dermatology - BJD
    
 
		
    
        Quellenangaben
        
	    Band: 162,  
	    Heft: 3,  
	    Seiten: 598-606 
	    
	    
	
    
 
  
         
        
            Verlag
            Wiley
        
 
         
	
         
         
         
         
         
	
         
         
         
    
         
         
         
         
         
         
         
    
        Begutachtungsstatus
        Peer reviewed
    
 
    
        Institut(e)
        Institute of Lung Health and Immunity (LHI)
Institute of Epidemiology (EPI)
 
    Institute of Epidemiology (EPI)
        POF Topic(s)
        30202 - Environmental Health
    
 
     
    
        PSP-Element(e)
        G-521200-001
FE 73991
 
     
     	
    FE 73991
        PubMed ID
        19772525
    
    
    
        Erfassungsdatum
        2010-12-14