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Drug Toxicity: Allergic Reactions01:30

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Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...
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Hydroxyisohexyl 3-cyclohexene carboxaldehyde allergy: relationship between patch test and repeated open application

L A Fischer1, T Menné, C Avnstorp

  • 1Department of Dermato-Allergology, The National Allergy Research Centre, University of Copenhagen, Gentofte Hospital, Hellerup, Denmark.

The British Journal of Dermatology
|June 3, 2009
PubMed
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Hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC) allergy thresholds were compared between patch tests and repeated open application tests (ROAT). HICC evaporation significantly impacts ROAT results, indicating lower per-application thresholds but higher accumulated thresholds.

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Area of Science:

  • Dermatology
  • Allergology
  • Cosmetic Science

Background:

  • Hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC) is a common synthetic fragrance allergen.
  • Allergic reactions to HICC have been documented since the 1980s.
  • HICC is now part of the European baseline series for allergy testing.

Purpose of the Study:

  • To determine the relationship between patch test and repeated open application test (ROAT) elicitation thresholds for HICC.
  • To calculate the evaporation rate of HICC from the skin.

Main Methods:

  • Seventeen HICC-allergic individuals underwent patch testing and ROAT with HICC dilution series.
  • Seventeen non-allergic individuals served as controls for ROAT.
  • HICC evaporation rate was calculated over 24 hours.

Main Results:

  • The response frequency to ROAT was significantly higher than patch testing at certain doses.
  • The accumulated dose response rate for ROAT was significantly lower than patch testing.
  • The calculated evaporation rate for HICC was 72% over 24 hours.

Conclusions:

  • The ROAT threshold, per application, is lower than the patch test threshold for HICC.
  • The accumulated ROAT threshold is higher than the patch test threshold.
  • HICC evaporation from the skin likely explains the observed differences in thresholds between the two testing methods.