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Patch testing with a textile dye mix--a multicentre study.

Kristina Ryberg1, Tove Agner, Klaus E Andersen

  • 1Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, S-205 02 Malmö, Sweden; Department of Dermatology, Uddevalla Hospital, S-451 80 Uddevalla, Sweden.

Contact Dermatitis
|May 13, 2014
PubMed
Summary
This summary is machine-generated.

Textile dye mix (TDM) patch testing revealed a 3.7% contact allergy rate in dermatitis patients. Disperse Orange 3 was the most common allergen, suggesting TDM inclusion in European baseline series for better diagnosis.

Keywords:
Disperse Orange 3contact allergydisperse dyesp-phenylenediaminepatch testingsimultaneous reactivitytextile dye mix

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Area of Science:

  • Dermatology
  • Allergology
  • Contact Dermatitis

Background:

  • Disperse dyes are recognized contact sensitizers.
  • Current patch test series often exclude disperse dyes.
  • This study addresses the diagnostic gap for textile dye allergy.

Purpose of the Study:

  • To evaluate the efficacy of a textile dye mix (TDM) in patch testing.
  • To determine the prevalence of contact allergy to disperse dyes in dermatitis patients.
  • To assess the TDM's potential for inclusion in standard dermatological testing.

Main Methods:

  • Conducted patch testing with a TDM (6.6%) on 2,907 dermatitis patients across 12 clinics in nine countries.
  • The TDM comprised eight specific disperse dyes at varying concentrations.
  • Further tested 87% of TDM-allergic patients with individual dyes.

Main Results:

  • Identified contact allergy to TDM in 108 patients (3.7%), with center variation (2.1%-6.9%).
  • Disperse Orange 3 was the most frequent allergen.
  • Co-reactivity with p-phenylenediamine observed in 53% of TDM-allergic patients.

Conclusions:

  • The textile dye mix (TDM) is a valuable tool for diagnosing disperse dye allergy.
  • Results support the inclusion of the TDM in the European baseline patch test series.
  • Improved diagnostic strategies for textile dye-related dermatitis are needed.