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Area of Science:

  • Dermatology
  • Occupational Health
  • Toxicology

Background:

  • Artichokes contain sensitizing sesquiterpene lactones, known to cause allergic reactions.
  • While irritant contact dermatitis (ICD) from artichokes is documented, protein contact dermatitis (PCD) has not been previously reported.
  • Occupational skin diseases related to artichoke exposure are rare in published literature.

Purpose of the Study:

  • To identify and characterize types of contact dermatitis resulting from occupational artichoke exposure.
  • To determine the professions most affected by artichoke-induced skin conditions.
  • To report the first series of occupational contact dermatitis cases linked to artichokes.

Main Methods:

  • A descriptive study utilizing the French national database of occupational diseases (2001-2018).
  • Inclusion criteria involved cases linked to artichoke exposure.
  • Analysis of 10 retrieved cases with detailed clinical report review.

Main Results:

  • Seven cases of allergic contact dermatitis (ACD), two of protein contact dermatitis (PCD), and one of irritant contact dermatitis (ICD) were identified.
  • Affected professions included farmers, agri-food workers, market gardeners, cashiers, and store employees.
  • The sesquiterpene lactone mix patch test was not consistently sufficient for diagnosing ACD from artichokes.

Conclusions:

  • Artichoke exposure can induce various contact dermatitis types: ICD, ACD, and PCD, and potentially contact urticaria.
  • This study presents the first series of occupational contact dermatitis cases attributed to artichokes.
  • ICD can occur independently or alongside ACD in artichoke-exposed individuals.