接触过敏患者的牙科材料的接触过敏
Susann Forkel1, Steffen Schubert2, Lisa Corvin3
1Department of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Germany.
The British journal of dermatology
|December 20, 2023
概括
牙材料过敏不常见,但可能发生. 补丁测试应包括金属,烯酸盐和天然物质,如和秘鲁的香,以准确诊断.
科学领域:
- 皮肤病学 皮肤病学
- 过敏学 过敏学
- 牙科医学 牙科医学
背景情况:
- 患者担心接触过敏和对牙科材料不耐受是很常见的.
- 牙科材料的变化,例如减少合金的使用,可能会影响敏感化模式.
研究的目的:
- 分析疑似接触过敏的患者目前对牙科材料的敏感性模式.
主要方法:
- 在2005-2019年间对2730名患者进行了回顾性多中心分析.
- 纳入标准:受影响的口腔区域,牙材料暴露和贴片测试与相关系列.
- 使用了皮肤病学部门信息网络 (IVDK) 的数据.
主要成果:
- 在女性中,对金属 (,,合金), (甲基) 烯酸盐 (HEMA),和秘鲁香的敏感度最高.
- 相关的烯酸盐包括HEMA,2-基甲酸盐和甲基甲酸盐.
- 在男性中, прополис和合金显示出最高的敏感率.
结论:
- 对牙科材料的过敏接触口腔炎是罕见的.
- 补丁测试应包括金属, (甲基) 烯酸盐,和秘鲁的香.
- 建议在传统的金属过敏原之外进行更广泛的测试.
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