We investigated the value of patch testingwith dandelion (Compositae) extract in addition to sesquiterpene lactone (SL) mix in selected patients. After we detected a case of contact erythema multiforme after patch tes...We investigated the value of patch testingwith dandelion (Compositae) extract in addition to sesquiterpene lactone (SL) mix in selected patients. After we detected a case of contact erythema multiforme after patch testing with dandelion and common chickweed (Caryophyllaceae),additional testing with common chickweed extract was performed. A total of 235 adults with a mean age of 52.3 years were tested. There were 66 men and 169 women: 53 consecutive patients with allergic contact dermatitis (ACD); 43 with atopic dermatitis (AD); 90 non-atopics suffering from non-allergic chronic inflammatory skin diseases; 49 healthy volunteers. All were tested with SL mix 0.1%petrolatum (pet.) and diethyl ether extracts from Taraxacum officinale (dandelion) 0.1 and 3.0%pet. and from Stellaria media (common chickweed) 0.1 and 3%pet. A total of 14 individuals (5.9%) showed allergic reaction (AR) to at least 1 of the plant allergens,4 (28.6%) to common chickweed extract,and 11 (78.6%) to Compositae allergens. These 11 persons made the overall prevalence of 4.7%: 8 (3.4%) were SL-positive and 3 (1.3%) reacted to dandelion extract. 5 persons (45.5%) had AD,2 had ACD,2 had psoriasis and 2 were healthy controls. The Compositae allergy was relevant in 8 cases (72.7%). The highest frequency of SL mix sensitivity (9.3%) was among those with AD. Half the SL mix-sensitive individuals had AD. ARs to dandelion extract were obtained only among patients with eczema. A total of 9 irritant reactions (IRs) in 9 individuals (3.8%) were recorded,8 to SL mix and 1 to common chickweed extract 3.0%pet. No IR was recorded to dandelion extract (P=0.007). Among those with relevant Compositae allergy,50.0%had AR to fragrance mix and balsam of Peru (Myroxylon pereirae resin) and colophonium. SLs were detected in dandelion but not in common chickweed. Our study confirmed the importance of 1 positive reaction for emerging,not fully established,Compositae allergy. In conclusion,the overall prevalence of 4.7%in our study represents a basal SL mix detection rate of 3.4%reinforced and safely supplemented by testing with the dandelion extract.展开更多
文摘We investigated the value of patch testingwith dandelion (Compositae) extract in addition to sesquiterpene lactone (SL) mix in selected patients. After we detected a case of contact erythema multiforme after patch testing with dandelion and common chickweed (Caryophyllaceae),additional testing with common chickweed extract was performed. A total of 235 adults with a mean age of 52.3 years were tested. There were 66 men and 169 women: 53 consecutive patients with allergic contact dermatitis (ACD); 43 with atopic dermatitis (AD); 90 non-atopics suffering from non-allergic chronic inflammatory skin diseases; 49 healthy volunteers. All were tested with SL mix 0.1%petrolatum (pet.) and diethyl ether extracts from Taraxacum officinale (dandelion) 0.1 and 3.0%pet. and from Stellaria media (common chickweed) 0.1 and 3%pet. A total of 14 individuals (5.9%) showed allergic reaction (AR) to at least 1 of the plant allergens,4 (28.6%) to common chickweed extract,and 11 (78.6%) to Compositae allergens. These 11 persons made the overall prevalence of 4.7%: 8 (3.4%) were SL-positive and 3 (1.3%) reacted to dandelion extract. 5 persons (45.5%) had AD,2 had ACD,2 had psoriasis and 2 were healthy controls. The Compositae allergy was relevant in 8 cases (72.7%). The highest frequency of SL mix sensitivity (9.3%) was among those with AD. Half the SL mix-sensitive individuals had AD. ARs to dandelion extract were obtained only among patients with eczema. A total of 9 irritant reactions (IRs) in 9 individuals (3.8%) were recorded,8 to SL mix and 1 to common chickweed extract 3.0%pet. No IR was recorded to dandelion extract (P=0.007). Among those with relevant Compositae allergy,50.0%had AR to fragrance mix and balsam of Peru (Myroxylon pereirae resin) and colophonium. SLs were detected in dandelion but not in common chickweed. Our study confirmed the importance of 1 positive reaction for emerging,not fully established,Compositae allergy. In conclusion,the overall prevalence of 4.7%in our study represents a basal SL mix detection rate of 3.4%reinforced and safely supplemented by testing with the dandelion extract.
