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Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers

Hamnerius, Nils LU ; Dahlin, Jakob LU ; Bruze, Magnus LU ; Nilsson, Kristina ; Sukakul, Thanisorn LU orcid and Svedman, Cecilia LU (2023) In Acta Dermato-Venereologica 103.
Abstract

Medical adhesive tapes are commonly recommended for the prevention of friction blisters during hiking and military marches. The aim of this paper is to report on the results of investigations into an outbreak of taperelated foot dermatitis in 26 military conscripts following continuous use of medical adhesive tapes for several days during a field exercise. Patch tests were performed using baseline series and aimed testing was performed with colophonium-related substances and different medical adhesive tapes. Contact allergy to the adhesive tapes used was found in 20 (77%) subjects, and contact allergy to colophonium in 16 (61%). Chemical analysis detected colophonium-related substances in the culprit tapes. Compared with consecutive... (More)

Medical adhesive tapes are commonly recommended for the prevention of friction blisters during hiking and military marches. The aim of this paper is to report on the results of investigations into an outbreak of taperelated foot dermatitis in 26 military conscripts following continuous use of medical adhesive tapes for several days during a field exercise. Patch tests were performed using baseline series and aimed testing was performed with colophonium-related substances and different medical adhesive tapes. Contact allergy to the adhesive tapes used was found in 20 (77%) subjects, and contact allergy to colophonium in 16 (61%). Chemical analysis detected colophonium-related substances in the culprit tapes. Compared with consecutive dermatitis patients investigated at our Department of Occupational and Environmental Dermatology in the previous 10 years, conscripts with colophonium allergy had increased odds ratios for concomitant contact allergy to phenol formaldehyde resins and fragrance substances including hydroperoxides of limonene and linalool. The results show that prolonged use of medical adhesive tapes on intact skin carries a high risk for allergic contact dermatitis. Prior to their introduction on the market, medical devices should be assessed for possible side-effects.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
allergic contact dermatitis, colophonium, contact allergy, medical device, military personnel, occupational dermatitis
in
Acta Dermato-Venereologica
volume
103
article number
adv18428
publisher
Medical Journals Limited
external identifiers
  • pmid:38059803
  • scopus:85178937614
ISSN
0001-5555
DOI
10.2340/actadv.v103.18428
language
English
LU publication?
yes
id
955cbd31-fb10-4535-a5e4-364729d33001
date added to LUP
2024-01-11 11:43:17
date last changed
2024-04-12 04:35:14
@article{955cbd31-fb10-4535-a5e4-364729d33001,
  abstract     = {{<p>Medical adhesive tapes are commonly recommended for the prevention of friction blisters during hiking and military marches. The aim of this paper is to report on the results of investigations into an outbreak of taperelated foot dermatitis in 26 military conscripts following continuous use of medical adhesive tapes for several days during a field exercise. Patch tests were performed using baseline series and aimed testing was performed with colophonium-related substances and different medical adhesive tapes. Contact allergy to the adhesive tapes used was found in 20 (77%) subjects, and contact allergy to colophonium in 16 (61%). Chemical analysis detected colophonium-related substances in the culprit tapes. Compared with consecutive dermatitis patients investigated at our Department of Occupational and Environmental Dermatology in the previous 10 years, conscripts with colophonium allergy had increased odds ratios for concomitant contact allergy to phenol formaldehyde resins and fragrance substances including hydroperoxides of limonene and linalool. The results show that prolonged use of medical adhesive tapes on intact skin carries a high risk for allergic contact dermatitis. Prior to their introduction on the market, medical devices should be assessed for possible side-effects.</p>}},
  author       = {{Hamnerius, Nils and Dahlin, Jakob and Bruze, Magnus and Nilsson, Kristina and Sukakul, Thanisorn and Svedman, Cecilia}},
  issn         = {{0001-5555}},
  keywords     = {{allergic contact dermatitis; colophonium; contact allergy; medical device; military personnel; occupational dermatitis}},
  language     = {{eng}},
  publisher    = {{Medical Journals Limited}},
  series       = {{Acta Dermato-Venereologica}},
  title        = {{Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers}},
  url          = {{http://dx.doi.org/10.2340/actadv.v103.18428}},
  doi          = {{10.2340/actadv.v103.18428}},
  volume       = {{103}},
  year         = {{2023}},
}