Kieć-Swierczyńska Marta, Krecisz Beata
Przychodni Chorób Zawodowych Instytutu Medycyny, Łodzi.
Med Pr. 2003;54(2):145-8.
Of the 5604 patients examined in 1984-2001 for suspected occupational dermatitis, 160 persons (2.8%) showed allergy to epoxy resins plastics. Allergy was more frequent in men (4.9%) than in women (1.2%); in 154 persons, allergy was of occupational etiology (in a group of 160 patients with allergy to epoxy resins, the following proportions were observed: bricklayers, platelayers--17.5%; fitters, turners, machinist millers--13.8%; plastics molders--13.1%; laminators--11.3%; electrical equipment assemblers--10.6%; painters--10.0%). Having compared the frequency of allergy to components of epoxy resins in the years 1984-1993 and 1994-2001, it was found that allergy to resin, reactive diluents and plasticizers was on increase, whereas allergy to amines and acid anhydrides hardeners was on decrease. In a group of 13 chemical compounds entering into the composition of epoxy resins, epoxy resin contributed to the largest number of positive patch tests (77.5% of epoxy-allergic persons). This was followed by triethylenetetramine (23.1%), ethylenediamine (13.1%), phthalic anhydride (8.1%), diethylenetetramine (6.9%) and phenylglycidylether (6.2%). In addition, three patients reacted to both epoxy resin and cycloaliphatic resin.
在1984年至2001年间接受疑似职业性皮炎检查的5604名患者中,有160人(2.8%)对环氧树脂塑料过敏。男性过敏情况(4.9%)比女性(1.2%)更常见;154人的过敏属于职业性病因(在160名对环氧树脂过敏的患者组中,观察到以下比例:砌砖工、铺板工——17.5%;钳工、车工、机械铣工——13.8%;塑料成型工——13.1%;层压工——11.3%;电气设备装配工——10.6%;油漆工——10.0%)。比较1984 - 1993年和1994 - 2001年对环氧树脂成分过敏的频率后发现,对树脂、活性稀释剂和增塑剂的过敏在增加,而对胺类和酸酐类固化剂的过敏在减少。在构成环氧树脂成分的13种化合物组中,环氧树脂导致的阳性斑贴试验数量最多(对环氧树脂过敏者中的77.5%)。其次是三亚乙基四胺(23.1%)、乙二胺(13.1%)、邻苯二甲酸酐(8.1%)、二亚乙基三胺(6.9%)和苯基缩水甘油醚(6.2%)。此外,有3名患者对环氧树脂和脂环族树脂均有反应。