Brasch Jochen
Department of Dermatology, University Clinics of Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Curr Opin Allergy Clin Immunol. 2007 Oct;7(5):409-12. doi: 10.1097/ACI.0b013e3282a64241.
Due to the continuously changing environmental conditions, it is necessary to regularly monitor and update the spectrum of contact allergens that elicit contact dermatitis. New contact allergens and known contact allergens with currently increasing importance need to be identified for diagnostic and preventive purposes.
Within the last few years, allergic contact allergy to a number of substances derived from plants and other materials was reported for the first time. Furthermore, it has become obvious that dyes, especially paraphenylenediamine-related dyes, and fragrances are sources of contact allergens with increasing frequency. It is likely that within these groups of substances some as yet unidentified agents are relevant allergens.
It is an ongoing challenge for clinicians to meticulously explore the exposure of eczema patients to possible new allergens. Dyes and fragrances, in particular, are of increasing significance not only because of their known ingredients but also because of new allergenic compounds.
由于环境条件不断变化,有必要定期监测和更新引发接触性皮炎的接触性变应原谱。为了诊断和预防目的,需要识别新的接触性变应原以及目前重要性不断增加的已知接触性变应原。
在过去几年中,首次报道了对多种植物和其他材料衍生物质的过敏性接触过敏。此外,很明显,染料,尤其是对苯二胺相关染料和香料,越来越频繁地成为接触性变应原的来源。在这些物质组中,可能有一些尚未鉴定的物质是相关变应原。
临床医生面临的一个持续挑战是精心探究湿疹患者接触可能新变应原的情况。特别是染料和香料,不仅因其已知成分,还因其新的致敏化合物,重要性日益增加。