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一例因接触高尔夫手套而导致的铬接触性皮炎病例。

A Case of Chromium Contact Dermatitis due to Exposure from a Golf Glove.

作者信息

Lim Jong Ho, Kim Hei Sung, Park Young Min, Lee Jun Young, Kim Hyung Ok

机构信息

Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Ann Dermatol. 2010 Feb;22(1):63-5. doi: 10.5021/ad.2010.22.1.63. Epub 2010 Feb 28.

Abstract

Chromium is a transition metal and has been shown to elicit contact dermatitis. Although leather products have been known to be the most significant source of chromium exposure these days, the majority of reports have been related to exposure from shoe products. We herein report a professional golfer who became allergic to golf gloves made of chromium-tanned leather. A 27-year-old woman golfer presented with recurrent, pruritic, erythematous plaques that had been occurring on both hands for several years. The lesions developed whenever she had worn golf gloves for an extended period of time, especially during tournament season. To identify the causative agent, patch tests were performed and the results demonstrated a strong positive reaction to potassium dichromate 0.5% and to her own glove. The amount of chromium in her golf glove was analyzed to be 308.91 ppm and based on this, a diagnosis of allergic contact dermatitis due to a chromium-tanned leather glove was made. She was treated with oral antihistamines combined with topical steroids and advised to wear chromium-free leather gloves. There has been no evidence of recurrence during a six month follow-up period.

摘要

铬是一种过渡金属,已被证明会引发接触性皮炎。尽管如今已知皮革制品是铬暴露的最重要来源,但大多数报告都与鞋类产品的暴露有关。我们在此报告一名职业高尔夫球手,她对铬鞣革制成的高尔夫手套过敏。一名27岁的女性高尔夫球手双手出现反复出现的瘙痒性红斑斑块已有数年。每当她长时间佩戴高尔夫手套时,尤其是在比赛季节,病变就会出现。为了确定病因,进行了斑贴试验,结果显示对0.5%重铬酸钾和她自己的手套有强烈阳性反应。分析她的高尔夫手套中的铬含量为308.91 ppm,据此诊断为铬鞣革手套引起的过敏性接触性皮炎。她接受了口服抗组胺药联合外用类固醇治疗,并被建议佩戴无铬皮革手套。在六个月的随访期内没有复发的迹象。

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