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航空工业中苯胺环氧树脂引起的职业性接触性皮炎。

Occupational contact dermatitis caused by aniline epoxy resins in the aircraft industry.

作者信息

Pesonen Maria, Suuronen Katri, Jolanki Riitta, Aalto-Korte Kristiina, Kuuliala Outi, Henriks-Eckerman Maj-Len, Valtanen Ilona, Alanko Kristiina

机构信息

Occupational Medicine, Finnish Institute of Occupational Health (FIOH), 00250, Helsinki, Finland.

Work Environment Development, FIOH, 20520, Turku, Finland.

出版信息

Contact Dermatitis. 2015 Aug;73(2):113-8. doi: 10.1111/cod.12402. Epub 2015 Apr 19.

Abstract

BACKGROUND

Tetraglycidyl-4,4'-methylenedianiline (TGMDA) is an aniline epoxy resin used in, for example, resin systems of pre-impregnated composite materials (prepregs) of the aircraft industry. Allergic contact dermatitis caused by TGMDA in prepregs has been described previously.

OBJECTIVES

To report on 9 patients with occupational allergic contact dermatitis caused by TGMDA in epoxy glues used in helicopter assembly.

METHODS

The patients were examined with patch testing at the Finnish Institute of Occupational Health in 2004-2009. The first patient was diagnosed by testing both components of two epoxy glues from the workplace, and was also tested with glue ingredients, including TGMDA. The following patients were tested with the glues and TGMDA. The resin parts of the glues were analysed for their epoxy compounds, including TGMDA.

RESULTS

All of the patients had a patch test reaction to one or both of the resin parts of the TGMDA-containing glues. Eight of them had a strong allergic reaction to TGMDA, and one had a doubtful reaction to TGMDA. Two of the patients also had an allergic reaction to triglycidyl-p-aminophenol (TGPAP), another aniline epoxy resin, which was not present in the TGMDA-containing glues.

CONCLUSIONS

In aircraft industry workers with suspected occupational dermatitis, aniline epoxy resins should be considered and patch tested as possible contact allergens.

摘要

背景

四缩水甘油基-4,4'-亚甲基二苯胺(TGMDA)是一种苯胺环氧树脂,例如用于航空工业预浸复合材料(预浸料)的树脂体系中。先前已有关于预浸料中TGMDA引起过敏性接触性皮炎的描述。

目的

报告9例因直升机装配中使用的环氧胶中的TGMDA导致职业性过敏性接触性皮炎的患者。

方法

2004年至2009年期间,这些患者在芬兰职业健康研究所接受了斑贴试验。首例患者通过对工作场所两种环氧胶的两种成分进行检测得以确诊,同时还对包括TGMDA在内的胶黏剂成分进行了检测。随后的患者接受了胶黏剂和TGMDA检测。对胶黏剂的树脂部分进行了环氧化合物分析,包括TGMDA。

结果

所有患者对含TGMDA胶黏剂的一种或两种树脂部分均有斑贴试验反应。其中8例对TGMDA有强烈过敏反应,1例对TGMDA反应可疑。2例患者还对另一种苯胺环氧树脂——三缩水甘油基对氨基酚(TGPAP)过敏,而含TGMDA的胶黏剂中不存在该物质。

结论

对于疑似职业性皮炎的航空工业工人,应考虑苯胺环氧树脂,并将其作为可能的接触变应原进行斑贴试验。

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