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对洗必泰的接触性敏感?

Contact sensitivity to chlorhexidine?

作者信息

Bechgaard E, Ploug E, Hjorth N

出版信息

Contact Dermatitis. 1985 Aug;13(2):53-5. doi: 10.1111/j.1600-0536.1985.tb02504.x.

DOI:10.1111/j.1600-0536.1985.tb02504.x
PMID:4064651
Abstract

In a joint study, 2061 patients (1346 women and 715 men) were patch tested with chlorhexidine gluconate 1% in water, included in a standard test series. 48 patients (2.3%) showed a positive reaction. These were relatively more common in men (3.2%) than in women (1.9%). Positive reactions were most common in patients with leg eczema (6.8%) or leg ulcer (10.9%). Of the 48 patients who were patch test positive, 14 (2 with leg ulcer) were retested with chlorhexidine gluconate 0.01 and 1%. Only one with a leg ulcer was positive. These findings indicate that false positive reactions, known as "the excited skin syndrome", may arise from testing eczema patients in a standard series. The sensitizing potential of chlorhexidine may be very low, but the potential in patients with an eczema or ulcer of the leg has to be further evaluated.

摘要

在一项联合研究中,2061名患者(1346名女性和715名男性)用1%葡萄糖酸氯己定水溶液进行斑贴试验,该试验包含在一个标准测试系列中。48名患者(2.3%)出现阳性反应。这些反应在男性(3.2%)中比在女性(1.9%)中相对更常见。阳性反应在腿部湿疹患者(6.8%)或腿部溃疡患者(10.9%)中最为常见。在48名斑贴试验呈阳性的患者中,14名(2名患有腿部溃疡)用0.01%和1%的葡萄糖酸氯己定重新进行测试。只有一名腿部溃疡患者呈阳性。这些发现表明,被称为“皮肤兴奋综合征”的假阳性反应可能源于在标准系列中对湿疹患者进行测试。氯己定的致敏潜力可能非常低,但腿部患有湿疹或溃疡的患者的潜在致敏情况仍需进一步评估。

相似文献

1
Contact sensitivity to chlorhexidine?对洗必泰的接触性敏感?
Contact Dermatitis. 1985 Aug;13(2):53-5. doi: 10.1111/j.1600-0536.1985.tb02504.x.
2
Chlorhexidine gluconate and acetate in patch testing.葡萄糖酸氯己定和醋酸氯己定的斑贴试验
Contact Dermatitis. 1991 Jan;24(1):45-9. doi: 10.1111/j.1600-0536.1991.tb01629.x.
3
Contact dermatitis to chlorhexidine.对氯己定的接触性皮炎。
Contact Dermatitis. 1982 Mar;8(2):81-3. doi: 10.1111/j.1600-0536.1982.tb04150.x.
4
Contact dermatitis from chlorhexidine.洗必泰引起的接触性皮炎
Contact Dermatitis. 1985 Nov;13(5):307-9. doi: 10.1111/j.1600-0536.1985.tb02583.x.
5
[Contact allergy to chlorhexidine].对氯己定的接触性过敏
Ugeskr Laeger. 1987 Nov 2;149(45):3048-50.
6
Prevalence of delayed-type and immediate-type hypersensitivity in healthcare workers with hand eczema.手部湿疹医护人员中迟发型和速发型超敏反应的患病率。
Contact Dermatitis. 2016 Oct;75(4):223-9. doi: 10.1111/cod.12587. Epub 2016 Jun 28.
7
Contact dermatitis due to the constituents of Hibiscrub.
Contact Dermatitis. 1981 Nov;7(6):326-8. doi: 10.1111/j.1600-0536.1981.tb04090.x.
8
Contact allergy to chlorhexidine in a tertiary dermatology clinic in Denmark.丹麦一家三级皮肤科诊所中氯己定引发的接触过敏。
Contact Dermatitis. 2016 Jan;74(1):29-36. doi: 10.1111/cod.12487. Epub 2015 Nov 11.
9
[Contact sensitization in leg ulcers].
Ann Dermatol Venereol. 1998 Oct;125(10):694-9.
10
[Patch testing in patients with leg ulcers with special regard to modern wound products].[腿部溃疡患者的斑贴试验,特别关注现代伤口产品]
Hautarzt. 2010 Jul;61(7):593-7. doi: 10.1007/s00105-010-1972-1.

引用本文的文献

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Chlorhexidine Hypersensitivity: A Case Report of Delayed Reactions Associated with Epidermal Preparations.洗必泰超敏反应:一例与表皮制剂相关的迟发反应病例报告
Plast Reconstr Surg Glob Open. 2020 Aug 14;8(8):e2945. doi: 10.1097/GOX.0000000000002945. eCollection 2020 Aug.
2
Chlorhexidine gluconate, its properties and applications in endodontics.葡萄糖酸氯己定及其在牙髓病学中的性质与应用。
Iran Endod J. 2008 Winter;2(4):113-25. Epub 2008 Jan 10.
3
The use of chlorhexidine to reduce maternal and neonatal mortality and morbidity in low-resource settings.
在资源匮乏地区使用洗必泰以降低孕产妇和新生儿死亡率及发病率。
Int J Gynaecol Obstet. 2007 May;97(2):89-94. doi: 10.1016/j.ijgo.2007.01.014. Epub 2007 Mar 30.