Kanerva L, Estlander T, Jolanki R
Section of Dermatology, Finnish Institute of Occupational Health, Finland.
Contact Dermatitis. 1996 Sep;35(3):157-62. doi: 10.1111/j.1600-0536.1996.tb02334.x.
About 1000 patients were investigated at our clinic during 1991-1995 for occupational skin disease, and 5 had occupational allergic contact dermatitis from spices. The patients were chefs, or kitchen, coffee room, and restaurant workers. All patients had hand (or finger) dermatitis. The causative spices were: garlic, cinnamon, ginger, allspice and clove. The same patients also had allergic patch test reactions to foods: tomato, lettuce and carrot. Paprika elicited a weak allergic patch test reaction in 2 patients. Occupational allergic contact dermatitis from spices is relatively rare, but needs to be taken into consideration in patients who have hand dermatitis, and work with spices and foods. Patch testing with spices as is is useful, but testing with dilutions in pet, may be needed to confirm that the patch test reactions are allergic. Patients also need to be prick tested with spices and foods.
1991年至1995年期间，我们诊所对约1000名患有职业性皮肤病的患者进行了调查，其中5人患有因香料引起的职业性过敏性接触性皮炎。这些患者为厨师、厨房工作人员、咖啡室工作人员和餐厅工作人员。所有患者均患有手部（或手指）皮炎。致病香料为：大蒜、肉桂、姜、多香果和丁香。这些患者对食物（番茄、生菜和胡萝卜）的变应原贴片试验也呈阳性反应。辣椒粉在2名患者中引起了弱阳性变应原贴片试验反应。香料引起的职业性过敏性接触性皮炎相对少见，但对于患有手部皮炎且接触香料和食物的患者需要加以考虑。直接用香料进行斑贴试验是有用的，但可能需要用凡士林稀释后进行试验，以确认斑贴试验反应为过敏反应。患者还需要接受香料和食物的点刺试验。
