Bangha E, Elsner P
Department of Dermatology, University Hospital Zurich, Switzerland.
Am J Contact Dermat. 1996 Sep;7(3):188-90.
Many plants and flowers can cause dermatitis in florists, growers, and others working in the industry. In the United States, Alstromeria, also called Peruvian Lily, has frequently been reported to cause hand eczema in floral workers. This interesting report details sesquiterpene lactone allergy in the occupational setting. Fortunately, in this case, it seems that resolution of the dermatitis was achieved fairly rapidly by avoiding the occupational situation. Unfortunately, for many of our patients with airborne compositae dermatitis, there is no way to avoid the allergen; therefore, many of these individuals develop severe, chronic recalcitrant dermatitis requiring aggressive therapy. Diagnosis of this condition is not always easy, as it appears that the sesquiterpene lactone mix allergen that we have commercially available misses a number of cases, at least in the United States. Better characterization of the allergens involved and better supply of allergenic extracts for testing is critical to improve our diagnostic ability.
许多植物和花卉会导致花店员工、种植者及该行业其他从业者出现皮炎。在美国，六出花（也叫秘鲁百合）经常被报道会导致花卉工人手部湿疹。这份有趣的报告详细介绍了职业环境中的倍半萜内酯过敏情况。幸运的是，在这个案例中，通过避免接触职业环境，皮炎似乎很快就得到了缓解。不幸的是，对于我们许多患有气传菊科皮炎的患者来说，没有办法避免接触过敏原；因此，这些人中许多人会患上严重的慢性顽固性皮炎，需要积极治疗。这种疾病的诊断并不总是容易的，因为我们市面上可买到的倍半萜内酯混合过敏原似乎遗漏了一些病例，至少在美国是这样。更好地鉴定相关过敏原以及更好地提供用于检测的致敏提取物对于提高我们的诊断能力至关重要。
