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Screening for Compositae contact sensitization with sesquiterpene lactones and Compositae mix 2.5% pet

Authors: Evy Paulsen; Klaus E. Andersen;

Screening for Compositae contact sensitization with sesquiterpene lactones and Compositae mix 2.5% pet

Abstract

AbstractBackgroundCompositae contact sensitization may be difficult to diagnose, because of a lack of reliable screening allergens.ObjectivesTo assess the suitability of Compositae mix II 2.5% pet. (CM2.5) as a screening mix in the baseline series combined with sesquiterpene lactone (SL) mix and parthenolide (PTH).MethodsCM2.5 was added to the baseline series, which included SL mix and PTH 0.1% pet., in January 2015, and PTH was included in TRUE Test Panel 3 in October 2015. All Compositae‐sensitive patients diagnosed or tested in the next 4 years were assessed.ResultsAltogether, 57 patients (2.7%) presented with Compositae allergy. On primary testing in 53 newly diagnosed patients, SL mix elicited positive reactions most frequently (53% positive), followed by CM2.5 (47% positive), and PTH (45% positive). CM2.5 and PTH pet. elicited a few irritant reactions. Three patients had late reactions. Altogether, 16 patients (28%) were not detected by any of the three screening agents.ConclusionsSL mix is an indispensable, although insufficient, screening mixture in Denmark. It may be relatively safely supplemented with CM2.5 and PTH in the TRUE Test system for screening, but, when Compositae sensitization is suspected, further extracts should be tested on the basis of the history.

Country
Denmark
Keywords

Adult, Male, Adolescent, baseline series, parthenolide, Compositae mix II 5%, Asteraceae, Lactones, Young Adult, Humans, Child, patch testing, sesquiterpene lactone mix, Plant Extracts, Allergens, Middle Aged, Patch Tests, Compositae mix II 2.5%, Child, Preschool, Dermatitis, Allergic Contact, Female, allergic contact dermatitis, Sesquiterpenes

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    17
    popularity
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    Top 10%
    influence
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    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
17
Top 10%
Average
Top 10%
Green
bronze