Airborne allergic contact dermatitis caused by isothiazolinones in water-based paints: a retrospective study of 44 cases

作者：Amsler Emmanuelle^*; Aerts Olivier; Raison Peyron Nadia; Debons Michele; Milpied Brigitte; Giordano Labadie Francoise; Waton Julie; Ferrier Le Bouedec Marie C; Lartigau Isabelle; Pecquet Catherine; Assier Haudrey; Avenel Audran Martine; Bernier Claire; Castelain Florence; Collet Evelyne; Crepy Marie Noelle; Genillier Nathalie; Girardin Pascal; Pralong Pauline; Tetart Florence; Vital Durand Dominique; Soria Angele; Barbaud Annick

来源：Contact Dermatitis, 2017, 77(3): 163-170.

DOI：10.1111/cod.12795

• airborne allergic contact dermatitis
• benzisothiazolinone
• isothiazolinones
• methylchloroisothiazolinone
• methylisothiazolinone
• octylisothiazolinone
• respiratory symptoms
• water-based paint

Background. Airborne allergic contact dermatitis caused by paints containing isothiazolinones has been recognized as a health hazard.
Objectives. To collect epidemiological, clinical and patch test data on airborne allergic contact dermatitis caused by isothiazolinone-containing paints in France and Belgium.
Methods. A descriptive, retrospective study was initiated by the Dermatology and Allergy Group of the French Society of Dermatology, including methylchloroisothiazolinone (MCI)/methylisothiazolinone (MI)-and/or MI-sensitized patients who developed airborne allergic contact dermatitis following exposure to isothiazolinone-containing paint.
Results. Forty-four cases were identified, with mostly non-occupational exposure (79.5%). Of the patients, 22.5% of also had mucosal symptoms. In several cases, the dermatitis required systemic corticosteroids (27.3%), hospitalization (9.1%), and/or sick leave (20.5%). A median delay of 5.5 weeks was necessary to enable patients to enter a freshly painted room without a flare-up of their dermatitis. Approximately one-fifth of the patients knew that they were allergic to MI and/or MCI/MI before the exposure to paints occurred.
Conclusion. Our series confirms that airborne allergic contact dermatitis caused by paints containing isothiazolinones is not rare, and may be severe and long-lasting. Better regulation of isothiazolinone concentrations in paints, and their adequate labelling, is urgently needed.

• 出版日期2017-9