Cases: Jan 08 36-year old dental-artificial worker with a five year-old history of handeczema with shifting activity. The eczema is considered to be a threat for the profession of this patient.
What kind of investigations should be offered?
What kind of allergens should be suspected?
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See the answer
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The workfield of dentist laboures include exposition to acrylates, epoxy. iso-eugenol and rubber.
Explorations for these Type-IV-allergens are done by application of diluted materials in standard- and specified patch-tests.
Use of latex gloves must be considered a risk factor.
Latex allergy is a Type-I-allergy characterized by redness, itching and urticaria immediately after use of gloves. Type-1-allergy is verified by the use of skin-prick-test.
Cases with a negative respons for Type-1 as well Type-IV allergy are usually classified as toxic/ irritative contact dermatitis which is typically seen among atopic patients.
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