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Contact dermatitis · 2022

Multiple cases of sensitization to an antiseptic containing chlorhexidine digluconate/benzalkonium chloride/benzyl alcohol with different profiles of sensitization in adults and children.

СтатьяНазвание и аннотация: Перевод в очереди
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Beaumont Charlotte, Darrigade Anne-Sophie, Barbaud Annick, Collet Evelyne, Raison-Peyron Nadia, Bourrain Jean-Luc, Assier Haudrey, Giordano-Labadie Françoise, Bara-Passot Corina, Milpied Brigitte, Tétart Florence, Armingaud Pierre, Castelain Florence, Benkalfate Lamia, Boulard Claire, Delaunay Juliette, Mathelier-Fusade Pascale, Pecquet Catherine, Pralong Pauline, Vital-Durand Dominique, Genillier Foin Nathalie, Lefèvre Marine-Alexia, Hacard Florence, Nosbaum Audrey, Pasteur Justine, Valois Aude, Vigan Martine, Ferrier le Bouëdec Marie-Christine, REVIDAL-GERDA Network

Аннотация

BACKGROUND: An aqueous antiseptic containing "chlorhexidine digluconate/benzalkonium chloride/benzyl alcohol" (CBB) is widely used in France. The only previous documented study dealing with allergic contact dermatitis (ACD) to this antiseptic is one small case series in children. The French Vigilance Network for Dermatology and Allergy (REVIDAL-GERDA) has collected many cases in the last few years.

OBJECTIVES: To evaluate the clinical and sensitization profiles of patients diagnosed with ACD to CBB.

METHODS: We performed a retrospective study of patients with contact dermatitis to CBB and positive tests to CBB and/or at least one of its components. All patients had to be tested with all components of CBB.

RESULTS: A total of 102 patients (71 adults and 31 children) were included. The lesions were extensive in 63% of patients and 55% had delayed time to diagnosis. CBB patch tests were positive in 93.8% of cases. The allergen was identified in 97% of patients, mainly benzyl alcohol in adults (81.7%) and chlorhexidine digluconate in children (54.8%). About 32.4% of the patients were sensitized to several components.

CONCLUSION: CBB is a cause of ACD at all ages. The components of the antiseptic should be tested. The sensitization profile seems to be different between adults and children.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты