title: Dentist's occupational allergic contact dermatitis caused by coconut diethanolamide, N-ethyl-4-toluene sulfonamide and 4-tolyldiethanolamine.
abstract: Dental personnel are exposed to many sensitizing compounds at work and often develop multiple delayed allergies. Here we report on a dentist who got sensitized to several products that have not, or only seldom, caused sensitization earlier. These products were: coconut diethanolamide from her handwashing liquids, N-ethyl-4-toluene sulfonamide, a resin carrier in dental materials for isolating cavities underneath restorations, and 4-tolyldiethanolamine, an accelerator for inducing polymerization of dental acrylic resins at room temperature. The patient also had allergic patch test reactions to formaldehyde, phenol-formaldehyde resin, fragrance mix, and lauryl monoethanolamide, possibly from occupational exposure.
authors.affiliation: Section of Dermatology, Institute of Occupational Health, Helsinki, Finland.
authors.forename: L
authors.initials: L
authors.lastname: Kanerva
authors.forename: R
authors.initials: R
authors.lastname: Jolanki
authors.forename: T
authors.initials: T
authors.lastname: Estlander
mesh_terms: D000485:Allergens / Q000009:adverse effects*; D003813:Dentistry; D017449:Dermatitis, Allergic Contact / Q000209:etiology*; D009783:Dermatitis, Occupational / Q000209:etiology*; D004983:Ethanolamines / Q000009:adverse effects*; D005260:Female; D006229:Hand Dermatoses / Q000139:chemically induced*; D006801:Humans; D008875:Middle Aged; D016273:Occupational Exposure; D010328:Patch Tests; D013449:Sulfonamides / Q000009:adverse effects*; D014050:Toluene / Q000009:adverse effects / Q000031:analogs & derivatives*; D014052:Toluidines / Q000009:adverse effects*
chemical_list: D000485:Allergens; D004983:Ethanolamines; D013449:Sulfonamides; D014052:Toluidines; D014050:Toluene; C038019:coconut diethanolamide; C082879:N-ethyl-4-toluenesulfonamide; C038496:N,N-bis(2-hydroxyethyl)-4-toluidine