Textile dermatitis in Israel: a retrospective study.
BACKGROUND
The diagnosis of contact dermatitis caused by clothing may be difficult because of its clinical polymorphism. Data in the literature suggest that textile dermatitis is more common than previously thought.


OBJECTIVE
Our purpose was to study our patients suspected of having textile contact dermatitis from 1991 to 1997.


METHODS
The records of the patients with positive reactions to allergens from the Textile Colors and Finish series in 3 contact dermatitis clinics were reviewed. All the patients were clinically evaluated and patch tested with the European Standard series and the Textile Colors and Finish series (Chemotechnique Diagnostics, Malmö, Sweden).


RESULTS
Twenty-two of the 55 patients (40%) had positive patch tests to the textile dye allergens. Four of them had occupationally related textile dermatitis. The most frequent allergens were Disperse Blue 124, Disperse Blue 85, Disperse Red 17, and Disperse Blue 106. Erythematosquamous lesions were the most common forms of textile dermatitis (56%), followed by pustular lesion (16%) and hyperpigmented patches (8%).


CONCLUSIONS
The relatively high percentage of positive results (40%) was attributable to the selected cohort of patients. In our series, positive reactions to the allergens Disperse Blue 124, 85, and 106 were common findings. Clinically, pustular allergic contact dermatitis, triggered by textile dyes was observed along with the more frequent erythematosquamous clinical form.
Lazarov
A
A
Dermatology Clinic, Sapir Medical Center, Kfar Saba, Israel.
Trattner
A
A
David
M
M
Ingber
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000485:Allergens / Q000009:adverse effects*; D003020:Clothing / Q000009:adverse effects; D004396:Coloring Agents / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000209:etiology*; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010328:Patch Tests; D012189:Retrospective Studies; D013784:Textiles / Q000009:adverse effects*
D000485:Allergens; D004396:Coloring Agents