title: Acrylate-induced allergic contact dermatitis in a car windscreen repairer.
abstract: We report a case of an allergic skin reaction to ultraviolet-cured acrylates in a windscreen repair worker. The patient presented with a 6 month history of fingertip dryness, vesicles and desquamation. He had worked as a self-employed car windscreen repairer for 19 years. Previous management with vinyl glove protection and treatment with clobetasol propionate ointment had produced little improvement. He was patch tested to the British Society for Cutaneous Allergy standard and preservatives series and to the two acrylates used in his work environment, identified using safety data sheets, methyl methacrylate 2% pet and 2-hydroxyethylmethacrylate (2-HEMA) 2% pet. A positive reaction was seen at Day 4 to 2-HEMA, but all other patch tests were negative. An occupational allergic contact dermatitis to 2-HEMA was diagnosed. The patient was given avoidance advice and advised to use nitrile gloves. Although he was unable to give up his current work, he has continued his job using nitrile gloves with marked improvement.
authors.affiliation: Department of Dermatology, University Hospitals Bristol, Bristol BS28HW, UK. georginafremlin@doctors.org.uk.
authors.forename: G
authors.initials: G
authors.lastname: Fremlin
authors.affiliation: Department of Dermatology, University Hospitals Bristol, Bristol BS28HW, UK.
authors.forename: J
authors.initials: J
authors.lastname: Sansom
mesh_terms: D000179:Acrylates; D000485:Allergens; D001336:Automobiles; D017449:Dermatitis, Allergic Contact / Q000209:etiology*; D009783:Dermatitis, Occupational / Q000209:etiology*; D017575:Gloves, Protective; D006229:Hand Dermatoses / Q000209:etiology*; D006801:Humans; D008297:Male; D008689:Methacrylates / Q000009:adverse effects*; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D009790:Occupations; D010328:Patch Tests
chemical_list: D000179:Acrylates; D000485:Allergens; D008689:Methacrylates; C005044:hydroxyethyl methacrylate; C036658:acrylic acid
keywords: Allergy; chemical exposure; dermatology; occupational contact dermatitis; resins.