Abstract
Summary Background Cobalt is a strong skin sensitizer and a prevalent contact allergen. Recent studies have recognized exposure to leather articles as a potential cause of cobalt allergy. Objectives To examine the association between contact allergy to cobalt and a history of dermatitis resulting from exposure to leather. Methods A questionnaire case-control study was performed: the case group consisted of 183 dermatitis patients with a positive patch test reaction to cobalt chloride and a negative patch test reaction to potassium dichromate; the control group consisted of 621 dermatitis patients who did not react to either cobalt or chromium in patch testing. Comparisons were made by use of a χ2-test, Fisher's exact, and the Mann-Whitney test. Logistic regression analyses were used to test for associations while taking confounding factors into consideration. Results Leather was observed as the most frequent exposure source causing dermatitis in the case group. Although the case group significantly more often reported non-occupational dermatitis caused by leather exposure (p < 0.001), no association was found between cobalt allergy and dermatitis caused by work-related exposure to leather. Conclusions Our study suggests a positive association between cobalt allergy and a history of dermatitis caused by non-occupational exposure to leather articles.
| Original language | English |
|---|---|
| Journal | Contact Dermatitis |
| Volume | 72 |
| Issue number | 2 |
| Pages (from-to) | 106-114 |
| Number of pages | 9 |
| ISSN | 0105-1873 |
| DOIs | |
| Publication status | Published - 1 Feb 2015 |
Keywords
- Adult
- Aged
- Aged, 80 and over
- Allergens
- Case-Control Studies
- Cobalt
- Cross-Sectional Studies
- Dermatitis, Allergic Contact
- Dermatitis, Occupational
- Female
- Humans
- Male
- Middle Aged
- Patch Tests
- Quality of Life
- Severity of Illness Index
- Surveys and Questionnaires
- Tanning
- Young Adult