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Pesticide contact dermatitis in agricultural workers of Himachal Pradesh (India)

Background Common pesticides used in the region by agricultural workers may cause contact allergy. Methods Thirty agricultural workers with a history of pesticide exposure and dermatitis involving the face, neck, trunk or extremities, and 20 controls comprising 2 groups of 10 subjects each, group 1...

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Published in:Contact dermatitis 2018-10, Vol.79 (4), p.213-217
Main Authors: Sharma, Aditi, Mahajan, Vikram K., Mehta, Karaninder S., Chauhan, Pushpinder S., Sharma, Vikas, Sharma, Anuj, Wadhwa, Dhaarna, Chauhan, Shailja
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container_title Contact dermatitis
container_volume 79
creator Sharma, Aditi
Mahajan, Vikram K.
Mehta, Karaninder S.
Chauhan, Pushpinder S.
Sharma, Vikas
Sharma, Anuj
Wadhwa, Dhaarna
Chauhan, Shailja
description Background Common pesticides used in the region by agricultural workers may cause contact allergy. Methods Thirty agricultural workers with a history of pesticide exposure and dermatitis involving the face, neck, trunk or extremities, and 20 controls comprising 2 groups of 10 subjects each, group 1 with dermatitis and no exposure to pesticides, and group 2 with neither exposure to pesticides nor dermatitis, were patch tested with 10 pesticides commonly used in the region by use of the Finn Chamber method. Results The 30 patients, 20 of whom were male, aged 30‐77 years, had dermatitis for 1 month to 18 years, with relapses and remissions. Seasonal exacerbation was present in 18 patients. Six patients attributed aggravation of their dermatitis to pesticide exposure, and 2 of these reacted positively to propiconazole. Positive patch test reactions to pesticides occurred in 10 patients, but not in controls. Thiuram was the commonest sensitizer (4 patients). Three patients were sensitized to propiconazole, and 2 patients reacted positively to metaldehyde. Formaldehyde, mercaptobenzothiazole, cypermethrin and isoproturon gave positive reactions in 1 patient each. Conclusion The sensitizing potential of pesticides remains a concern. Apparently, pesticide contact dermatitis is more common than expected, but remains under‐reported, as the implicated pesticides vary across regions and according to the crop patterns.
doi_str_mv 10.1111/cod.13049
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Methods Thirty agricultural workers with a history of pesticide exposure and dermatitis involving the face, neck, trunk or extremities, and 20 controls comprising 2 groups of 10 subjects each, group 1 with dermatitis and no exposure to pesticides, and group 2 with neither exposure to pesticides nor dermatitis, were patch tested with 10 pesticides commonly used in the region by use of the Finn Chamber method. Results The 30 patients, 20 of whom were male, aged 30‐77 years, had dermatitis for 1 month to 18 years, with relapses and remissions. Seasonal exacerbation was present in 18 patients. Six patients attributed aggravation of their dermatitis to pesticide exposure, and 2 of these reacted positively to propiconazole. Positive patch test reactions to pesticides occurred in 10 patients, but not in controls. Thiuram was the commonest sensitizer (4 patients). Three patients were sensitized to propiconazole, and 2 patients reacted positively to metaldehyde. Formaldehyde, mercaptobenzothiazole, cypermethrin and isoproturon gave positive reactions in 1 patient each. Conclusion The sensitizing potential of pesticides remains a concern. Apparently, pesticide contact dermatitis is more common than expected, but remains under‐reported, as the implicated pesticides vary across regions and according to the crop patterns.</description><identifier>ISSN: 0105-1873</identifier><identifier>EISSN: 1600-0536</identifier><identifier>DOI: 10.1111/cod.13049</identifier><identifier>PMID: 29974480</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acetaldehyde - adverse effects ; Acetaldehyde - analogs &amp; derivatives ; Adult ; Aged ; agricultural workers ; Agriculture ; Allergies ; Antifungal agents ; Benzothiazoles - adverse effects ; Case-Control Studies ; Contact dermatitis ; Cypermethrin ; Dermatitis ; Dermatitis, Allergic Contact - diagnosis ; Dermatitis, Allergic Contact - etiology ; Dermatitis, Occupational - diagnosis ; Dermatitis, Occupational - etiology ; Eczema ; Farmers ; Farmworkers ; Female ; formaldehyde ; Formaldehyde - adverse effects ; Humans ; India ; Isoproturon ; Male ; mercaptobenzothiazole ; metaldehyde ; Middle Aged ; Neck ; occupational dermatitis ; Occupational exposure ; Patch Tests ; Pesticides ; Pesticides - adverse effects ; Phenylurea Compounds - adverse effects ; Propiconazole ; Pyrethrins - adverse effects ; Sulfhydryl Compounds - adverse effects ; Thiram - adverse effects ; thiuram ; Triazoles - adverse effects</subject><ispartof>Contact dermatitis, 2018-10, Vol.79 (4), p.213-217</ispartof><rights>2018 John Wiley &amp; Sons A/S. 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Published by John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3539-a717059756f6905fd209cd3f6b1e989541233a9a245f34e45e30a0022a47aeec3</citedby><cites>FETCH-LOGICAL-c3539-a717059756f6905fd209cd3f6b1e989541233a9a245f34e45e30a0022a47aeec3</cites><orcidid>0000-0002-0537-4066</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29974480$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sharma, Aditi</creatorcontrib><creatorcontrib>Mahajan, Vikram K.</creatorcontrib><creatorcontrib>Mehta, Karaninder S.</creatorcontrib><creatorcontrib>Chauhan, Pushpinder S.</creatorcontrib><creatorcontrib>Sharma, Vikas</creatorcontrib><creatorcontrib>Sharma, Anuj</creatorcontrib><creatorcontrib>Wadhwa, Dhaarna</creatorcontrib><creatorcontrib>Chauhan, Shailja</creatorcontrib><title>Pesticide contact dermatitis in agricultural workers of Himachal Pradesh (India)</title><title>Contact dermatitis</title><addtitle>Contact Dermatitis</addtitle><description>Background Common pesticides used in the region by agricultural workers may cause contact allergy. Methods Thirty agricultural workers with a history of pesticide exposure and dermatitis involving the face, neck, trunk or extremities, and 20 controls comprising 2 groups of 10 subjects each, group 1 with dermatitis and no exposure to pesticides, and group 2 with neither exposure to pesticides nor dermatitis, were patch tested with 10 pesticides commonly used in the region by use of the Finn Chamber method. Results The 30 patients, 20 of whom were male, aged 30‐77 years, had dermatitis for 1 month to 18 years, with relapses and remissions. Seasonal exacerbation was present in 18 patients. Six patients attributed aggravation of their dermatitis to pesticide exposure, and 2 of these reacted positively to propiconazole. Positive patch test reactions to pesticides occurred in 10 patients, but not in controls. Thiuram was the commonest sensitizer (4 patients). Three patients were sensitized to propiconazole, and 2 patients reacted positively to metaldehyde. Formaldehyde, mercaptobenzothiazole, cypermethrin and isoproturon gave positive reactions in 1 patient each. Conclusion The sensitizing potential of pesticides remains a concern. Apparently, pesticide contact dermatitis is more common than expected, but remains under‐reported, as the implicated pesticides vary across regions and according to the crop patterns.</description><subject>Acetaldehyde - adverse effects</subject><subject>Acetaldehyde - analogs &amp; derivatives</subject><subject>Adult</subject><subject>Aged</subject><subject>agricultural workers</subject><subject>Agriculture</subject><subject>Allergies</subject><subject>Antifungal agents</subject><subject>Benzothiazoles - adverse effects</subject><subject>Case-Control Studies</subject><subject>Contact dermatitis</subject><subject>Cypermethrin</subject><subject>Dermatitis</subject><subject>Dermatitis, Allergic Contact - diagnosis</subject><subject>Dermatitis, Allergic Contact - etiology</subject><subject>Dermatitis, Occupational - diagnosis</subject><subject>Dermatitis, Occupational - etiology</subject><subject>Eczema</subject><subject>Farmers</subject><subject>Farmworkers</subject><subject>Female</subject><subject>formaldehyde</subject><subject>Formaldehyde - adverse effects</subject><subject>Humans</subject><subject>India</subject><subject>Isoproturon</subject><subject>Male</subject><subject>mercaptobenzothiazole</subject><subject>metaldehyde</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>occupational dermatitis</subject><subject>Occupational exposure</subject><subject>Patch Tests</subject><subject>Pesticides</subject><subject>Pesticides - adverse effects</subject><subject>Phenylurea Compounds - adverse effects</subject><subject>Propiconazole</subject><subject>Pyrethrins - adverse effects</subject><subject>Sulfhydryl Compounds - adverse effects</subject><subject>Thiram - adverse effects</subject><subject>thiuram</subject><subject>Triazoles - adverse effects</subject><issn>0105-1873</issn><issn>1600-0536</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kE1Lw0AQhhdRtFYP_gEJeGkPaWe_s0epHxUK7UHPYbvZ2NU0qbsJpf_e1VYPgnMZGB5e5n0QusIwwnHGpilGmAJTR6iHBUAKnIpj1AMMPMWZpGfoPIQ3ACwYyU7RGVFKMpZBDy0WNrTOuMImpqlbbdqksH6tW9e6kLg60a_ema5qO6-rZNv4d-tD0pTJ1K21WcXbwuvChlUyeKoLp4cX6KTUVbCXh91HLw_3z5NpOps_Pk1uZ6mhnKpUSyyBK8lFKRTwsiCgTEFLscRWZYozTCjVShPGS8os45aCBiBEM6mtNbSPBvvcjW8-ulgiX7tgbFXp2jZdyAkIJoXIOI_ozR_0rel8Hb-LVDTBJZEqUsM9ZXwTgrdlvvGxo9_lGPIvzXnUnH9rjuz1IbFbrm3xS_54jcB4D2xdZXf_J-WT-d0-8hNqDoR6</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Sharma, Aditi</creator><creator>Mahajan, Vikram K.</creator><creator>Mehta, Karaninder S.</creator><creator>Chauhan, Pushpinder S.</creator><creator>Sharma, Vikas</creator><creator>Sharma, Anuj</creator><creator>Wadhwa, Dhaarna</creator><creator>Chauhan, Shailja</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0537-4066</orcidid></search><sort><creationdate>201810</creationdate><title>Pesticide contact dermatitis in agricultural workers of Himachal Pradesh (India)</title><author>Sharma, Aditi ; Mahajan, Vikram K. ; Mehta, Karaninder S. ; Chauhan, Pushpinder S. ; Sharma, Vikas ; Sharma, Anuj ; Wadhwa, Dhaarna ; Chauhan, Shailja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3539-a717059756f6905fd209cd3f6b1e989541233a9a245f34e45e30a0022a47aeec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acetaldehyde - adverse effects</topic><topic>Acetaldehyde - analogs &amp; derivatives</topic><topic>Adult</topic><topic>Aged</topic><topic>agricultural workers</topic><topic>Agriculture</topic><topic>Allergies</topic><topic>Antifungal agents</topic><topic>Benzothiazoles - adverse effects</topic><topic>Case-Control Studies</topic><topic>Contact dermatitis</topic><topic>Cypermethrin</topic><topic>Dermatitis</topic><topic>Dermatitis, Allergic Contact - diagnosis</topic><topic>Dermatitis, Allergic Contact - etiology</topic><topic>Dermatitis, Occupational - diagnosis</topic><topic>Dermatitis, Occupational - etiology</topic><topic>Eczema</topic><topic>Farmers</topic><topic>Farmworkers</topic><topic>Female</topic><topic>formaldehyde</topic><topic>Formaldehyde - adverse effects</topic><topic>Humans</topic><topic>India</topic><topic>Isoproturon</topic><topic>Male</topic><topic>mercaptobenzothiazole</topic><topic>metaldehyde</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>occupational dermatitis</topic><topic>Occupational exposure</topic><topic>Patch Tests</topic><topic>Pesticides</topic><topic>Pesticides - adverse effects</topic><topic>Phenylurea Compounds - adverse effects</topic><topic>Propiconazole</topic><topic>Pyrethrins - adverse effects</topic><topic>Sulfhydryl Compounds - adverse effects</topic><topic>Thiram - adverse effects</topic><topic>thiuram</topic><topic>Triazoles - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sharma, Aditi</creatorcontrib><creatorcontrib>Mahajan, Vikram K.</creatorcontrib><creatorcontrib>Mehta, Karaninder S.</creatorcontrib><creatorcontrib>Chauhan, Pushpinder S.</creatorcontrib><creatorcontrib>Sharma, Vikas</creatorcontrib><creatorcontrib>Sharma, Anuj</creatorcontrib><creatorcontrib>Wadhwa, Dhaarna</creatorcontrib><creatorcontrib>Chauhan, Shailja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Contact dermatitis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sharma, Aditi</au><au>Mahajan, Vikram K.</au><au>Mehta, Karaninder S.</au><au>Chauhan, Pushpinder S.</au><au>Sharma, Vikas</au><au>Sharma, Anuj</au><au>Wadhwa, Dhaarna</au><au>Chauhan, Shailja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pesticide contact dermatitis in agricultural workers of Himachal Pradesh (India)</atitle><jtitle>Contact dermatitis</jtitle><addtitle>Contact Dermatitis</addtitle><date>2018-10</date><risdate>2018</risdate><volume>79</volume><issue>4</issue><spage>213</spage><epage>217</epage><pages>213-217</pages><issn>0105-1873</issn><eissn>1600-0536</eissn><abstract>Background Common pesticides used in the region by agricultural workers may cause contact allergy. Methods Thirty agricultural workers with a history of pesticide exposure and dermatitis involving the face, neck, trunk or extremities, and 20 controls comprising 2 groups of 10 subjects each, group 1 with dermatitis and no exposure to pesticides, and group 2 with neither exposure to pesticides nor dermatitis, were patch tested with 10 pesticides commonly used in the region by use of the Finn Chamber method. Results The 30 patients, 20 of whom were male, aged 30‐77 years, had dermatitis for 1 month to 18 years, with relapses and remissions. Seasonal exacerbation was present in 18 patients. Six patients attributed aggravation of their dermatitis to pesticide exposure, and 2 of these reacted positively to propiconazole. Positive patch test reactions to pesticides occurred in 10 patients, but not in controls. Thiuram was the commonest sensitizer (4 patients). Three patients were sensitized to propiconazole, and 2 patients reacted positively to metaldehyde. Formaldehyde, mercaptobenzothiazole, cypermethrin and isoproturon gave positive reactions in 1 patient each. Conclusion The sensitizing potential of pesticides remains a concern. Apparently, pesticide contact dermatitis is more common than expected, but remains under‐reported, as the implicated pesticides vary across regions and according to the crop patterns.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>29974480</pmid><doi>10.1111/cod.13049</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-0537-4066</orcidid></addata></record>
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subjects Acetaldehyde - adverse effects
Acetaldehyde - analogs & derivatives
Adult
Aged
agricultural workers
Agriculture
Allergies
Antifungal agents
Benzothiazoles - adverse effects
Case-Control Studies
Contact dermatitis
Cypermethrin
Dermatitis
Dermatitis, Allergic Contact - diagnosis
Dermatitis, Allergic Contact - etiology
Dermatitis, Occupational - diagnosis
Dermatitis, Occupational - etiology
Eczema
Farmers
Farmworkers
Female
formaldehyde
Formaldehyde - adverse effects
Humans
India
Isoproturon
Male
mercaptobenzothiazole
metaldehyde
Middle Aged
Neck
occupational dermatitis
Occupational exposure
Patch Tests
Pesticides
Pesticides - adverse effects
Phenylurea Compounds - adverse effects
Propiconazole
Pyrethrins - adverse effects
Sulfhydryl Compounds - adverse effects
Thiram - adverse effects
thiuram
Triazoles - adverse effects
title Pesticide contact dermatitis in agricultural workers of Himachal Pradesh (India)
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