CASE REPORT
Severe facial reaction to thiurams in surgeons
 
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University of Rome “Tor Vergata”, Rome, Italy (Department of Occupational Medicine)
 
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ABSTRACT:
Contact dermatitis is a major problem in the healthcare environment and in other sectors. Healthcare professionals may be exposed to a large number of chemical agents, including the accelerators for rubber vulcanization process. The prevalence of allergic contact dermatitis among operators in the sector ranges between 13–30%. This paper describes the case of a 46-year-old male cardiac surgeon affected by a severe skin reaction localized on the face in the absence of hand dermatitis, presumably resulting from the use of a surgical patch applied to the face. Patch tests were performed and the result was negative for latex and positive (+++) for thiuram mix. A thiuram-free tape was prescribed and the operator’s dermatitis improved significantly. Thus, it would be very important to pay attention to skin disorders in health workers and thiuram as an occupational allergen. Med Pr 2019; 70(1)
CORRESPONDING AUTHOR:
Luca Coppeta   
University of Rome “Tor Vergata”, Department of Occupational Medicine, Viale Oxford 81, 00133 Roma, Italy
eISSN:2353-1339
ISSN:0465-5893