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Document ID (ISN)100899
CIS number 02-1937
ISSN - Serial title 0105-1873 - Contact Dermatitis
Year 2002
Convention or series no.
Author(s) Schärer L., Hafner J., Wüthrich B., Bucher C.
Title Occupational protein contact dermatitis from shrimps - A new presentation of the crustacean-mite syndrome
Bibliographic information Mar. 2002, Vol.46, No.3, p.181-182. Illus. 10 ref.
Abstract A 45-year-old Chinese cook, with no family or personal history of atopy, had had hand eczema of variable intensity since he had started working in Switzerland 10 years ago. The patient reported acute itching, burning and erythematous swelling about 20min after contact with shrimps. This was followed approximately 2 days later by the appearance of erythema and small vesicles, changing to the typical features of hand eczema after a few days with erythematous and hyperkeratotic skin lesions restricted to the palms. Additionally, when eating shrimps he felt itching of the fingertips. He denied any respiratory symptoms. The skin lesions fully cleared during holidays. Sensitization of the immediate type to crustaceans and house dust mite was demonstrated by skin tests as well as with specific IgE determination. Delayed- type sensitization to shrimps was demonstrable by patch testing. A biopsy taken from the positive patch test site showed an acute eczematous reaction. In CAP FEIA inhibition studies, complete cross-reactivity between D. pteronyssinus and shrimps was demonstrated.
Descriptors (primary) allergens; acarids; hotel industry; dermatitis; Crustacea
Descriptors (secondary) immunoglobulins; Switzerland; case study; skin allergies; eczema; sensitization; urticaria; dust; hand; allergy tests; skin tests; skin eruption
Document type D - Periodical articles
Country / State or ProvinceSwitzerland
Subject(s) Food, beverage and tobacco industries
Broad subject area(s) Biological hazards
Browse category(ies) Skin diseases
Hotels and restaurants
Animal hazards