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Licensed Unlicensed Requires Authentication Published by De Gruyter September 24, 2014

Environmental airborne contact dermatoses

  • Jean-Marie Lachapelle EMAIL logo


This chapter is complementary to Chapter 4 published in the same series. Airborne contact dermatitis (ABCD) is considered a prototype in the field of environmental dermatology. It is often underestimated in most textbooks of general dermatology, despite its frequent occurrence in daily life. ABCD may be irritant, allergic, phototoxic, or photoallergic. Airborne contact urticaria is another example. A particular clinical aspect is the “head and neck dermatitis”, which occurs in atopic adult patients. Occupational ABCD represents a most difficult issue in terms of diagnostic procedures. It is obvious that non-occupational ABCD cases involve similar problems, usually easier to solve, and our comments refer to both conditions. Two examples of potentially airborne skin infections (e.g., anthrax and Ebola virus hemorrhagic fever) are also described because they are closely related to the same problematics. A new example of airborne irritant contact dermatitis, not reported so far, is linked with the use of continuous airway pressure in the treatment of obstructive sleep apnea.

Corresponding author: Prof. Jean-Marie Lachapelle, MD, PhD, Catholic University of Louvain Cliniques Universitaires Saint-Luc, Avenue Hippocrate, 10 B-1200 Brussels, Belgium, E-mail:


1. Lachapelle J-M. Industrial airborne irritant and allergic contact dermatitis. Contact Dermatitis 1986;14:137–45.10.1111/j.1600-0536.1986.tb01193.xSearch in Google Scholar

2. Dooms-Goossens A, De Busschere KM, Gevers DM, Dupré KM, Degreef HJ, et al. Contact dermatitis caused by airborne agents. J Am Acad Dermatol 1986;15:1–10.10.1016/S0190-9622(86)70135-7Search in Google Scholar

3. Santos R, Goossens A. An update on airborne contact dermatitis 2001–2006. Contact Dermatitis 2007;57:353–60.10.1111/j.1600-0536.2007.01233.xSearch in Google Scholar PubMed

4. Swinnen I, Goossens A. An update on airborne contact dermatitis 2007–2011. Contact Dermatitis 2013;68:232–8.10.1111/cod.12022Search in Google Scholar PubMed

5. Lachapelle J-M. Occupational airborne contact dermatitis: a realm for specific diagnostic procedures, Chapter 9. In: Lachapelle JM, Bruze M, Elsner PU, editors. Patch Testing Tips. Recommendations from the ICDRG. Berlin: Springer, 2014:101–14.Search in Google Scholar

6. Lachapelle J-M. Airborne irritant dermatitis, Chapter 8. In: Chew A-L, Maibach HI, editors. Irritant dermatitis. Berlin: Springer, 2006:71–95.Search in Google Scholar

7. Stam-Westerfeld EB, Coenraads PJ, van der Valk PJ, de Jong MC, Fidler V. Rubbing test responses of the skin to man-made mineral fibres of different diameters. Contact Dermatitis 1994;31:1–4.10.1111/j.1600-0536.1994.tb01894.xSearch in Google Scholar PubMed

8. Lovell CR. Plants and the skin. London: Blackwell Scientific Publications, 1993:273 pp.Search in Google Scholar

9. Le Coz CL, Ducombs G, Paulsen E. Plants and plant products, Chapter 46. In: Johansen JD, Frosch PJ, Lepoittevin J-P, editors. Contact Dermatitis, 5th ed. Berlin: Springer, 2011:873–925.Search in Google Scholar

10. Cusano F, Mariano M. Fiberglass dermatitis microepidemic in a primary school. Contact Dermatitis 2007;57:351–2.10.1111/j.1600-0536.2007.01147.xSearch in Google Scholar PubMed

11. Bordel-Gomez MT, Miranda-Romero A. Fibreglass dermatitis: a report of 2 cases. Contact Dermatitis 2008;59:120–2.10.1111/j.1600-0536.2008.01338.xSearch in Google Scholar PubMed

12. Larraga-Pinones G, Heras-Mendaza F, Conde-Salazar L. Occupational contact dermatitis in the wind energy industry. Actas Dermosifiliogr 2012;103:905–9.10.1016/ in Google Scholar PubMed

13. Hsieh MY, Guo YL, Shiao JS, Sheu HM. Morphology of glass fibers in electronics workers with fiberglass dermatitis – a scanning electron microscopy study. Int J Dermatol 2001;40:258–61.10.1046/j.1365-4362.2001.00632.xSearch in Google Scholar PubMed

14. Chomiczewska-Skora D. Adverse cutaneous reactions induced by exposure to woods. Med Pr 2013;64:103–18.10.13075/mp.5893/2013/0010Search in Google Scholar

15. Feser A, Mahler V. Periorbital dermatitis: causes, differential diagnosis and therapy. J Dtsch Dermatol Ges 2009;8:159–66.10.1111/j.1610-0387.2009.07216_supp.xSearch in Google Scholar

16. Urwin R, Wilkinson M. Methylchloroisothiazolinone and methylisothiazolinone contact allergy: a new “epidemic”. Contact Dermatitis 2013;68:253–5.10.1111/cod.12064Search in Google Scholar PubMed

17. Lundov MD, Menné T. Aiborne exposure to methylchloroisothiazolinone from a toilet cleaner. Contact Dermatitis 2013;68: 252–3.10.1111/cod.12054Search in Google Scholar PubMed

18. Swinnen I, Ghys K, Kerre S, Constandt L, Goossens A. Occupational airborne contact dermatitis from benzodiazepines and other drugs. Contact Dermatitis 2014;70:227–32.10.1111/cod.12166Search in Google Scholar PubMed

19. Lachapelle J-M, Goossens A. Photopatch testing, Chapter 5. In: Lachapelle J-M, Maibach HI, editors. Patch testing and prick testing. A practical guide. Official publication of the ICDRG, 3rd ed. Berlin: Springer;2012:95–101.10.1007/978-3-642-25492-5_5Search in Google Scholar

20. Gonçalo M, Ferguson J, Bonevalle A, Buynzeel DP, Giménez-Arnau A, et al. Photopatch testing: recommendations for a Euopean photopatch test baseline series. Contact Dermatitis 2013;68:239–43.10.1111/cod.12037Search in Google Scholar PubMed

21. Basketter D, Lahti A. Immediate contact reactions,Chapter 7. In: Johansen JD, Frosch PJ, Lepoittevin J-P, editors. Contact dermatitis, 5th ed. Berlin: Springer, 2011:137–41.Search in Google Scholar

22. Lachapelle J-M, Maibach HI. Spectrum of diseases for which prick testing and open (non-prick) testing are recommended: patients who should be investigated, Chapter 10 In: Lachapelle J-M, Maibach HI, editors. Patch testing and prick testing. A practical guide. Official publication of the ICDRG, 3rd ed. Berlin: Springer, 2012:147–57.Search in Google Scholar

23. Samochokhi Z. Hypersensitivity to aeroallergens in adult patients with atopic dermatitis develops due to different immunological mechanisms. Eur J Dermatol 2007;17:520–4.Search in Google Scholar

24. Hallai N, Gawkrodger DJ. Patch testing to aeroallergens, especially house dust mite, is often positive in atopics with eczema of the face and hands. J Eur Acad Dermatol Venereol 2009;23:728–9.10.1111/j.1468-3083.2009.03189.xSearch in Google Scholar PubMed

25. Nosbaum A, Nicolas J-F. Atopy patch tests, Chapter 9. In: Lachapelle J-M, Maibach HI, editors. Patch testing and prick testing. A practical guide. Official publication of the ICDRG, 3rd ed. Berlin: Springer, 2012:137–44.Search in Google Scholar

26. Friis UF, Menné T, Flyvholm M-A, Bonde JP, Johansen JD. Occupational allergic contact dermatitis diagnosed by a systematic stepwise exposure assessment of allergens in the work environment. Contact Dermatitis 2013;69:153–63.10.1111/cod.12102Search in Google Scholar PubMed

27. Maguina C, Flores del Pozo J, Terashima A, Gotuzzo E, Guerra H, et al. Cutaneous anthrax in Lima, Peru: retrospective analysis of 71 cases, including with a meningoencephalic complication. Rev Int Med Trop Sao Paulo 2005;47:25–30.10.1590/S0036-46652005000100005Search in Google Scholar PubMed

28. Karahocagil MK, Akdeniz N, Akdeniz H, Calka O, Karsen H, et al. Cutaneous anthrax in eastern Turkey: a review of 85 cass. Clin Exp Dermatol 2008;33:406–11.10.1111/j.1365-2230.2008.02742.xSearch in Google Scholar PubMed

29. Centers for Disease Control and Prevention and the National Institute of Allergy and Infectious Diseases.Search in Google Scholar

30. Nkoghe D, Leroy EM, Toung-Mye M, Gonzalez JP. Cutaneous manifestations of filovirus infections. Int J Dermatol 2012;51:1037–43.10.1111/j.1365-4632.2011.05379.xSearch in Google Scholar PubMed

31. Twenhafel NA, Mattix ME, Johnson JC, Robinson CG, Pratt WD, et al. Pathology of experimental aerosol Zaire ebolavirus infection in rhesus macaques. Vet Pathol 2013;50: 514–29.10.1177/0300985812469636Search in Google Scholar PubMed

32. Young T, Palta M, Dempsey J, Skatrud J, Weber S, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328: 1230–5.10.1056/NEJM199304293281704Search in Google Scholar PubMed

33. Basner RC. Continuous positive airway pressure for obstructive sleep apnea. N Engl J Med 2007;356:1751–8.10.1056/NEJMct066953Search in Google Scholar PubMed

34. Bollig SM. Encouraging CPAP adherence: it is everyone’s job. Respir Care 2010;55:1230–9.Search in Google Scholar

Received: 2014-7-28
Accepted: 2014-8-18
Published Online: 2014-9-24
Published in Print: 2014-8-1

©2014 by De Gruyter

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