The diagnosis of textile contact dermatitis is often straightforward, but treatment can be difficult. DermTwitter
The European Standard Series is a must when testing for contact eczema, as it contains not only a marker for dyes , but also markers for metals, preservatives, and rubbers.
Applied to textile fibers on clothing, processing and finishing are used to shape the garment, increase wrinkle resistance, and enhance the dye — and even make the fabric feel better to the touch. They can also impart waterproof, mothproof, and antistatic properties.. Nickel is found in metal accessories like belt buckles, and chromium in leather products.
"The European Standard Series may not be sufficient, so other tests will have to be added to it. But above all, the textile in question is going to have to be tested," explained Collet, who went on to specify the method."You cut out a piece of the fabric — a square, three quarters of an inch — and wet it. You do a semi-open test. And as with classical tests, you watch what happens after 48 hours, 72 hours, and 96 hours.
"And for patients whose tests are negative," she continued,"you have to do a use test. This is the case for 12% to 24% of patients."With respect to dyes, we have guidance from Nadia Raison-Peyron, MD, a dermatologist at Montpellier University Hospital in France. Wash new clothes before putting them on. Read the labels to find out the fiber content. People with allergies should choose natural fibers, such as cotton, flax, and wool.
As for metals, Florence Tétart, MD, a dermatologist at Rouen University Hospital in France, had the following advice. If you're allergic to nickel, invest in a patch test. If you're allergic to chromium, avoid leather products and be cautious when it comes to footwear that claims to be chromium-free. In addition, she recommended that, in terms of primary and secondary prevention, everyone should"opt for European products.
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