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DERMATOLOGY Premade cards > Contact Allergens > Flashcards

Contact Allergens Flashcards

(154 cards)

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1
Q

Number one cause of eyelid dermatitis

A

Tosylamide (Nail product)

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2
Q

Fabric finisher causing clothing dermatitis

A

Formaldehyde

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3
Q

Clothing dye causing clothing dermatitis

A

Disperse dyes 106 and 124

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4
Q

Cause of perianal contact dermatitis

A

Lidocaine preservatives (MCI/MI)

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5
Q

MCI/MI

A

A preservative in lidocaine which is a common cause of perianal dermatitis

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6
Q

Shoe ADHESIVE that causes shoe dermatitis

A

Colophony

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7
Q

Rubber accelerator that causes shoe dermatitis

A

Mercaptobenzothiazole (most common!) this is a rubber accelerator

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8
Q

Leather that causes shoe dermatitis

A

Chromates

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9
Q

Most common substance in occupational ACD

A

Rubber

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10
Q

Are most tape reactions ACD or ICD?

A

ICD

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11
Q

What chemical sensitivity found in someone with a systemic ACD to amino Phyllis etc (theophylline)

A

Ethylenediamine

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12
Q

Most common cause of allergic shoe dermatitis

A

Mercaptobenzothiazole (MBT)

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13
Q

Most common sunscreen agent to cause photoallergic contact dermatitis

A

Oxybenzone (sunscreen UVA)

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14
Q

Number one flower that causes ACD in florists

A

Tulips

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15
Q

What do you neutralize a hydroflouric acid burn with?

A

Calcium Gluconate (this acid can cause damage to your bones! It is that toxic and fast acting)

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16
Q

What do you neutralize a phenol peel with?

A

65% ethyl OR isopropyl alcohol

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17
Q

What systemic symptoms do you get with systemic absorption of a phenol peel?

A

Glomerulonephritis and cardiac arrhythmias (why you have to stay in the hospital overnight) crazy

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18
Q

Most common irritant contact derm in florists

A

Daffodil (Narcissus spp). *sidenote tulips are the most common ACD, not ICD

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19
Q

Which plants and fruits cause an irritant dermatitis with CALCIUM OXALATE

A

Daffodils (narcissus)
Pineapple (ananas comosus)
Dumb cane (dieffenbachia, house plant)

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20
Q

Which plant/fruit/veggie cause a chemical ICD with the irritant CAPSAICIN?

A

Family Solanacea (hot peppers)

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21
Q

What type of plant is in the family Alliacea?

A

Garlic

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22
Q

Phytophotodermatitis is caused by which spectrum of light?

A

UVA +foucourcomarins

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23
Q

What two families of plants are culprits in Phytophotodermatitis?

A

Apiacea/Umbelliferae

*an Ape holding an Umbrella to shield it from the sun

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24
Q

Apiacea/Umelliferae

A

Two families which are culprits in phytophotodermatitis

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25
``` Name examples of plants in each family: Alliacea Anacardiacea Apiaceae Asteraceae/Compositae Alstroemeriacea ```
Alliacea - Garlic, onion, chives Apiaceae - parsley parsnips, celary, hogweed Anacardiacea - poison ivy, poison sumac, poison oak Asteraceae/compositae - chrysanthemum, ragweed, sunflower Alstroemeriacea - tulips, Lilly's
26
Alliaceae
Garlic, onions, chives
27
Ananas comosus
Pineapple (Irritant is Bromelin
28
Narcissus
Daffodils (calcium oxalate irritant)
29
Phorbol esters (plant irritant) examples
Poinsettas, crotons, spurges *in milky latex - can cause temporary blindness if latex contacts eye
30
What irritant can cause temporary blindness?
Phorbol esters (poinsettas, spurges, crotons)
31
Euphorbiaceae family
Crotons *contains phorbol esters, in latex cause temporary blindness if in contact with eye)
32
Crotons
Part of the Euphorbiaceae family | *Phorbol ester irritant, may cause temporary blindness in latex
33
Family Araceae
Dumb Cane (calcium oxalate irritant) *dumb as an Ox, archaic like a cave man? Idk
34
Calcium oxalate irritant
Dumb Cane (Araceae)
35
Bromelin irritant
Pineapple (Ananas comosus) | *ananias brothers bro out, pineapple juicing
36
Phorbol esters
Plant irritant contact derm found in milky latex with Poinsettas, spurges, crotons(Euphorbiaaceae)
37
Crotons
Phorbol ester found in milky latex - a plant irritant
38
Euphorbiaceae
Crotons
39
Thiocyanates
Group of plant irritants that includes Garlic (Alliaceae) Black mustard and radish (Brassicaceae)
40
Garlic - plant irritant
Thiocyanate
41
Alliaceae
Garlic
42
Protoanemonin
Buttercups
43
Plant allergen that causes an intense linear vesiculation, but no post inflammatory hyperpigmentation
Protoanemonin (Buttercups) | *chemical Ranunculin converts to protoanemonin
44
Capsaicin - what family
Solanacea
45
What family of plants causes strummer dermatitis
Apiacea/Umbelliferae (Hogweed)
46
Hogweed (Heracleum) causes what kind of reaction?
Strummer dermatitis (after weedwacking)
47
Strimmer dermatitis cause
Hogweed (Heracleum) from the family Apiaceae
48
Chemical found in blue/green dyes Glass/pottery Cement
Cobalt
49
Blue/green dyes
Cobalt
50
Glass, pottery
Cobalt
51
Blue/Green dyes
Cobalt
52
Poral reaction
Irritant reaction with purpuric pores- found with cobalt allergy
53
What irritant causes the Poral reaction
Cobalt (purpuric pores)
54
Chemical found in wrinkle free clothing
Formaldehyde
55
Which fabric type has the least amount of formaldehyde in it?
Polyester *
56
Which fabric types have the most formaldehyde?
100% cotton or cotton/synthetic blends
57
#2 cause of overall cosmetic-related ACD
Formaldehyde-releasing products (fragrances are #1)
58
#1 preservative sensitizer in USA
Quaternium-15 (a formaldehyde releaser)
59
What type of chemical is Quaternium-15?
Formaldehyde releaser, found in cosmetics
60
Imidazolidinyl urea is what type of chemical?
Formaldehyde releasing preservative
61
PABA sunscreens block what type of light?
UVB
62
Oxybenzone blocks what type of light?
UVA
63
Methychloroisothiazolinone is found in what common product and causes what specific type of dermatitis?
MCI/MI found in wet wipes and can cause a perianal dermatitis
64
Kanthon CG is another name for what chemical?
Methychloroisothiazolinone (MCI/MI) this is the chemical in wet wipes that causes perianal dermatitis
65
Acrylates cause what kind of dermatitis
Nail dermatitis (found in nail products) *though remember tosylamide is the most common cause of eyelid dermatitis caused by a nail product
66
Material found in acrylic nail ADHESIVE
Ethyl Acrylate (Methyacrlate is found in the fake nails themselve)
67
Material found in Krazy Glue/Super Glue and Dermabond
Cyanoacrylate
68
Cyanoacrelate
Dermabond | SuperGlue
69
Glue for artificial joints, adhesive for dental fillings/sealants
Methacrylate
70
What chemical is known to diffuse through surgical glove and cause parasthesias
Methacrylate
71
Dentist or ortho surgeon who develops parasthesias
Methacrylate (adhesive found in artificial joints, dental fillings, also fake nails) and can cause parasthesias
72
ACD that can cause parasthesias through gloves
Methacrylate
73
Couch dermatitis
Dimethyl Fumarate
74
Most common co-reaction with which two topical antibiotics?
Neomycin and Bacitracin
75
What type of systemic abx should you not give while applying Neomysin?
Amminoglycoside
76
Neomysin cross reacts with which other drug
Amminoglycosides
77
Dialkyl Thiourea
Neoprene
78
Wetsuit dermatitis
Neoprene allergy (dialkyl thiourea)
79
Another name for Neoprene
Dialkyl Thiourea (wetsuit dermatitis, goggle dermatitis)
80
Most common positive patch test allergen
Nickel
81
T/F number of piercings correlate with nickel allergy
TRUE
82
What chemical turns pink in the presence of nickel and ammonia (the 10% ammonia test)
Demethyglyoxime
83
#1 cause of all cosmetic-related allergic contact derm
Fragrance
84
Patch test to what chemical and the fragrance mix detects >90% of all fragrance allergies
Balsam of Peru
85
Balsam of Peru is derived from what type of tree
Myroxylon pereirea tree
86
Fragrance allergies think of what chemical to test with
Balsam of Peru
87
Balsam of Peru
Mix with fragrance test to detect >90% of all ACD
88
P-phenalenediamine (PPD)
Common allergen in hair dye (Also temporary tattoos, black rubber
89
You should test hairdressers to what chemical?
PPD (p-phelalenediamine)
90
SURFACTANT found in shampoos
Cocoamidopropyl betaine
91
Cocoamidoprophyl betaine
Allergenic surfactant found in shampoos
92
Thimerosal found in vaccines and also what type of product
Eye-drop solutions
93
Eye-drop solutions contain what common allergen
Thimerosal
94
What chemical does Thimerosal cross-react with?
Piroxicam & mercury
95
Risk factor for Latex allergy
Spina Bifida & Healthcare workers
96
Latex cross reacts with what 5 substances?
``` "BACK PASSION" Banana Avacado Chestnut Kiwi Passion Fruit ```
97
Latex allergy usually causes what type of hypersensitivity reaction?
Type I (immunologic contact urticaria)>>Type IV
98
Most common glove allergy (most common allergy in health care workers)
Thiuram (tetramethylthiuram disulfide) *you would think it would be latex but it is not! -cross reacts with disulfiram
99
Thiuram
Most common glove allergy | Most common allergy in healthcare workers
100
Most common allergy in health care workers
Thiuram (glove allergy). *NOT LATEX
101
Name a few products p-phenalenediamine (PPD) is found in
``` HAIR DYE (most common) Black rubber Black henna Photograph development ink Black printer ink ```
102
Epoxy resin
PVC and plastic materials
103
Couch dermatitis
Dimethyl Fumarate
104
Name two formaldehyde releasing preservatives
Quaternium-15 | Imidazolidinyl urea
105
Preservatives found in topical medications, antiperspirants
Parabens
106
Propylene glycol
Vehicle base in many cream and lotions: ECG and lubricant jelly, antifreeze, brake fluid
107
Name the allergen found in lubricant jelly, brake fluid, antifreeze, and many creams and lotions
Propylene glycol
108
Cross reacts wtih aminophylline (theophylline)
Ethylenediamine
109
Allergen found in topical steroid and antifungal creams like Mycolog
Ethylenediamine
110
Vehicle for emollients, cross reacts with Aquaphor and Eucerin
Lanolin
111
Common allergy among leg ulcer patients
Lanolin
112
This allergen is in wax-wool alcohol (derived from sheep)
Lanolin
113
Lanolin
Common vehicle used in emollients Common in leg ulcer patients Cross reacts with Aquaphor and Eucerin
114
Lanolin vs Paraben
Lanolin is a vehicle used for common emollients like Aquaphor Paraben is a preservative in topical meds, deodorant
115
What chemical is an allergen found in perms that stays in the hair for months bc it remains in the hair shaft for that long
Glyceryl monothioglycolate
116
What product in hair bleach causes a contact urticaria?
Ammonium persulfate
117
Which type of transdermal patch has the highest rate of sensitization?
Clonidine
118
Which are more common allergens, anesthetic ESTERS or AMIDES?
Esters - bc 1 "i" (per Hocker book?) Esters - benzocaine Amides- lidocaine, mepivicaine, prilocaine (All have 2 "i"s)
119
Which disperse dyes are the best screening agents for clothing dye allergy?
Disperse dye 106, 124
120
If you are prescribing someone topical nitrogen mustard, should you prescribe the aqueous form or the ointment form?
Ointment form. Because the aqueous form causes an ACD in >68% of people!
121
Most common veggie/fruit to cause CONTACT URTICARIA
Potatoe (associated with an asthmatic response | *vs celery, not as common in general, but most common to cause anaphlyaxis
122
Most common veggie to cause anaphlyaxis as a result of a contact allergy
Celery
123
What woodworking product (also used as random creams for medications) can give a contact urticaria?
DMSO
124
What type of patch testing do you want to do if you are testing for a contact urticaria
Open patch test | *vs a standard closed patch test which is ineffective
125
What is the sensitizer in poison ivy
Urushiol (pentadecylcatechol in oleoresin)
126
Cross reactants with poison ivy
``` MJ BIGCASH Mango Japanese laquer tree Brazilian pepper tree Indian marking nut Ginkgo Cashew nut ```
127
Sensitizer for Asteraceae (sunflower, dandelion, chrysanthemum)
Sesquiterpene lactone
128
Allergy to dandelions, sunflowers, and chrysanthemum (Asteraceae/Compositae) cross reacts with what chemical
Permethrin
129
If you see a rash on the non-dominant hand with hyperkeratosis/fissuring of the thumb index and middle fingertips, think allergy to what
Garlic, onions - family Aliaceae
130
Most common allergic reaction seen in what color tattoo
Red
131
Chemical causing pigment reaction to black tattoo ink
Carbon, iron oxide
132
Chemical causing pigment reaction to tattoo ink: blue
Cobalt
133
Chemical causing pigment reaction to tattoo ink: Brown
Ferric Oxide
134
Chemical causing pigment reaction to tattoo ink: Green
Chromic Oxide (green ghrom!)
135
Chemical causing pigment reaction to tattoo ink: Purple
Manganese (Purple mango)
136
Chemical causing pigment reaction to tattoo ink: Red
Cinnabar (mercury sulfide); cadmium red
137
Chemical causing pigment reaction to tattoo ink: White
Titanium Dioxide
138
Chemical causing pigment reaction to tattoo ink: Yellow
Cadmium sulfide (Cadberry Bunny)
139
Dimethylglyoxine
This chemical turns pink in the presence of Nickel - used as a test
140
Most common cause of persistently positive patch test reactions
Gold
141
Latex is more common to cause which kind of hypersensitivity reaction - I or IV?
Usually causes a Type I (not IV like typical contact derm)
142
Latex reacts with which substances?
``` BACK PASSION Bananas Avocados Chestnut Kiwi Passion fruit ```
143
BACK PASSION pneumonic
``` Bananas Avocados Chestnut Kiwi Passion fruit ```
144
What chemical irritant found in the felt on pool tables?
Chromates
145
Risk factors for latex allergies
Health care professional | SPINDA BIFIDA
146
What chemical does Thiuram cross react with?
Disulfiram
147
Which chemical allergen is found in musical instruments like the VIOLIN
Rosin (colophony and abiotic acid)
148
Colophon
Type of Rosin, and allergen found in VIOLINs and other musical instruments
149
PTBP (p-tert-butylphenol formaldehyde resin)
Used for gluing together leather products (watchbands, leather handbags, shoes) *can cause depigmentation!
150
Which chemical irritant cross reacts with piroxicam and mercury
Thimerosal (ethyl mercury) - found in eyedrops and vaccines
151
What chemicals does Thimerosal cross-react with?
Piroxicam and mercury
152
What allergen is found in Mycolog?
Ethyleneiamine
153
Which chemical allergen is made by bees from resinous exudates of plants?
Propolis - most notable for ACD of the lips
154
A notable chemical irritant for ACD of the lips
Propolis - made by BEES from resinous exudates of plants

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