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An evaluation of dose/unit area and time as key factors influencing the elicitation capacity of methylchloroisothiazolinone/methylisothiazolinone (MCI/MI) in MCI/MI-allergic patients.

Abstract
Methylchloroisothiazolinone and methylisothiazolinone (MCI/MI) contact allergy affects 1-3% of patch-tested patients in European centres. The aim of the present study was to evaluate the importance of the factors--time and concentration (dose/per unit area)--in the elicitation capacity by means of a repeated open application test (ROAT) experimental design. The study was designed as a double-blind, placebo-controlled, dose-response ROAT preceded by a diagnostic patch testing. 25 subjects with confirmed MCI/MI allergy and 10 healthy, non-MCI/MI allergic control subjects were exposed to 0.025 microg/cm2 (2 p.p.m.) of MCI/MI/unit area of the skin for 4 weeks. After a wash-out period of at least 4 weeks, the subjects were exposed to 0.094 microg/cm2 (7.5 p.p.m.) of MCI/MI/unit area of the skin for 4 weeks. The study showed the importance of both time and exposure in the elicitation process. It demonstrated that the elicitation threshold for MCI/MI is expected to be in the proximity of 0.025 microg/cm2 although it was not possible to establish a definitive elicitation threshold for MCI/MI in this study.
AuthorsClaus Zachariae, Anne Lerbaek, Pauline M McNamee, John E Gray, Mike Wooder, Torkil Menné
JournalContact dermatitis (Contact Dermatitis) Vol. 55 Issue 3 Pg. 160-6 (Sep 2006) ISSN: 0105-1873 [Print] England
PMID16918615 (Publication Type: Journal Article, Randomized Controlled Trial)
Chemical References
  • Allergens
  • Preservatives, Pharmaceutical
  • Thiazoles
  • 2-methyl-4-isothiazolin-3-one
  • 5-chloro-2-methyl-4-isothiazolin-3-one
Topics
  • Adolescent
  • Adult
  • Allergens (adverse effects)
  • Dermatitis, Allergic Contact (diagnosis, etiology, pathology)
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Female
  • Humans
  • Male
  • Patch Tests (standards)
  • Preservatives, Pharmaceutical (adverse effects)
  • Thiazoles (adverse effects)
  • Time Factors

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