Publications by authors named "Jeanne D Johansen"

Rubber accelerators are chemicals used as vulcanizers in the production of rubber items and may cause contact allergy (CA). The aim of this study was to assess the worldwide prevalence of CA to rubber accelerators from the European baseline series among dermatitis patients. A comprehensive literature search across PubMed, Embase, and Web of Science yielded 106 studies with 826 543 individuals patch tested between 1984 and 2023.

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Nickel is the most frequent cause of allergic contact dermatitis in Europe and worldwide despite 20 years of regulation. The aim of this study is to systematically assess (i) the risk of nickel allergy associated with piercings and (ii) the proportion of earrings for piercings on the market that release excessive amounts of nickel. The databases PubMed, Embase, and Web of Science were searched.

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Background: Skin sensitising preservatives are commonly used in consumer and industrial products. The widespread use of preservatives has led to recurrent epidemics of contact allergy.

Objectives: To investigate temporal trends of contact allergy to preservatives from 2014 to 2023.

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CD8 epidermal-resident memory T (T) cells play a significant role in fighting off pathogens. However, CD8 T cells are also central in the pathogenesis of a variety of inflammatory skin diseases. It is unclear whether the generation and persistence of CD8 T cells are dependent on the presence of cognate antigen and TCR signaling.

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Background: Rubber accelerators found in rubber gloves may cause contact allergy and thus allergic contact dermatitis.

Objectives: To investigate which doses of tetraethylthiuram disulfide (TETD) elicit allergic contact dermatitis by patch testing and in a repeated occluded application test simulating glove use.

Patients And Methods: A multicentre study was conducted.

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Background: Very little is known about skin exposures and related contact dermatitis among adolescents in the general population.

Objectives: To explore the epidemiology of contact dermatitis and related skin exposures in Danish adolescents.

Materials And Methods: The study was designed as a self-administered questionnaire study.

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Hand eczema is a frequent disease, often with an early debut, a tendency to become chronic and it may carry many consequences. Hand eczema is classified depending on aetiology and clinical types. Few treatments have been developed specifically to hand eczema and treatment failure is not infrequent.

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Approximately 5,200 contact allergens are known. Developing and implementing new chemical substances in the industry and the addition of these substances in various commercial products is a continuous process, and new contact allergens are frequently identified. This review has been prepared to provide an update on new contact allergens, including rubber accelerators, acrylates, preservatives, and antioxidants, and new application areas for known allergens.

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Cleaners are affected by occupational contact dermatitis, with both allergic and irritant causes. More knowledge on contact allergy in cleaners is needed for better preventive measures. To investigate which contact allergens from the European baseline series (EBS) are associated with the cleaning profession.

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Neomycin, an aminoglycoside antibiotic frequently employed in topical formulations, is a recognised allergen that is part of many baseline series and can cause contact allergy (CA) in both adults and children. It is an allergen of interest as it has a widespread use in over-the-counter and prescription products globally, but geographical variations may exist. This study aimed to establish prevalence estimates of CA to neomycin in dermatitis patients and to investigate potential geographical variations.

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Background: Despite legislation aimed to protect the population against skin sensitization in the European Union (EU), over one quarter of the general population is sensitised to at least one chemical.

Objectives: To provide an overview and comparison of European legislation concerning skin sensitization. In addition, we gathered the opinions of experts and stakeholders regarding improvements in the legislation and risk assessment process in the EU, to provide suggestions for improvement.

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Contact allergy (CA) is a frequent condition in children; however, newer estimates of the prevalence of CA in children are lacking. Herein, we aim to provide an estimate of the prevalence of CA in children from 2010 to 2024. Two authors independently searched PubMed, Embase and Web of Science for studies reporting the prevalence of positive patch tests (PPTs) to allergens in populations including ≥ 100 children (< 18 years).

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Background: Chronic hand eczema (CHE) is a common skin disease with different subtypes, but knowledge of the molecular patterns associated with each subtype is limited.

Objective: We sought to characterize the CHE transcriptome across subtypes.

Methods: Using RNA sequencing, we studied the transcriptome of 220 full-thickness skin biopsy samples collected from palms, dorsa, and arms from 96 patients with CHE and/or atopic dermatitis (AD) and 32 healthy controls.

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Article Synopsis
  • Contact dermatitis is a frequent skin issue in children, resulting from exposure to irritants or allergens in their environment.
  • Diagnosis involves assessing symptoms, dermatitis patterns, and a patient's exposure history, with patch testing being the most reliable method to differentiate allergic from irritant contact dermatitis.
  • The review focuses on understanding contact dermatitis in children, covering how to diagnose it, differentiate it from other conditions, and strategies for managing it.
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Article Synopsis
  • Rubber gloves often have rubber accelerators that can cause allergic reactions, but their specific content is not well understood.
  • A study tested 51 gloves from various brands, finding that 90% of disposable gloves contained sensitizing rubber accelerators, particularly zinc dibutyldithiocarbamate (ZDBC) and zinc diethyldithiocarbamate (ZDEC).
  • The research highlights the need for better labeling of rubber gloves, as even those claimed to be free of accelerators were found to have them, necessitating more transparency from manufacturers.
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Article Synopsis
  • Rubber accelerators like TETD and ZDEC, used in rubber vulcanization, can cause allergic reactions and may trigger cross-reactivity between each other.
  • A study on mice showed that sensitization and subsequent exposure to either TETD or ZDEC resulted in increased skin irritation and immune cell proliferation.
  • The findings indicate that individuals allergic to one compound may react to the other, suggesting such patients should avoid both substances to prevent allergic responses.
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Article Synopsis
  • Gold contact allergy is identified through patch testing, but while these tests often show positive results, actual dermatitis cases from everyday gold exposure are uncommon.
  • A study aimed to determine the prevalence of gold contact allergy among dermatitis patients by reviewing literature from 2010 to 2024, analyzing 16 studies with nearly 15,000 participants.
  • The findings revealed a pooled prevalence of 14.1% for gold contact allergy, indicating variability across studies, and emphasizing the necessity for consistent testing methods and additional research to clarify this allergy's significance.
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Background: Atopic dermatitis (AD) and hand eczema often co-occur, particularly among adults.

Objectives: To examine the interplay between AD and hand eczema in the general population, by characterising prevalence, disease severity, contact sensitization, and comorbidities in individuals with one or both conditions.

Materials And Methods: In this cross-sectional study, 100 000 randomly selected adults in the Danish general population received a questionnaire via a secure, digital mailbox linked to their civil registration number.

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Background: Formaldehyde is a common cause of contact allergy. Hidden formaldehyde, that is, formaldehyde in products without formaldehyde releasers, has previously been detected in cosmetic products.

Objectives: The objective of this study was to investigate the content and causes of hidden formaldehyde in leave-on cosmetic products.

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Introduction: Leather has been a significant source of chromium (Cr) allergy in Denmark since the 1990s. More recently, cobalt (Co) allergy has been identified in leather as a source of allergic contact dermatitis.

Objectives: To measure Cr and Co levels in Danish leather goods.

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Article Synopsis
  • - The study examines the prevalence of contact allergies to methylisothiazolinone (MI) and related preservatives in cosmetic products across Europe after regulatory changes implemented in the late 2010s.
  • - A total of 2554 patients were patch tested, revealing MI allergy at 2.9%, benzisothiazolinone (BIT) at 3.1%, and octylisothiazolinone (OIT) at 0.7%, with rinse-off products being the main source of MI-related allergies.
  • - The research highlights a decrease in MI allergies due to regulations, though BIT has become a more common allergen, indicating ongoing consumer exposure to older products.
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Background: Fragrance substances are a frequent cause of contact allergy worldwide. Fragrance exposure varies by sex, age and possibly country, influenced by cosmetic availability, environmental conditions and cultural practices.

Objectives: To systematically review and gather prevalence of sensitization to fragrance mix I (FM I) and fragrance mix II (FM II) in consecutively patch tested European dermatitis patients.

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Atopic diseases such as atopic dermatitis, food allergy, allergic rhinoconjunctivitis, and/or asthma are common. In Denmark, however, there are multiple referral pathways for these diseases in the healthcare system and they are poorly understood. To describe how children with atopic diseases navigate their way through the Danish healthcare system, a questionnaire was distributed to children aged ≤ 17 years, who were being treated for atopic diseases between August 2020 and June 2021, either by a practising specialist or a hospital department, in the Capital Region of Denmark.

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