The European baseline series in 10 European Countries, 2005/2006: Results of the European Surveillance System on Contact Allergies (ESSCA)

Wolfgang Uter, Christiane Rämsch, Werner Aberer, Fabio Ayala, Anna Balato, Aiste Beliauskiene, Anna Belloni Fortina, Andreas Bircher, Jochen Brasch, Mahbub M U Chowdhury, Pieter-Jan Coenraads, Marie-Louise Schuttelaar, Sue Cooper, Maria Teresa Corradin, Peter Elsner, John S C English, Manigè Fartasch, Vera Mahler, Peter J Frosch, Thomas FuchsDavid J Gawkrodger, Ana-Maria Gimènez-Arnau, Cathy M Green, Helen L Horne, Riitta Jolanki, Codagh M King, Beata Krêcisz, Marta Kiec-Swierczynska, Anthony D Ormerod, David I Orton, Andrea Peserico, Tapio Rantanen, Thomas Rustemeyer, Jane E Sansom, Dagmar Simon, Barry N Statham, Mark Wilkinson, Axel Schnuch

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Abstract

BACKGROUND: Continual surveillance based on patch test results has proved useful for the identification of contact allergy. OBJECTIVES: To provide a current view on the spectrum of contact allergy to important sensitizers across Europe. PATIENTS/METHODS: Clinical and patch test data of 19 793 patients patch tested in 2005/2006 in the 31 participating departments from 10 European countries (the European Surveillance System on Contact Allergies' (ESSCA) www.essca-dc.org) were descriptively analysed, aggregated to four European regions. RESULTS: Nickel sulfate remains the most common allergen with standardized prevalences ranging from 19.7% (central Europe) to 24.4% (southern Europe). While a number of allergens shows limited variation across the four regions, such as Myroxylon pereirae (5.3-6.8%), cobalt chloride (6.2-8.8%) or thiuram mix (1.7-2.4%), the differences observed with other allergens may hint on underlying differences in exposures, for example: dichromate 2.4% in the UK (west) versus 4.5-5.9% in the remaining EU regions, methylchloroisothiazolinone/methylisothiazolinone 4.1% in the South versus 2.1-2.7% in the remaining regions. CONCLUSIONS: Notwithstanding residual methodological variation (affecting at least some 'difficult' allergens) tackled by ongoing efforts for standardization, a comparative analysis as presented provides (i) a broad overview on contact allergy frequencies and (ii) interesting starting points for further, in-depth investigation.
Original languageEnglish
Pages (from-to)31-38
Number of pages8
JournalContact Dermatitis
Volume61
Issue number1
DOIs
Publication statusPublished - Jul 2009

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Allergens
Hypersensitivity
Patch Tests
Myroxylon
Thiram

Keywords

  • adult
  • allergens
  • dermatitis, allergic contact
  • dermatitis, atopic
  • dermatitis, occupational
  • Europe
  • female
  • humans
  • male
  • middle aged
  • population surveillance
  • prevalence
  • clinical epidemiology
  • contact allergy
  • patch testing

Cite this

The European baseline series in 10 European Countries, 2005/2006 : Results of the European Surveillance System on Contact Allergies (ESSCA). / Uter, Wolfgang; Rämsch, Christiane; Aberer, Werner; Ayala, Fabio; Balato, Anna; Beliauskiene, Aiste; Fortina, Anna Belloni; Bircher, Andreas; Brasch, Jochen; Chowdhury, Mahbub M U; Coenraads, Pieter-Jan; Schuttelaar, Marie-Louise; Cooper, Sue; Corradin, Maria Teresa; Elsner, Peter; English, John S C; Fartasch, Manigè; Mahler, Vera; Frosch, Peter J; Fuchs, Thomas; Gawkrodger, David J; Gimènez-Arnau, Ana-Maria; Green, Cathy M; Horne, Helen L; Jolanki, Riitta; King, Codagh M; Krêcisz, Beata; Kiec-Swierczynska, Marta; Ormerod, Anthony D; Orton, David I; Peserico, Andrea; Rantanen, Tapio; Rustemeyer, Thomas; Sansom, Jane E; Simon, Dagmar; Statham, Barry N; Wilkinson, Mark; Schnuch, Axel.

In: Contact Dermatitis, Vol. 61, No. 1, 07.2009, p. 31-38.

Research output: Contribution to journalArticle

Uter, W, Rämsch, C, Aberer, W, Ayala, F, Balato, A, Beliauskiene, A, Fortina, AB, Bircher, A, Brasch, J, Chowdhury, MMU, Coenraads, P-J, Schuttelaar, M-L, Cooper, S, Corradin, MT, Elsner, P, English, JSC, Fartasch, M, Mahler, V, Frosch, PJ, Fuchs, T, Gawkrodger, DJ, Gimènez-Arnau, A-M, Green, CM, Horne, HL, Jolanki, R, King, CM, Krêcisz, B, Kiec-Swierczynska, M, Ormerod, AD, Orton, DI, Peserico, A, Rantanen, T, Rustemeyer, T, Sansom, JE, Simon, D, Statham, BN, Wilkinson, M & Schnuch, A 2009, 'The European baseline series in 10 European Countries, 2005/2006: Results of the European Surveillance System on Contact Allergies (ESSCA)', Contact Dermatitis, vol. 61, no. 1, pp. 31-38. https://doi.org/10.1111/j.1600-0536.2009.01572.x
Uter, Wolfgang ; Rämsch, Christiane ; Aberer, Werner ; Ayala, Fabio ; Balato, Anna ; Beliauskiene, Aiste ; Fortina, Anna Belloni ; Bircher, Andreas ; Brasch, Jochen ; Chowdhury, Mahbub M U ; Coenraads, Pieter-Jan ; Schuttelaar, Marie-Louise ; Cooper, Sue ; Corradin, Maria Teresa ; Elsner, Peter ; English, John S C ; Fartasch, Manigè ; Mahler, Vera ; Frosch, Peter J ; Fuchs, Thomas ; Gawkrodger, David J ; Gimènez-Arnau, Ana-Maria ; Green, Cathy M ; Horne, Helen L ; Jolanki, Riitta ; King, Codagh M ; Krêcisz, Beata ; Kiec-Swierczynska, Marta ; Ormerod, Anthony D ; Orton, David I ; Peserico, Andrea ; Rantanen, Tapio ; Rustemeyer, Thomas ; Sansom, Jane E ; Simon, Dagmar ; Statham, Barry N ; Wilkinson, Mark ; Schnuch, Axel. / The European baseline series in 10 European Countries, 2005/2006 : Results of the European Surveillance System on Contact Allergies (ESSCA). In: Contact Dermatitis. 2009 ; Vol. 61, No. 1. pp. 31-38.
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abstract = "BACKGROUND: Continual surveillance based on patch test results has proved useful for the identification of contact allergy. OBJECTIVES: To provide a current view on the spectrum of contact allergy to important sensitizers across Europe. PATIENTS/METHODS: Clinical and patch test data of 19 793 patients patch tested in 2005/2006 in the 31 participating departments from 10 European countries (the European Surveillance System on Contact Allergies' (ESSCA) www.essca-dc.org) were descriptively analysed, aggregated to four European regions. RESULTS: Nickel sulfate remains the most common allergen with standardized prevalences ranging from 19.7{\%} (central Europe) to 24.4{\%} (southern Europe). While a number of allergens shows limited variation across the four regions, such as Myroxylon pereirae (5.3-6.8{\%}), cobalt chloride (6.2-8.8{\%}) or thiuram mix (1.7-2.4{\%}), the differences observed with other allergens may hint on underlying differences in exposures, for example: dichromate 2.4{\%} in the UK (west) versus 4.5-5.9{\%} in the remaining EU regions, methylchloroisothiazolinone/methylisothiazolinone 4.1{\%} in the South versus 2.1-2.7{\%} in the remaining regions. CONCLUSIONS: Notwithstanding residual methodological variation (affecting at least some 'difficult' allergens) tackled by ongoing efforts for standardization, a comparative analysis as presented provides (i) a broad overview on contact allergy frequencies and (ii) interesting starting points for further, in-depth investigation.",
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T1 - The European baseline series in 10 European Countries, 2005/2006

T2 - Results of the European Surveillance System on Contact Allergies (ESSCA)

AU - Uter, Wolfgang

AU - Rämsch, Christiane

AU - Aberer, Werner

AU - Ayala, Fabio

AU - Balato, Anna

AU - Beliauskiene, Aiste

AU - Fortina, Anna Belloni

AU - Bircher, Andreas

AU - Brasch, Jochen

AU - Chowdhury, Mahbub M U

AU - Coenraads, Pieter-Jan

AU - Schuttelaar, Marie-Louise

AU - Cooper, Sue

AU - Corradin, Maria Teresa

AU - Elsner, Peter

AU - English, John S C

AU - Fartasch, Manigè

AU - Mahler, Vera

AU - Frosch, Peter J

AU - Fuchs, Thomas

AU - Gawkrodger, David J

AU - Gimènez-Arnau, Ana-Maria

AU - Green, Cathy M

AU - Horne, Helen L

AU - Jolanki, Riitta

AU - King, Codagh M

AU - Krêcisz, Beata

AU - Kiec-Swierczynska, Marta

AU - Ormerod, Anthony D

AU - Orton, David I

AU - Peserico, Andrea

AU - Rantanen, Tapio

AU - Rustemeyer, Thomas

AU - Sansom, Jane E

AU - Simon, Dagmar

AU - Statham, Barry N

AU - Wilkinson, Mark

AU - Schnuch, Axel

PY - 2009/7

Y1 - 2009/7

N2 - BACKGROUND: Continual surveillance based on patch test results has proved useful for the identification of contact allergy. OBJECTIVES: To provide a current view on the spectrum of contact allergy to important sensitizers across Europe. PATIENTS/METHODS: Clinical and patch test data of 19 793 patients patch tested in 2005/2006 in the 31 participating departments from 10 European countries (the European Surveillance System on Contact Allergies' (ESSCA) www.essca-dc.org) were descriptively analysed, aggregated to four European regions. RESULTS: Nickel sulfate remains the most common allergen with standardized prevalences ranging from 19.7% (central Europe) to 24.4% (southern Europe). While a number of allergens shows limited variation across the four regions, such as Myroxylon pereirae (5.3-6.8%), cobalt chloride (6.2-8.8%) or thiuram mix (1.7-2.4%), the differences observed with other allergens may hint on underlying differences in exposures, for example: dichromate 2.4% in the UK (west) versus 4.5-5.9% in the remaining EU regions, methylchloroisothiazolinone/methylisothiazolinone 4.1% in the South versus 2.1-2.7% in the remaining regions. CONCLUSIONS: Notwithstanding residual methodological variation (affecting at least some 'difficult' allergens) tackled by ongoing efforts for standardization, a comparative analysis as presented provides (i) a broad overview on contact allergy frequencies and (ii) interesting starting points for further, in-depth investigation.

AB - BACKGROUND: Continual surveillance based on patch test results has proved useful for the identification of contact allergy. OBJECTIVES: To provide a current view on the spectrum of contact allergy to important sensitizers across Europe. PATIENTS/METHODS: Clinical and patch test data of 19 793 patients patch tested in 2005/2006 in the 31 participating departments from 10 European countries (the European Surveillance System on Contact Allergies' (ESSCA) www.essca-dc.org) were descriptively analysed, aggregated to four European regions. RESULTS: Nickel sulfate remains the most common allergen with standardized prevalences ranging from 19.7% (central Europe) to 24.4% (southern Europe). While a number of allergens shows limited variation across the four regions, such as Myroxylon pereirae (5.3-6.8%), cobalt chloride (6.2-8.8%) or thiuram mix (1.7-2.4%), the differences observed with other allergens may hint on underlying differences in exposures, for example: dichromate 2.4% in the UK (west) versus 4.5-5.9% in the remaining EU regions, methylchloroisothiazolinone/methylisothiazolinone 4.1% in the South versus 2.1-2.7% in the remaining regions. CONCLUSIONS: Notwithstanding residual methodological variation (affecting at least some 'difficult' allergens) tackled by ongoing efforts for standardization, a comparative analysis as presented provides (i) a broad overview on contact allergy frequencies and (ii) interesting starting points for further, in-depth investigation.

KW - adult

KW - allergens

KW - dermatitis, allergic contact

KW - dermatitis, atopic

KW - dermatitis, occupational

KW - Europe

KW - female

KW - humans

KW - male

KW - middle aged

KW - population surveillance

KW - prevalence

KW - clinical epidemiology

KW - contact allergy

KW - patch testing

U2 - 10.1111/j.1600-0536.2009.01572.x

DO - 10.1111/j.1600-0536.2009.01572.x

M3 - Article

C2 - 19659962

VL - 61

SP - 31

EP - 38

JO - Contact Dermatitis

JF - Contact Dermatitis

SN - 0105-1873

IS - 1

ER -