Sensitization to, and allergic contact dermatitis caused by, colophonium in north-eastern Italy in 1996 to 2016 with a focus on occupational exposures

Contact Dermatitis. 2018 Nov;79(5):303-309. doi: 10.1111/cod.13089. Epub 2018 Sep 4.

Abstract

Background: Colophonium is a natural substance derived from Pineaceae trees. It is used in a wide range of consumer and occupational products because of its tackiness, and is a known sensitizer.

Objectives: To analyse the temporal trend of contact allergy to colophonium in north-eastern Italy, and to evaluate the associations with occupations in our geographical area.

Methodology: From 1996 to 2016, 27 381 patients with suspected allergic contact dermatitis were patch tested in north-eastern Italy. Individual characteristics were documented by use of a standardized questionnaire in 6 departments of dermatology or occupational medicine.

Results: The overall prevalence of colophonium sensitization was 1.67%; the prevalence was significantly higher in women (1.75%) than in men (1.49%). No significant differences among departments were observed. We found significant associations between colophonium sensitization and being a student (odds ratio [OR] 4.64; 95% confidence interval [CI]: 1.04-20.6), being a farmer or fishermen (OR 3.63; 95%CI: 1.21-10.84), being a housekeeper (OR 2.02; 95%CI: 1.08-3.77), and being retired (OR 2.06; 95%CI: 1.08-3.92).

Conclusion: Our study showed that contact allergy to colophonium is still relevant in north-eastern Italy. The frequency of sensitization has dropped significantly over a period of 10 years, but students and farmers/fishermen still have sensitization prevalences above 3.5%. Our results are in line with European data.

Keywords: colophonium, sensitization; epidemiology; occupational contact dermatitis; time trend analysis.

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Allergens / adverse effects
  • Dermatitis, Allergic Contact / epidemiology*
  • Dermatitis, Allergic Contact / etiology
  • Dermatitis, Occupational / epidemiology*
  • Dermatitis, Occupational / etiology
  • Female
  • Humans
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Patch Tests
  • Pinus
  • Prevalence
  • Resins, Plant / adverse effects*
  • Sex Distribution

Substances

  • Allergens
  • Resins, Plant
  • rosin