Occupational allergic contact dermatitis from olive oil in a masseur

doi:10.1016/S0190-9622(99)70372-5

Journal of the American Academy of Dermatology

Volume 41, Issue 2, Supplement, August 1999, Pages 312-315

https://doi.org/10.1016/S0190-9622(99)70372-5 Get rights and content

Abstract

Contact allergy to olive oil is considered rare. There are 20 cases of contact allergy to olive oil described, and 3 of these had an occupational hand eczema as a result of olive oil. We describe a masseur who was allergic to olive oil, resulting in an occupational hand eczema. Both patch tests and a use test with olive oil was undertaken. An oral provocation with olive oil was also performed. Both patch tests were positive, as was the use test after 2 days. The oral provocation test was negative. Despite contact allergy to olive oil being rare, sensitization occurs. The external use of olive oil should be discouraged, at least in masseurs, when used under occlusion, and in long-standing dermatoses. (J Am Acad Dermatol 1999;40:312-5.)

Section snippets

CASE REPORT

A 47-year-old, male masseur, who had been working with massages for 16 years, came to us with a 1-year history of hand eczema on the distal, volar aspects of the index and middle fingers bilaterally. He had already experienced hand dermatitis 10 years before this event and, on that occasion, he had been through an extensive investigation, including patch tests. He was at that time found to be allergic to the perfume mix and the massage balm he was then using. When he was tested with components

DISCUSSION

At our department, we have introduced patch testing in serial dilutions in combination with systemic challenge of the hapten to get more extensive information on factors of significance for flare-up reactions.4, 5 The aim with serial dilution testing is not only to get several positive but also at least 1 negative patch test site at the primary testing, and it has been shown that, after systemic provocation, a flare-up at test dilution sites where no visible reaction was seen at the primary

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S Malmkvist Padoan et al.
Olive oil as a cause of contact allergy in patients with venous eczema, and occupationally
Contact Dermatitis
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B Kränke et al.
Olive oil-contact sensitizer or irritant?
Contact Dermatitis
(1997)
NK Veien et al.
Systemically induced allergic contact dermatitis

There are more references available in the full text version of this article.

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Citation Excerpt :
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^☆: This supplement is made possible through an educational grant from Ortho Dermatological to the American Academy of Dermatology.

^☆☆: From the Department of Occupational and Environmental Dermatology Malmö University Hospital.

^★: Reprint requests to: Marléne Isaksson, MD, Department of Occupational and Environmental Dermatology, Malmö University Hospital, S-205 02 Malmö, Sweden. E-mail: [email protected]

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Occupational allergic contact dermatitis from olive oil in a masseur☆,☆☆,★,★★

Abstract

Section snippets

CASE REPORT

DISCUSSION

Olive oil as a cause of contact allergy in patients with venous eczema, and occupationally

Contact Dermatitis

Olive oil-contact sensitizer or irritant?

Contact Dermatitis

Systemically induced allergic contact dermatitis