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Allergic contact dermatitis due to beta-blockers in eye drops: a retrospective analysis of multicentre surveillance data 1993-2004.
Jappe, Uta; Uter, Wolfgang; Menezes de Pádua, Cristiane A; Herbst, Rudolf A; Schnuch, Axel.
Afiliación
  • Jappe U; Department of Dermatology, University of Heidelberg, Germany. Uta_Jappe@med.uni-heidelberg.de
Acta Derm Venereol ; 86(6): 509-14, 2006.
Article en En | MEDLINE | ID: mdl-17106597
Topically applied ophthalmic drugs are a potential cause of allergic contact dermatitis of the periorbital region. The objectives of this study were to assess the frequency and spectrum of contact allergy to topically applied beta-blocker containing eye drops. Data of the Information Network of Departments of Dermatology (IVDK) collected between 1993 and 2004 was analysed. Out of 112,430 patch-tested patients, 332 had been tested with their own topical anti-glaucoma eye drops containing different beta-blockers because of suspected allergic contact dermatitis. The frequency of positive test reactions was related to exposure intensity, as estimated by annual prescription rates in Germany. A total of 43/332 (12.95%) showed at least one positive patch test reaction. Positive reactions were observed to products containing timolol (n = 21), metipranolol (n = 13) and levobunolol (n = 11) without conceivable cross-reactivity. Whereas exposure to beta-blocker-containing eye drops remained stable over the years, as estimated by the prescription rates, a slight, non-significant increase in positive patch-reactions to these substances was noted. This is the first systematic analysis of a large set of data on patients' own beta-blocker topical medications, the results indicating that contact allergy should be considered as important, if rare, adverse event caused by this family of drugs.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Soluciones Oftálmicas / Dermatitis Alérgica por Contacto / Antagonistas Adrenérgicos beta Tipo de estudio: Observational_studies / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Acta Derm Venereol Año: 2006 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suecia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Soluciones Oftálmicas / Dermatitis Alérgica por Contacto / Antagonistas Adrenérgicos beta Tipo de estudio: Observational_studies / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Acta Derm Venereol Año: 2006 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suecia