Cited by 101Contact Dermatitis and AllergiesDrug-Induced Adverse ReactionsMercury impact and mitigation studies

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Systemically induced allergic exanthem from mercury

Lerch, Marianne, Bircher, Andreas J.·2004·Contact Dermatitis

Abstract

Cutaneous reactions to mercury can manifest themselves in different forms. Apart from contact dermatitis, flare‐up reactions, disseminated exanthem as well as skin symptoms in previously unaffected skin are known. Regarding systemic allergen application, 2 separate clinical patterns, namely acute generalized exanthematous pustulosis (AGEP) and symmetric flexural exanthem ‘baboon syndrome’ have been described. Systemic allergic reactions to mercury are most commonly provoked by the inhalation of metallic mercury vapours from a broken thermometer, often after previous sensitization to mercury compounds, e.g. Mercurochrome. Patch testing with mercurials yields positive reactions in approximately 80% of patients. We report 3 patients, 2 with flexural exanthem, and 1 presenting with AGEP, respectively. Positive patch tests to mercury derivatives could be demonstrated in all of them. Furthermore, non‐toxic serum mercury levels were detected in 2 of the patients. The present review provides a survey of the literature on systemic allergic exanthem to mercury. However, plausible explanations for the distribution pattern of the skin manifestations in AGEP and flexural exanthem are still lacking.

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Crossref · 10.1111/j.0105-1873.2004.00366.x

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Cited by

Metadata

Authors
Lerch, M., & Bircher, A. J.
Affiliations
University Hospital of Basel (CH)
Corresponding author
Bircher, Andreas J.
Venue
Contact Dermatitis
Publisher
Wiley
Published
2004-06
Volume
50
Issue
6
Pages
349-353
ISSN
  • 0105-1873 (ISSN-L)
  • 1600-0536
OpenAlex
W2090787547
Cited by
101
References
0
Citations by year
2025: 1 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 6 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 6
FWCI
6.20
Type
journal article
Language
en
Open access
closed
Locations
  • Contact Dermatitis (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Dermatology › Contact Dermatitis and Allergies
  • Health Sciences › Medicine › Pharmacology (medical) › Drug-Induced Adverse Reactions
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Mercury impact and mitigation studies
Keywords
mercury allergy, acute generalized exanthematous pustulosis, baboon syndrome, mercury sensitization
MeSH terms
Adult, Allergens, Child, Exanthema, Female, Humans, Male, Mercury, Patch Tests, Dermatitis, Allergic Contact

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