Abstract
Dermatitis has important implications for individuals who are affected. It can significantly impair function and quality of life. Dermatitis is multi-factorial and often includes elements of atopic dermatitis, allergic contact dermatitis, and irritant contact dermatitis in a co-existent manner. Textiles are in contact with the human skin for extended periods of time and as a result, they are an important part of the cutaneous environment. Thus, it is not surprising that textiles play a major role in both the etiology and the treatment of various types of dermatitis. This review discusses the role of textiles in dermatitis with an emphasis on interesting and recent advances, trends, perspectives, gaps, and conflicts in the field. In addition, we mention other disease processes to be aware of as they can often mimic textile pattern dermatitis. Lastly, we provide a diagnostic approach for patients presenting with textile pattern dermatitis.
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Yao L, Tokura H, Li Y, et al. Effect of wearing cotton or polyester pajamas on stratum corneum water content under mildly cold conditions. J Am Acad Dermatol. 2006;55:910–2.
Langan SM, Silcocks P, Williams HC. What causes flares of eczema in children? Br J Dermatol. 2009;161:640–6.
Weston WL, Morelli JG. Dermatitis under soccer shin guards: allergy or contact irritant reaction? Pediatr Dermatol. 2006;23:19–20.
Kobaly K et al. Effects of occlusion on the skin of atopic dermatitis patients. Dermatitis. 2010;21(5):255–61.
Love WE, Nedorost ST. Fabric preferences for atopic dermatitis patients. Dermatitis. 2009;20(1):29–33.
Diepgen TL, Stabler A, Hornstein OP. Textile intolerance in atopic eczema: a controlled clinical study. Z Hautkr. 1990;65:907–10.
Bendsoe N, Bjornberg A, Asnes H. Itching from wool fibres in atopic dermatitis. Contact Derm. 1987;17:21–2.
Thomsen, SF, Atopic dermatitis: natural history, diagnosis and treatment, ISRN Allergy, 2014, Volume 2014, Article ID 354250.
Kanehara S, Ohtani T, Uede K, et al. Clinical effects of undershirts coated with borage oil on children with atopic dermatitis: a double-blind, placebo controlled clinical trial. J Dermatol. 2007;34:811–15.
Kawachi S, Muto M, Hasegawa J, et al. Effects of EVOH fiber on reducing itchiness caused by atopic dermatitis: a multisite study. Nippon Hifuka Gakkai Zasshi. 2005;115:469.
Yokoyama Y, Kimata H, Mitarai S, et al. Ethylene vinyl alcohol (EVOH) fiber compared to cotton underwear in the treatment of childhood atopic dermatitis: a double-blind randomized study. Indian Pediatr. 2009;46:611–4.
Hipler, U, Elsner P, and Fluhr, JW, Antifungal and antibacterial properties of a silver-loaded cellulosic fiber, Wiley InterScience, 2005, doi: 10.1002/jbm.b.30413.
Fluhr JW, Breternitz M, Kowatzki D, et al. Silver-loaded seaweed-based cellulosic fiber improves epidermal skin physiology in atopic dermatitis: safety assessment, mode of action and controlled, randomized single-blinded exploratory in vivo study. Exp Dermatol. 2009;19:e9–e15.
Gauger A, Mempel M, Schekatz A, et al. Silver-coated textiles reduce Staphylococcus aureus colonization in patients with atopic eczema. Dermatology. 2003;207:15–21.
Juenger M, Ladwig A, Staecker S, et al. Efficacy and safety of silver textile in the treatment of atopic dermatitis (AD). Curr Med Res Opin. 2006;22:739–50.
Gauger A, Fischer S, Mempel M, et al. Efficacy and functionality of silver-coated textiles in patients with atopic eczema. J Eur Acad Dermatol Venereol. 2006;20:534–41.
Park KY, Jang WS, Yang GW, et al. A pilot study of silver-loaded cellulose fabric with incorporated seaweed for the treatment of atopic dermatitis. Clin Exp Dermatol. 2012;37:512–15. Recent controlled clinical study investigating the clinical effectiveness and biophysical properties of a newly developed silver-loaded cellulose fabric with incorporated seaweed (SkinDoctor®) in patients with mild to moderate atopic dermatitis.
Wiegand C, Hipler U, Boldt S, et al. Skin-protective effects of a zinc oxide functionalized textile and its relevance for atopic dermatitis. Clin Cosmet Investig Dermatol. 2013;6:115–21.
Brookstein DS. Factors associated with textile pattern dermatitis caused by contact allergy to dyes, finishes, foams and preservatives. Dermatol Clin. 2009;3:309–22.
Admani S, Jacob SE. Allergic contact dermatitis in children: review of the past decade. Curr Allergy Asthma Rep. 2014;14:421.
Carlson RM, Smith MC, Nedorost ST. Diagnosis and treatment of dermatitis due to formaldehyde resins in clothing. Dermatitis. 2004;15(4):169–75.
Suneja T, Belsito DV. Occupational dermatoses in health care workers evaluated for suspected allergic contact dermatitis. Contact Dermatitis. 2008;58:285–90.
Unites States Government Accountability Office, Formaldehyde in textiles: While levels in clothing generally appear to be low, allergic contact dermatitis is a health issue for some people, Reports to congressional committees, 2010.
DeGroot AC. Side-effects of henna and semi-permanent ‘black henna’ tattoos: a full review. Contact Dermatitis. 2013;69:1–25.
Ryberg K, Agner T, Anderson K, et al. Patch testing with a textile dye mix—a multicenter study. Contact Dermatitis. 2014;71:215–23. This recent research study provided information about the prevalence of positive patch test reactions to textile dye mix. In addition, it reported the most frequently implicated disperse dyes with regards to eliciting a positive patch test reaction.
Wigger-Alberti W, Elsner P. Occupational contact dermatitis in the textile industry. Curr Probl Dermatol. 2003;31:114–22.
Malinauskiene L, Bruze M, Ryberg K, et al. Contact allergy from disperse dyes in textiles—a review. Contact Dermatitis. 2012;68:65–75.
Malinauskiene L, Zimerson E, Bruze M, et al. Are allergenic disperse dyes used for dyeing textiles? Contact Dermatitis. 2012;67(3):141–8.
Moreau L, Goossens A. Allergic contact dermatitis associated with reactive dyes in a dark garment: a case report. Contact Dermatitis. 2005;53:150–4.
Sanchez-Gilo A, Gomez-De La Funte E, et al. Textile contact dermatitis in a patient sensitized to reactive orange 107 dye. Actas Dermosifilogr. 2010;101(3):278–9.
Wolf R, Orion E, Ruocco E, et al. Contact dermatitis: facts and controversies. Clin Dermatol. 2013;31:467–78.
Donovan J, Skotnicki-Grant S. Allergic contact dermatitis from formaldehyde textile resins in surgical uniforms and nonwoven textile masks. Dermatitis. 2006;18(1):40–4.
Warshaw EM, Belsito DV, Taylor JS, et al. North American Contact Dermatitis Group Patch Test Results: 2009 to 2010. Dermatitis. 2013;24(2):50–9. Multicenter study which showed a statistically significant decrease (but still existent) in positive patch test results to FA finishing resins compared to the previous study period (2007-2008).
DeGroot AC, Maibach HI. Does allergic contact dermatitis from formaldehyde in clothes treated with durable-press chemical finishes exist in the USA. Contact Dermatitis. 2010;62:127–36.
Nedorost S, Warshaw E, Jacob S, et al. Allergic contact dermatitis caused by durable-press finishes does exist in the USA. Contact Dermatitis. 2010;63:233–5.
Wentworth AB, Richardson DM, Davis MD. Patch testing with textile allergens: the Mayo Clinic experience. Dermatitis. 2012;23(6):269–74.
Aerts O, Duchateau N, Lambert J, et al. Sodium metabisulfite in blue jeans: an unexpected cause of textile contact dermatitis. Contact Dermatitis. 2014;70:183–92.
Tomc C, Kwasniak L, Shoureshi P, et al. Allergic contact dermatitis probably caused by mercaptobenzothiazole in thermal undergarments. Contact Dermatitis. 2012;66:293–5.
Hansen MB, Rydin S, Menne T, et al. Quantitative aspects of contact allergy to chromium and exposure to chrome-tanned leather. Contact Dermatitis. 2002;47(3):127–34.
Laing ME, Hackett CB, Murphy GM. Unusual allergen in nurse uniform trousers. Contact Dermatitis. 2005;52:293.
Nelson JL, Mowad CM. Patch testing beyond the TRUE test. Journal of Clinical Aesthetic Dermatol. 2010;3(10):36–41.
Coman, G, Blickenstaff, N, Edwards, A, et al., Dermatotoxicologic clinical solutions: textile dye dermatitis patch testing. 2014, Cutan Ocul Toxicol, Early Online 1-4. This recent article provides an approach to patients with suspected textile dermatitis including work-up, the role of patch testing and counseling.
Goebel C, Troutman J, Hennen J, et al. Introduction of a methoxymethyl side chain into p-phenylenediamine attenuates its sensitizing potency and reduces the risk of allergy induction. Toxicol Appl Pharmacol. 2014;274:480–7.
Hatch KL, Maibach HI. Textile fiber dermatitis. Contact Dermatitis. 1985;12:1–11.
Fowler, JF and Fisher, AA, Fisher’s Contact Dermatitis 6th Ed, BC Decker Inc, 2008, Chap 18: Textiles and Shoes.
Lee HY, Stieger M, Yawalkar N, et al. Cytokines and chemokines in irritant contact dermatitis. Mediat Inflamm. 2013;2013:916497. doi:10.1155/2013/916497.
Zhai H, Meier-Davis SR, Cayme B, et al. Irritant contact dermatitis: effect of age. Cutan Ocu Toxicol. 2012;31(2):138–43.
Tan C, Rasool S, Johnston G. Contact dermatitis: allergic and irritant. Clin Dermatol. 2014;32:116–24.
Spiewak R. Contact dermatitis in atopic individuals. Curr Opin Allergy Clin Immunol. 2012;12(5):491–7.
Schnuch A, Westphal G, Mossner R, et al. Genetic factors in contact allergy—review and future goals. Contact Dermatitis. 2011;64(1):2–23.
Ale IS, Maibach HI. Irritant contact dermatitis. Rev Environ Heath. 2014;29(3):195–206.
Nedorost S, Kessler M, McCormick T. Allergens retained in clothing. Dermatitis. 2007;18(4):212–4.
Mecoli CA, Morgan AJM, Schwartz RA. Symptomatic dermatographism: current concepts in clinical practice with an emphasis on the pediatric population. Pediatr Dermatol. 2011;87:221–5.
Estlander T. Allergic dermatoses and respiratory diseases from reactive dyes. Contact Dermatitis. 1988;18(5):290–7.
de Ramirez Knott HM, McCormick TS, Kalka K, et al. Cutaneous hypersensitivity to Malassezia sympodialis and dust mite in adult atopic dermatitis with a textile pattern. Contact Dermatitis. 2006;54(2):92–9.
Elmer KB, George RM. Cutaneous T-cell lymphoma presenting as benign dermatoses. Am Fam Physician. 1999;59(10):2809–13.
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Motunrayo Mobolaji-Lawal has nothing to disclose. Dr. Susan Nedorost reports grants from Lenzing Fibers, Austria, outside the submitted work.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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This article is part of the Topical Collection on Allergic Skin Diseases
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Mobolaji-Lawal, M., Nedorost, S. The Role of Textiles in Dermatitis: An Update. Curr Allergy Asthma Rep 15, 17 (2015). https://doi.org/10.1007/s11882-015-0518-0
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DOI: https://doi.org/10.1007/s11882-015-0518-0