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  • Title: The role of acrylic acid impurity as a sensitizing component in electrocardiogram electrodes.
    Author: Stingeni L, Cerulli E, Spalletti A, Mazzoli A, Rigano L, Bianchi L, Hansel K.
    Journal: Contact Dermatitis; 2015 Jul; 73(1):44-8. PubMed ID: 25645530.
    Abstract:
    BACKGROUND: Allergic contact dermatitis caused by (meth)acrylates is well known, both in occupational and in non-occupational settings. Contact hypersensitivity to electrocardiogram (ECG) electrodes containing (meth)acrylates is rarely reported. OBJECTIVE: To report the first case of contact dermatitis caused by acrylic acid impurity in ECG electrodes. MATERIALS AND METHODS: Patch tests were performed with separate components of electrodes and some (meth)acrylates. This was followed by high-performance liquid chromatography of electrode hydrogel. RESULTS: The patient was contact-allergic to electrode hydrogel but not to its separate constituents. Positive reactions were observed to 2-hydroxyethyl methacrylate (2-HEMA), 2-hydroxypropyl methacrylate (2-HPMA) and ethyleneglycol dimethacrylate (EGDMA). Subsequent analysis showed that the electrode hydrogel contained acrylic acid as an impurity. The latter was subsequently patch tested, with a positive result. CONCLUSION: The sensitization resulting from direct contact with ECG electrodes was caused by acrylic acid, present as an impurity in ECG electrodes. Positive reactions to 2-HEMA, 2-HPMA and EGDMA are considered to be cross-reactions.
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