Contact dermatitis from electrocardiograph-monitoring electrodes: role of p-tert-butylphenol-formaldehyde resin

Contact Dermatitis. 2003 Feb;48(2):108-11. doi: 10.1034/j.1600-0536.2003.480210.x.

Abstract

Three cases of allergic contact dermatitis localized to the sites of electrocardiograph-monitoring electrodes are reported. All patients had positive patch tests to both the gel and the adhesive part of the Red Dot 2239 3M monitoring electrode used and to the p-tert-butylphenol-formaldehyde resin (PTBP-F-R) of the standard series. Two patients had a history of possible exposition to the resin previously but there was no explanation for the third. No information about the presence of PTBP-F-R in the electrodes could be obtained from the manufacturers. Chemical analysis of samples of the electrode, using a gas chromatography-mass spectrometry (GC-MS) and high pressure liquid chromatography (HPLC) analytical system, demonstrated the presence of several PTBP-F-R derivatives in both the gel and the adhesive part.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adhesives / adverse effects*
  • Aged
  • Allergens / adverse effects
  • Allergens / pharmacology
  • Chromatography, High Pressure Liquid
  • Dermatitis, Allergic Contact / diagnosis
  • Dermatitis, Allergic Contact / etiology*
  • Electrocardiography / adverse effects
  • Electrocardiography / instrumentation
  • Electrocardiography, Ambulatory / adverse effects*
  • Electrocardiography, Ambulatory / instrumentation
  • Electrodes
  • Female
  • Follow-Up Studies
  • Gas Chromatography-Mass Spectrometry
  • Humans
  • Male
  • Middle Aged
  • Patch Tests
  • Resins, Synthetic / adverse effects*
  • Sampling Studies
  • Sensitivity and Specificity

Substances

  • Adhesives
  • Allergens
  • Resins, Synthetic
  • p-tert-butylphenolformaldehyde resin