Clinical aspects of para-tertiary-butylphenolformaldehyde resin (PTBP-FR) allergy

Contact Dermatitis. 1989 Nov;21(5):312-5. doi: 10.1111/j.1600-0536.1989.tb04749.x.

Abstract

Sensitization by para-tertiary-butylphenolformaldehyde resin (PTBP-FR), which is particularly useful as a leather glue, has been known for 30 years. We retrospectively studied the clinical aspects of those patients with a PTBP-FR allergy among 1966 patients in whom contact dermatitis was confirmed by patch testing. A positive patch test to PTBP-FR was present in 30 patients (1.5%), 24 of whom were women. Exposure to PTBP-FR as a cause of the dermatitis was "certain" in 7, "very likely" in 6 and "unclear" in 17. 67.7% of the patients had a multiple allergy. In 43.3% of the patients, a history of atopy was found. No clear association of PTBP-FR sensitization with allergies to phenolformaldehyde resin (P-FR) or free para-tertiary-butylphenol (PTBP) emerged in this group of 30 patients. This study supports the hypothesis that PTBP-FR and P-FR do not contain the same sensitizers. Follow-up of 26 of the 30 patients showed a favourable course, dependent on identification of the source of exposure, avoidance of further contact and absence of sensitization to multiple allergens.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Dermatitis, Atopic / complications
  • Dermatitis, Contact / etiology*
  • Dermatitis, Occupational / chemically induced
  • Female
  • Follow-Up Studies
  • Formaldehyde / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Phenols / adverse effects*
  • Polymers / adverse effects*
  • Resins, Synthetic / adverse effects*
  • Retrospective Studies

Substances

  • Phenols
  • Polymers
  • Resins, Synthetic
  • Formaldehyde
  • p-tert-butylphenolformaldehyde resin
  • phenol-formaldehyde resin