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chromium and skin

updated fri 22 oct 04

 

Edouard Bastarache Inc. on thu 21 oct 04


Hello Ron,



here is the score on this issue, green chromium oxide used by=20

potters is trivalent





a-Exzematous Dermatitis (Allergic Contact Dermatitis) :

=20

This clinical entity is characterized by erythematous, or =
vesico-papular,=20

wet, pruriginous lesions localised especially on the forearms (chromium =
bracelets).=20

It is very frequent among individuals in contact with cement.=20

In practice, only chromium hexavalent compounds are sensitizers.=20

Hexavalent chromium can penetrate the skin where it is reduced to=20

trivalent chromium which plays the role of an hapten; when fixed=20

on a protein, it becomes a complete antigen.

Chromate sensivity has proved fairly persistent once developed.=20

In one study, 92% of the study patients with dichromate sensivity=20

induced by exposure to Portland cement continued to display contact=20

dermatitis 10 years after initially developed symptoms.

Once induced, chromate sensivity may produce difficulty in multiple=20

settings.

Contact with textiles colored with chromate-based pigments can be=20

sufficient to exacerbate the dermatitis. The wearing of leather shoes=20

tanned with chromates can produce dermatitis of the feet if these=20

are allowed to remain sweaty. =AB Housewife exzema =BB may be=20

largely a chromate sensitivity phenomenon, as detergents and bleaches=20

in some areas contain more than trace amounts of chromate salts

In sensitized individuals, the absorption of chromium by pulmonary=20

and/or oral way could cause an exzematous reaction.=20

=20

Trivalent chromium only penetrates with much difficulty into the=20

skin and the risk of sensitizing is thus weak. Chromium metal is=20

not in theory an allergen=20

=20

The allergy to chromium is confirmed by skin patch testing.=20

Some authors claim that the measurement of urinary chromium=20

allows to confirm the occupational origin of dermatitis in tanners.

=20

b-Chrome ulcers :

=20

After cutaneous exposure to chromic acid, erosions of the skin may=20

occur. These =AB chrome holes =BB initially appear as papular lesions ,=20

either singly or grouped, with central ulceration. They occur chiefly=20

on the hands and forearms where there has been a break in the=20

epidermis; they are believed to be due to a direct necrotizing effect=20

of the chromate ion. These ulcers are from 5 to 10 mm in diameter,=20

painless, with sharp edges, sometimes itchy and have the possibility=20

of extending into joints; they heal slowly and produce a characteristic=20

depressed scar.

These ulcers are observed mainly among workers of the electrolytic=20

chromium plating industry.



References :
=20
1-Occupational Medicine,Carl Zenz, last edition.
2-Clinical Environmental Health and Toxic Exposures, Sullivan & Krieger; =
last edition.
3-Sax's Dangerous Properties of Industrial Materials, Lewis C., last =
edition.

4-Toxicologie Industrielle et Intoxications Professionnelles, Lauwerys =
R. last edition.

5-Chemical Hazards of the Workplace, Proctor & Hughes, 4th edition.





-------------------------------------------------------------------------=
------------------------------------------

Occupational skin disease in the construction=20

industry.

Bock M, Schmidt A, Bruckner T, Diepgen TL.

Department of Clinical Social Medicine, Centre of Occupational=20

and Environmental Dermatology, University of Heidelberg,=20

Thibautstrasse 3, D-69115 Heidelberg, Germany.(2003)


(...)



CONCLUSIONS: The results indicate that potassium dichromate=20

is still the most important allergen in the construction industry of=20

Northern Bavaria; there has been no significant decline during the=20

1990s. This contrasts with the Scandinavian countries, where the=20

prevalence of potassium dichromate sensitization declined following=20

the reduction of chromium VI levels resulting from the addition of=20

ferrous sulphate to cement. Within the construction industry,=20

tile setters and terrazzo workers have a strikingly high incidence=20

of OSD.




Potassium is a soluble hexavalent chromium compound, which confirms=20
my text above.


Later,



"Ils sont fous ces quebecois"
Edouard Bastarache
Irreductible Quebecois
Indomitable Quebeker
Sorel-Tracy
Quebec
edouardb@sorel-tracy.qc.ca
www.sorel-tracy.qc.ca/~edouardb/Welcome.html
http://perso.wanadoo.fr/smart2000/index.htm
http://www.digitalfire.com/education/toxicity/