Sensitivity to thimerosal and photosensitivity to piroxicam
Article first published online: 11 APR 2006
DOI: 10.1111/j.1600-0536.1991.tb01696.x
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How to Cite
de Castro, J. L. C., Freitas, J. P., Brandão, F. M. and Themido, R. (1991), Sensitivity to thimerosal and photosensitivity to piroxicam. Contact Dermatitis, 24: 187–192. doi: 10.1111/j.1600-0536.1991.tb01696.x
Publication History
- Issue published online: 11 APR 2006
- Article first published online: 11 APR 2006
- Accepted for publication 17 September 1990
- Abstract
- References
- Cited By
Keywords:
- piroxicam;
- thimerosal;
- thiosalicylic acid;
- L-cystcine;
- photoproducts;
- photosensitivity;
- cross-sensitivity;
- medicaments;
- allergic contact dermatitis
17 patients allergic to thimerosal. with no previous history of photosensitivity or piroxicam ingestion. 2 patients with piroxicam-induced photosensitivity, and 10 controls were patch or photopatch tested, with 1 or more of the following thimerosal, thiosalicylic acid, irradiated and non-irradiated solutions of piroxicam alone, L-cysteine alone and piroxicam plus l-cysteine, and piroxicam in petrolatum, The results of the tests supported the hypothesis that there are cross reactions between thiosalicylic acid and piroxicam, a photosensitizer. The mechanism of the cross-reactions may involve photoproduts of piroxicm and L-cysteine, as patients allergic to thiosalicylic aid, who have positive photopatch tests to piroxicam, also had positive patch tests to the irradiated solution of piroxicam plus L., cysteine.

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