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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.