Trends in Contact Allergy to Chromium Following the 2015 European Union Leather Regulation

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Main Authors: Christoffer Kursawe Larsen, Mikkel Bak Jensen, Daniel Isufi, Claus Zachariae, Jeanne Duus Johansen, Jakob F. B. Schwensen
Format: Artículo Open Access
Published: Wiley 2025
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author Christoffer Kursawe Larsen
Mikkel Bak Jensen
Daniel Isufi
Claus Zachariae
Jeanne Duus Johansen
Jakob F. B. Schwensen
author_facet Christoffer Kursawe Larsen
Mikkel Bak Jensen
Daniel Isufi
Claus Zachariae
Jeanne Duus Johansen
Jakob F. B. Schwensen
Christoffer Kursawe Larsen
Mikkel Bak Jensen
Daniel Isufi
Claus Zachariae
Jeanne Duus Johansen
Jakob F. B. Schwensen
collection Wiley Open Access
contents Trends in Contact Allergy to Chromium Following the 2015 European Union Leather Regulation Christoffer Kursawe Larsen Mikkel Bak Jensen Daniel Isufi Claus Zachariae Jeanne Duus Johansen Jakob F. B. Schwensen Contact Dermatitis ABSTRACT Background Chromium (Cr) may cause contact allergy with leather being the most important exposure. To reduce contact allergy to Cr, the European Union (EU) implemented a regulation in 2015 limiting the maximum amount of hexavalent Cr in leather that comes into contact with the skin to 3 mg/kg. Objectives To investigate prevalences, trends, and clinical and demographic characteristics of patients with contact allergy to Cr following the EU regulation. Methods A cross‐sectional study was conducted. Patients aged ≥ 18 years, who were consecutively patch tested with potassium dichromate 0.5% in petrolatum at Gentofte hospital, Denmark, from 2016 to 2024, were included. Results A total of 4830 patients were included. The overall prevalence of contact allergy to Cr was 2.1% with stable trends across test years. Contact allergy to Cr was associated with hand, leg and foot dermatitis, and age > 40 years. The most frequent exposure was leather shoes. Conclusion Contact allergy to Cr was found to be frequent and stable. The 2015 EU regulation on the content of Cr in leather does not yet appear to significantly reduce the prevalence of contact allergy to Cr, when compared with previous Gentofte data from 2006 to 2009 (2.3%, p  = 0.65) and from 2010 to 2013 (1.9%, p  = 0.41). 10.1111/cod.70045 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/cod.70045
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spellingShingle Trends in Contact Allergy to Chromium Following the 2015 European Union Leather Regulation
Christoffer Kursawe Larsen
Mikkel Bak Jensen
Daniel Isufi
Claus Zachariae
Jeanne Duus Johansen
Jakob F. B. Schwensen
Contact Dermatitis
Trends in Contact Allergy to Chromium Following the 2015 European Union Leather Regulation Christoffer Kursawe Larsen Mikkel Bak Jensen Daniel Isufi Claus Zachariae Jeanne Duus Johansen Jakob F. B. Schwensen Contact Dermatitis ABSTRACT Background Chromium (Cr) may cause contact allergy with leather being the most important exposure. To reduce contact allergy to Cr, the European Union (EU) implemented a regulation in 2015 limiting the maximum amount of hexavalent Cr in leather that comes into contact with the skin to 3 mg/kg. Objectives To investigate prevalences, trends, and clinical and demographic characteristics of patients with contact allergy to Cr following the EU regulation. Methods A cross‐sectional study was conducted. Patients aged ≥ 18 years, who were consecutively patch tested with potassium dichromate 0.5% in petrolatum at Gentofte hospital, Denmark, from 2016 to 2024, were included. Results A total of 4830 patients were included. The overall prevalence of contact allergy to Cr was 2.1% with stable trends across test years. Contact allergy to Cr was associated with hand, leg and foot dermatitis, and age > 40 years. The most frequent exposure was leather shoes. Conclusion Contact allergy to Cr was found to be frequent and stable. The 2015 EU regulation on the content of Cr in leather does not yet appear to significantly reduce the prevalence of contact allergy to Cr, when compared with previous Gentofte data from 2006 to 2009 (2.3%, p  = 0.65) and from 2010 to 2013 (1.9%, p  = 0.41). 10.1111/cod.70045 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Trends in Contact Allergy to Chromium Following the 2015 European Union Leather Regulation
topic Contact Dermatitis
url https://onlinelibrary.wiley.com/doi/10.1111/cod.70045