Abstract

The current spectrum of contact allergens in metalworking fluids (MWF) is illustrated based on (I) recent patch test data from the Information Network of Departments of Dermatology (IVDK) concerning metalworkers tested in 2002/2003 due to suspected MWF dermatitis, (II) a study on occupational contact allergies performed in the IVDK 1999–2001 (FaSt study), (III) a patch test study in five centres of the German Contact Dermatitis Research Group (DKG) with components of MWF not routinely tested, and (IV) information from the interdisciplinary task force on allergy diagnostics in the metal branch. Potential allergens are found in various MWF components, mainly in emulsifiers, rust preventing agents, preservatives, and anti‐wear‐additives. Various special additives also may contain potential allergens. Currently, the most important MWF allergens are: – oxidation products from resin acids, e.g. abietic acid, in distilled tall oil, a frequently used base material of MWF. Contact allergy to these is detected by patch testing with colophony. – monoethanolamine, diglycolamine – used as rust preventing agents and emulsifiers. – formaldehyde and various formaldehyde releasers, mainly oxazolidine derivatives – used as biocides. Other biocides, e.g. Methylchloroisothiazolinone/Methylisothiazolinone (MCI/MI), Benzisothiazolinone (BIT) or Iodopropynyl butylcarbamate (IPBC) are also used in MWF and should hence be tested routinely. While odour masks for MWF are available, little is known about the extent of their usage. However, this allergen source should be considered in cases of fragrance allergy. Cobalt apparently is a relevant MWF allergen only in carbid metal processing.

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