Allergic Contact Dermatitis — SCE Dermatology MCQ
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Correct answer: E — Avoid nail acrylates and notify occupational health about dental exposure
Explanation lettering: E = shown as A · A = shown as B · D = shown as C · C = shown as D · B = shown as E
B is correct. Incompletely cured gel and acrylic nail products are important sources of methacrylate sensitisation. Allergen transferred by the hands can explain eyelid disease, while a dental worker may encounter related uncured acrylates in resins and adhesives. Nail exposure should stop and occupational-health or specialist advice should address product ingredients, cross-reactivity and suitable controls. Paraphenylenediamine is unrelated, professional application does not guarantee zero exposure, and ordinary disposable nitrile gloves are permeable over time and cannot be described as complete protection. The diagnosis may also affect future dental devices, bone cement, glucose sensors or other medical adhesives, which should be disclosed to treating teams.
Reference: BAD artificial-nail acrylate allergy warning: https://www.bad.org.uk/dermatologists-issue-warning-about-uk-artificial-nail-allergy-epidemic