From: Contact dermatitis and other skin conditions in instrumental musicians
Instrument | Allergic noxae | Irritant/traumatic noxae |
---|---|---|
violin, viola | allergic contact dermatitis to colophony, nickel, propolis, chromium, exotic woods para-phenylenediamine | "fiddler's neck", Garrod's pads, finger dermatitis and callosities |
cello, (contra) bass | allergic contact dermatitis to nickel, para-phenylenediamine colophony, propolis | "cellist's chest", "cellist's knee" "cello scrotum"(?), finger dermatitis and callosities |
woodwind instruments (flute, clarinet saxophone etc.) | allergic contact dermatitis to nickel, exotic woods, cane reeds | "flautist's chin", "clarinetist's cheilitis" etc., lip callosities |
brass instruments (trumpet, horn etc.) | allergic contact dermatitis to nickel, chromium | cheilitis, lip callosities, facial soft tissue changes (Satchmo's syndrome), lip atrophy and ischaemia |
harmonica | allergic contact dermatitis to nickel, chromium | cheilitis |
guitar, bass guitar sitar etc. | allergic contact dermatitis to nickel, chromium, para-phenylenediamine | "guitar nipple", finger dermatitis and callosities, paronychia |
harp | allergic contact dermatitis to chromium | finger dermatitis and callosities, paronychia, onycholysis |
piano, keyboards | Â | finger dermatitis, paronychia, onycholysis |
drums, percussion | Â | callosities ("drummer's digit), finger dermatitis, skin trauma (blisters, ulceration etc.) |