{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:36:54Z","timestamp":1775695014373,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T00:00:00Z","timestamp":1505952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tulip, belonging to the genus <jats:italic>Tulipa<\/jats:italic> and family <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>iliaceae, is a spring\u2010blooming perennial that grows from bulbs. Owing to manual handling, contact dermatitis can occur in professionals at any stage of the growth cycle of the tulip plant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the clinical pattern of contact dermatitis resulting from tulip plant cultivation, and to assess contact allergy in workers coming into contact with this plant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and sixty\u2010four tulip workers were screened, and 48 patients with suspected contact dermatitis were patch tested with 39 allergens, including haptens from the Indian baseline series, a plant series, and extracts from different parts of the tulip plant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010nine positive patch test reactions were observed in 21 patients. Seventeen patients showed positive reactions to either \u03b1\u2010<jats:styled-content style=\"fixed-case\">m<\/jats:styled-content>ethylene\u2010\u03b3\u2010butyrolactone or to tulip plant extract. Clinical relevance was observed for 13 of 17 positive patch test reactions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Contact dermatitis is an important health hazard in workers dealing with tulip bulbs. Further studies to identify and isolate other possible tulip allergens, and to quantify the amounts of allergens in different parts of the tulip plant, are recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.12870","type":"journal-article","created":{"date-parts":[[2017,9,22]],"date-time":"2017-09-22T04:32:40Z","timestamp":1506054760000},"page":"64-69","source":"Crossref","is-referenced-by-count":13,"title":["Contact dermatitis caused by tulips: identification of contact sensitizers in tulip workers of <scp>K<\/scp>ashmir <scp>V<\/scp>alley in <scp>N<\/scp>orth <scp>I<\/scp>ndia"],"prefix":"10.1111","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9211-4771","authenticated-orcid":false,"given":"Iffat","family":"Hassan","sequence":"first","affiliation":[{"name":"Department of Dermatology, Sexually Transmitted Diseases &amp; Leprosy Government Medical College and Associated Hospitals  190010 Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farhan","family":"Rasool","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sexually Transmitted Diseases &amp; Leprosy Government Medical College and Associated Hospitals  190010 Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saniya","family":"Akhtar","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sexually Transmitted Diseases &amp; Leprosy Government Medical College and Associated Hospitals  190010 Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afifa","family":"Kamili","sequence":"additional","affiliation":[{"name":"Department of Extension Education Sher\u2010e\u2010Kashmir University of Agricultural Sciences and Technology, Kashmir  190010 Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parvaiz","family":"Rather","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sexually Transmitted Diseases &amp; Leprosy Government Medical College and Associated Hospitals  190010 Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raihana","family":"Kanth","sequence":"additional","affiliation":[{"name":"Scientific Division of Agronomy Sher\u2010e\u2010Kashmir University of Agricultural Sciences and Technology, Kashmir  190010 Srinagar India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmeen","family":"Bhat","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sexually Transmitted Diseases &amp; 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