Alkanolamineborates are extensively used in coolants as corrosion inhi
bitors. In this paper, 3 machinists with contact allergy to alkanolami
neborates are reported. To avoid false-positive test reactions due to
the alkalinity of the alkanolamineborates, they should be tested when
dissolved in an acidic buffer. When various alkanolamineborates were t
ested in dilution series in the 3 patients, 2 types of reactivity patt
erns emerged, indicating the existence of at least 2 separate sensitiz
ers in alkanolamineborates. The raw materials, ethanolamines and boric
acid, did not yield any positive patch test reactions. Thin-layer chr
omatography investigations demonstrated that each alkanolamineborate c
onsists of many substances, which differed in part between different a
lkanolamineborates. The present study shows that it is not possible to
use 1 particular alkanolamineborate for tracing contact allergy to al
kanolamineborates in general.