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Simultaneous patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes : An update from southern Sweden

Sukakul, Thanisorn LU orcid ; Bruze, Magnus LU ; Mowitz, Martin LU ; Antelmi, Annarita LU ; Boonchai, Waranya ; Dahlin, Jakob LU ; Hamnerius, Nils LU ; Hauksson, Inese LU ; Lejding, Tina LU orcid and Svedman, Cecilia LU (2022) In Contact Dermatitis 86(6). p.514-523
Abstract

BACKGROUND: Regularly updating the prevalence of fragrance contact allergy (CA) is important. Patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes (FMs) is still debated.

OBJECTIVES: To update the prevalence and clinical characteristics of patients with fragrance CA. To establish the results of patch testing with individual allergens of FMs.

METHODS: A retrospective analysis of 3539 patients with dermatitis who were patch tested with the baseline series and FMs ingredients during 2016 to 2020 was performed.

RESULTS: The prevalence of fragrance CA was 13%. About 10% of these patients with fragrance CA would be missed if the individual ingredients were not tested. Unlike... (More)

BACKGROUND: Regularly updating the prevalence of fragrance contact allergy (CA) is important. Patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes (FMs) is still debated.

OBJECTIVES: To update the prevalence and clinical characteristics of patients with fragrance CA. To establish the results of patch testing with individual allergens of FMs.

METHODS: A retrospective analysis of 3539 patients with dermatitis who were patch tested with the baseline series and FMs ingredients during 2016 to 2020 was performed.

RESULTS: The prevalence of fragrance CA was 13%. About 10% of these patients with fragrance CA would be missed if the individual ingredients were not tested. Unlike hydroxyisohexyl 3-cyclohexene carboxaldehyde, there was no decreasing trend of CA to Evernia prunastri (oakmoss) extract after the EU regulation came into force. Patients with CA from only one ingredient of the mixes or having a weak positive reaction to the ingredients were significantly missed when tested with only the fragrance markers in the baseline series.

CONCLUSIONS: Patch testing with individual fragrance allergens is crucial for experts to expand knowledge in the fragrance CA field. The concentrations of the allergens in FMs may need to be adjusted to detect patients with fragrance CA, since some were significantly overlooked.

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Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Contact Dermatitis
volume
86
issue
6
pages
514 - 523
publisher
Wiley-Blackwell
external identifiers
  • pmid:35152428
  • scopus:85125532621
ISSN
0105-1873
DOI
10.1111/cod.14072
language
English
LU publication?
yes
additional info
© 2022 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.
id
97c639c8-e14f-4619-9284-8b5923fb54c6
date added to LUP
2022-04-12 14:11:12
date last changed
2024-06-18 03:46:32
@article{97c639c8-e14f-4619-9284-8b5923fb54c6,
  abstract     = {{<p>BACKGROUND: Regularly updating the prevalence of fragrance contact allergy (CA) is important. Patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes (FMs) is still debated.</p><p>OBJECTIVES: To update the prevalence and clinical characteristics of patients with fragrance CA. To establish the results of patch testing with individual allergens of FMs.</p><p>METHODS: A retrospective analysis of 3539 patients with dermatitis who were patch tested with the baseline series and FMs ingredients during 2016 to 2020 was performed.</p><p>RESULTS: The prevalence of fragrance CA was 13%. About 10% of these patients with fragrance CA would be missed if the individual ingredients were not tested. Unlike hydroxyisohexyl 3-cyclohexene carboxaldehyde, there was no decreasing trend of CA to Evernia prunastri (oakmoss) extract after the EU regulation came into force. Patients with CA from only one ingredient of the mixes or having a weak positive reaction to the ingredients were significantly missed when tested with only the fragrance markers in the baseline series.</p><p>CONCLUSIONS: Patch testing with individual fragrance allergens is crucial for experts to expand knowledge in the fragrance CA field. The concentrations of the allergens in FMs may need to be adjusted to detect patients with fragrance CA, since some were significantly overlooked.</p>}},
  author       = {{Sukakul, Thanisorn and Bruze, Magnus and Mowitz, Martin and Antelmi, Annarita and Boonchai, Waranya and Dahlin, Jakob and Hamnerius, Nils and Hauksson, Inese and Lejding, Tina and Svedman, Cecilia}},
  issn         = {{0105-1873}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{514--523}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Contact Dermatitis}},
  title        = {{Simultaneous patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes : An update from southern Sweden}},
  url          = {{http://dx.doi.org/10.1111/cod.14072}},
  doi          = {{10.1111/cod.14072}},
  volume       = {{86}},
  year         = {{2022}},
}