Simultaneous patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes: An update from southern Sweden
Issued Date
2022-06-01
Resource Type
ISSN
01051873
eISSN
16000536
Scopus ID
2-s2.0-85125532621
Pubmed ID
35152428
Journal Title
Contact Dermatitis
Volume
86
Issue
6
Start Page
514
End Page
523
Rights Holder(s)
SCOPUS
Bibliographic Citation
Contact Dermatitis Vol.86 No.6 (2022) , 514-523
Suggested Citation
Sukakul T., Bruze M., Mowitz M., Antelmi A., Boonchai W., Dahlin J., Hamnerius N., Hauksson I., Lejding T., Svedman C. Simultaneous patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes: An update from southern Sweden. Contact Dermatitis Vol.86 No.6 (2022) , 514-523. 523. doi:10.1111/cod.14072 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85848
Title
Simultaneous patch testing with fragrance markers in the baseline series and the ingredients of fragrance mixes: An update from southern Sweden
Author's Affiliation
Other Contributor(s)
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 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.