1. Contact dermatitis associated with preservatives: Retrospective analysis of North American Contact Dermatitis Group data, 1994 through 2016
- Author
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Atwater, Amber Reck, Petty, Amy J, Liu, Beiyu, Green, Cynthia L, Silverberg, Jonathan I, DeKoven, Joel G, Belsito, Donald V, Reeder, Margo J, Sasseville, Denis, Taylor, James S, Maibach, Howard I, Zirwas, Matthew J, Marks, James G, Zug, Kathryn A, Fowler, Joseph F, Pratt, Melanie D, DeLeo, Vincent A, and Warshaw, Erin M
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Age Distribution ,Canada ,Cross-Sectional Studies ,Dermatitis ,Allergic Contact ,Dermatitis ,Occupational ,Female ,Hand Dermatoses ,Humans ,Hypersensitivity ,Immediate ,Linear Models ,Male ,Middle Aged ,Organ Specificity ,Patch Tests ,Preservatives ,Pharmaceutical ,Retrospective Studies ,Sex Distribution ,United States ,NACDG ,allergic contact dermatitis ,benzyl alcohol ,contact dermatitis ,formaldehyde ,formaldehyde releaser ,iodopropynyl butylcarbamate ,methylchloroisothiazolinone/methylisothiazolinone ,methyldibromo glutaronitrile/phenoxyethanol ,methylisothiazolinone ,paraben ,patch test ,phenoxyethanol ,preservative ,preservative allergy ,Dermatology & Venereal Diseases ,Clinical sciences - Abstract
BackgroundPreservatives are often necessary components of commercial products. Large-scale North American studies on preservative allergy are limited.ObjectiveTo evaluate demographics, positive patch test reactions (PPTRs), clinical relevance, and trends for preservatives tested by the North American Contact Dermatitis Group.MethodsWe conducted a retrospective cross-sectional analysis of North American Contact Dermatitis Group patch testing results of preservatives from 1994 through 2016.ResultsA total of 50,799 patients were tested; 11,338 (22.3%) had a PPTR to at least 1 preservative. The most frequent reactions were to methylisothiazolinone 0.2% aqueous (aq) (12.2%), formaldehyde 2% aq (7.8%), formaldehyde 1% aq (7.8%), quaternium-15 2% petrolatum (pet) (7.7%), and methyldibromo glutaronitrile/phenoxyethanol 2% pet (5.1%). Paraben mix 12% pet (1%), iodopropynyl butylcarbamate 0.1% pet (0.4%), benzyl alcohol 1% pet (0.3%), and phenoxyethanol 1% pet (0.2%) had the lowest PPTRs. Linear regression analysis of preservatives tested showed that only methylchloroisothiazolinone/methylisothiazolinone 0.01% aq (parameter estimate, 0.42; 95% CI, 0.17-0.66; P
- Published
- 2021