Occupational allergic contact dermatitis caused by coconut fatty acids diethanolamide

Abstract

Cocamide DEA allergy is relatively common in patients with occupational hand dermatitis, and mainly derives from hand cleansers. However, exposure to detergents, metalworking fluids and barrier creams must also be taken into account. Concomitant reactions to ethanolamines are possible.

Occupational skin disease among Australian healthcare workers: a retrospective analysis from an occupational dermatology clinic, 1993–2014

“…The major allergens causing occupational ACD in HCWs were rubber glove chemicals, preservatives, hand cleanser excipients, and antiseptics. This spectrum of allergens is generally in accordance with international experience (16,18,23,26,27,33,34). Specific comparison with other studies can be difficult, as allergen data are frequently presented in different forms, for example as number of positive reactions only, or as crude sensitization rates without clinical relevance always being clearly delineated or occupational-relatedness being established, as we have done.…”

Occupational Dermatitis in Health Care Workers Evaluated for Suspected Allergic Contact Dermatitis

“…Although there are few reports of ACD to cocamide DEA, in a recent publication, it was found to be a relatively common allergen in patients with occupational hand dermatitis in which the primary source of sensitization was hand cleansers. 29 This was also the case for HCWs in the current study, where cocamide DEA in hand soaps was the culprit in all occupationally relevant cases.…”

Recent Trends in Occupational Contact Dermatitis

“…Hand cleansers at the workplace constitute the main source of sensitization, but detergents, metalworking fluids, and barrier creams also need to be taken into account, and concomitant reactions to ethanolamines are possible [38].…”