Acrylate Allergic Contact Dermatitis–Induced Lichen Planus of the Nail

Carr, Christian; Liu, Melinda; Goff, Heather W.

doi:10.1097/der.0000000000000480

Cited by 8 publications

(5 citation statements)

References 3 publications

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“…The changes in nail plate, nail bed, and nail folds might mimic skin disorders such as psoriasis and lichen planus. 22,23 There are ACD cases presenting with isolated subungual hyperkeratosis and onycholysis without skin involvement who were unnecessarily treated with systemic agents reported in the literature. 24 It would therefore be reasonable to perform patch tests in participants showing traumatic nail changes in our study.…”

Section: Discussionmentioning

confidence: 99%

“…ACD in the setting of ANMS‐related acrylate sensitization causes a wide range of clinical findings. The changes in nail plate, nail bed, and nail folds might mimic skin disorders such as psoriasis and lichen planus 22,23 . There are ACD cases presenting with isolated subungual hyperkeratosis and onycholysis without skin involvement who were unnecessarily treated with systemic agents reported in the literature 24 .…”

Section: Discussionmentioning

confidence: 99%

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Artificial nail modelling systems in healthcare workers: An emerging risk of contact sensitization to a well‐known occupational allergen in an alternative way

Keskinkaya,

Işık Mermutlu,

Kaya

et al. 2024

Contact Dermatitis

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BackgroundArtificial nail modelling systems (ANMS) pose a significant risk for nail stylists and their clients regarding acrylate sensitization, which might jeopardize the use of acrylate‐containing medical devices.ObjectivesTo evaluate the frequency of artificial nail practices among female healthcare workers (HCWs) compared with controls and assess ANMS‐related side effects.MethodsIn this comparative, cross‐sectional, single‐centre study, a face‐to‐face interview with 200 female HCWs and 200 age‐matched female dermatology patients (controls) was conducted regarding the use of ANMS between March and November 2023.ResultsAmong 400 participants (median age: 25), 85 (21.3%) have applied ANMS at least once. The prevalence of ANMS application was significantly higher in HCWs (n = 54/200, 27%) compared with controls (n = 31/200, 15.5%) (p < 0.05). Long‐lasting nail polish was the most commonly preferred technique (n = 82/85, 96.5%). ANMS were mainly performed in nail studios by nail stylists (n = 79/85, 92.9%), while three participants were using home kits. Nail brittleness was the most frequently reported side effect (n = 19/85, 22.4%). No case of allergic contact dermatitis (ACD) was detected.ConclusionsThe popularity of ANMS among young female HCWs is growing. This striking trend might further put these individuals not only at risk of medical device‐related adverse events but also occupational ACD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Artificial nail modelling systems in healthcare workers: An emerging risk of contact sensitization to a well‐known occupational allergen in an alternative way

Keskinkaya,

Işık Mermutlu,

Kaya

et al. 2024

Contact Dermatitis

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“…Rare atypical manifestations caused by HEMA‐allergy include lichen planus of the nail apparatus, 60 lymphomatoid papulosis, 61 systemic contact dermatitis (systemic allergic dermatitis), 62,63 and ACD with systemic side effects such as nausea, diarrhoea, malaise, and palpitations 64,65 . Several cases of leukoderma following at the sites of previous positive patch tests to HEMA and other methacrylates have been observed 39,67–69 .…”

Section: Discussionmentioning

confidence: 99%

“…Lichen planus of the nail apparatus may have been induced by ACD to acrylates in gel nails and worsened by HEMA in gel nail lacquer used on preformed nails. However, cyanoacrylates may also have contributed, but these were not patch tested 60 …”

Section: Other Skin Reactions Caused By Hemamentioning

confidence: 99%

“…However, cyanoacrylates may also have contributed, but these were not patch tested. 60 (Meth)acrylates in gel nails may have caused lymphomatoid contact dermatitis of the eyelids resembling lymphomatoid papulosis. A patch test to HEMA was strongly positive and the histology and immunochemistry of a skin biopsy taken from the positive HEMA patch test were also consistent with lymphomatoid papulosis.…”

Section: Atypical Manifestations Of Acdmentioning

confidence: 99%

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2‐Hydroxyethyl methacrylate (HEMA): A clinical review of contact allergy and allergic contact dermatitis. Part 2. Cross‐ and co‐sensitization, other skin reactions to HEMA, position of HEMA among (meth)acrylates, sensitivity as screening agent, presence of HEMA in commercial products and practical information on patch test procedures

de Groot,

Rustemeyer

2023

Contact Dermatitis

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This is the second part of a literature review of the clinical aspects of contact allergy to and allergic contact dermatitis from 2‐hydroxyethyl methacrylate (HEMA). Topics include cross‐ and co‐sensitization, atypical manifestations of contact allergy, frequency of positive patch tests to HEMA compared with other (meth)acrylates, sensitivity of HEMA as a screening agent, the presence of HEMA in commercial products, and practical information on patch testing procedures. Primary sensitization to methacrylates including HEMA may result in methacrylate and acrylate cross‐sensitization. There is a strong cross‐allergy between HEMA, ethylene glycol dimethacrylate (EGDMA), and hydroxypropyl methacrylate; many reactions to EGDMA are cross‐reactions to primary HEMA sensitization. Rare atypical manifestations of HEMA‐allergy include lichen planus, lymphomatoid papulosis, systemic contact dermatitis, leukoderma after positive patch tests, and systemic side effects such as nausea, diarrhoea, malaise, and palpitations. The occurrence of respiratory disease caused by methacrylates such as asthma is not infrequent. HEMA is the most frequently patch test‐positive methacrylate. It is a good screening agent for allergy to other (meth)acrylates. Patch test sensitization to HEMA 2% pet. is extremely rare. There are (some) indications that HEMA is frequently used in dental products and nail cosmetics.

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Contact Dermatitis Due to Cosmetics

Goossens

2021

Clinical Contact Dermatitis

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Acrylate Allergic Contact Dermatitis–Induced Lichen Planus of the Nail

Cited by 8 publications

References 3 publications

Artificial nail modelling systems in healthcare workers: An emerging risk of contact sensitization to a well‐known occupational allergen in an alternative way

Artificial nail modelling systems in healthcare workers: An emerging risk of contact sensitization to a well‐known occupational allergen in an alternative way

Contact Dermatitis Due to Cosmetics

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