Allergic contact dermatitis from a natural deodorant: A report of 4 cases associated with lichen acid mix allergy

Sheu, Mary; Simpson, Eric L.; Law, Sandra; Storrs, Frances J.

doi:10.1016/j.jaad.2004.12.043

Cited by 23 publications

(11 citation statements)

References 22 publications

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“…Lichens 29]. Usnic acid, produced by lichens, is the most commonly extracted component and one of the principle allergens reported to cause ACD in exposed individuals [29,31].…”

Section: Lichensmentioning

confidence: 99%

“…Lichens 29]. Usnic acid, produced by lichens, is the most commonly extracted component and one of the principle allergens reported to cause ACD in exposed individuals [29,31]. Historically, instances of ACD attributable to usnic acid occurred in foresters and lichen pickers, but increasing lichen use in cosmetics has resulted in reports of sensitivity in the general public [29].…”

Section: Lichensmentioning

confidence: 99%

“…Usnic acid, produced by lichens, is the most commonly extracted component and one of the principle allergens reported to cause ACD in exposed individuals [29,31]. Historically, instances of ACD attributable to usnic acid occurred in foresters and lichen pickers, but increasing lichen use in cosmetics has resulted in reports of sensitivity in the general public [29]. A lichen acid mix including usnic acid and two additional lichen-associated allergens, atranorin and everinic acids, is available as part of a supplemental plant tray (Chemotechnique Diagnostics, Velinge, Sweden) [6•].…”

Section: Lichensmentioning

confidence: 99%

“…Fragrance mix I does contain oak moss absolute, extracted from the lichen Evernia prunastri, but there is no known cross-reactivity between oak moss absolute and lichen acid mix [6•]. Adding lichen extracts to the patch test series should be considered in patients using products containing botanical, natural, organic, or aromatherapy-type ingredients [29,31].…”

Section: Lichensmentioning

confidence: 99%

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Cosmeceutical Contact Dermatitis—Cautions To Herbals

Oliver

Krishnan

Pardo

et al. 2015

Curr Treat Options Allergy

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Monica Rengifo Pardo received support by an unrestricted education grant by Janssen ? This article is part of the Topical Collection on Contact Dermatitis Keywords Allergic contact dermatitis I Cosmetics I Cosmeceuticals I Natural remedies I Botanical products I Patch testing Opinion statement The global appeal of cosmetic products to the consumer is unmistakable, with a reach that extends virtually across every household in the USA. There has been increasing interest in natural remedies containing plant-based ingredients, popularly perceived to be less harmful than products made from synthetic chemical ingredients. The true prevalence of allergic reactions to cosmetics in the general population remains unknown, as reactions are often not reported because those affected simply discontinue use of the agent instead of seeking medical care. Herbal ingredients in cosmetics may be associated with allergic contact dermatitis, a type IV hypersensitivity reaction resulting in inflammatory skin eruptions characterized by pruritis, erythematous vesicles, and papules. Preservatives and fragrances are responsible for many cases of allergic contact dermatitis, but it is important for clinicians to recognize less common allergens and be suspicious of certain ingredients in plant-based products. This article aims to emphasize risks associated with use of cosmetics marketed as "natural" and to review specific botanical allergens implicated in causing allergic contact dermatitis. Key points 1. Allergic contact dermatitis (ACD) is a type IV (delayed) hypersensitivity reaction which can occur to naturally derived products. 2. Extracts derived from Compositae plants, propolis, and limonene, along with a number of essential oils and waxes, are popular in cosmetics and serve as botanical sources increasingly implicated in causing adverse skin reactions. 3. Pinpointing the allergen through patch testing and instituting avoidance measures is the definitive treatment for ACD.

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“…Lichens 29]. Usnic acid, produced by lichens, is the most commonly extracted component and one of the principle allergens reported to cause ACD in exposed individuals [29,31].…”

Section: Lichensmentioning

confidence: 99%

Section: Lichensmentioning

confidence: 99%

Section: Lichensmentioning

confidence: 99%

Section: Lichensmentioning

confidence: 99%

See 2 more Smart Citations

Cosmeceutical Contact Dermatitis—Cautions To Herbals

Oliver

Krishnan

Pardo

et al. 2015

Curr Treat Options Allergy

View full text Add to dashboard Cite

show abstract

“…Extracts of Peru balsam are used in perfumeries that contain different constituents depending on the technique of preparation [43]. Lichen acids like D-usnic acid were detected as relevant allergens in natural deodorants [44].…”

Section: Fragrancesmentioning

confidence: 99%