Alternatives for Allergens in the 2018 American Contact Dermatitis Society Core Series: Report by the American Contact Alternatives Group

Scheman, Andrew; Hylwa-Deufel, Sara; Jacob, Sharon E.; Katta, Rajani; Nedorost, Susan T.; Warshaw, Erin M.; Eifrid, Kathryn; Geiser, Andrew J.; McGaughey, Lauren; Scheman, Nicole; Kimyon, Rebecca S.; Rundle, Chandler W.; Shaver, Rob L

doi:10.1097/der.0000000000000453

Cited by 18 publications

(16 citation statements)

References 53 publications

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“…This finding is consistent with other studies showing the high prevalence of potential allergens in overthe-counter moisturizers and facial cosmetics. 19,20 As expected, fragrances were the most common potential allergen in this cohort. For preservatives, parabens were the most commonly represented.…”

Section: Discussionsupporting

confidence: 79%

Consumer Preferences, Product Characteristics, and Potentially Allergenic Ingredients in Best-selling Moisturizers

Kwa

Lohman

et al. 2017

JAMA Dermatol

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IMPORTANCE Because moisturizer use is critical for the prevention and treatment of numerous dermatological conditions, patients frequently request product recommendations from dermatologists.OBJECTIVE To determine the product performance characteristics and ingredients of best-selling moisturizers.DESIGN AND SETTING This cohort study involved publicly available data of the top 100 best-selling whole-body moisturizing products at 3 major online retailers (Amazon, Target, and Walmart). Products marketed for use on a specific body part (eg, face, hands, eyelids) were excluded. MAIN OUTCOMES AND MEASURESPairwise comparisons of median price per ounce on the basis of marketing claims (eg, dermatologist recommended, fragrance free, hypoallergenic) and presence of ingredients represented in the North American Contact Dermatitis Group (NACDG) series were conducted using Wilcoxon rank sum tests. The effect of vehicle type (eg, ointment, lotion, cream, butter) was assessed using the Kruskal-Wallis test. Cross-reactors and botanicals for fragrances were derived from the American Contact Dermatitis Society's Contact Allergen Management Program database.RESULTS A total of 174 unique best-selling moisturizer products were identified, constituting 109 713 reviews as of August 2016. The median price per ounce was $0.59 (range, $0.10-$9.51 per ounce) with a wide range (9400%). The most popular vehicles were lotions (102 [59%]), followed by creams (22 [13%]), oils (21 [12%]), butters (14 [8%]), and ointments (3 [2%]). Only 12% (n = 21) of best-selling moisturizer products were free of NACDG allergens. The 3 most common allergens were fragrance mix (n = 87), paraben mix (n = 75), and tocopherol (n = 74

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Section: Discussionsupporting

confidence: 79%

Consumer Preferences, Product Characteristics, and Potentially Allergenic Ingredients in Best-selling Moisturizers

Kwa

Lohman

et al. 2017

JAMA Dermatol

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“…The suggested optimum rate for patch tests is 1416 per million population per year 8 . Comprehensive testing with supplemental specialised series’ and patients’ own products have been shown to improve diagnostic yield 9,10,11 . However, comprehensive patch testing is time‐consuming and requires specialist dermatologist expertise and nursing support.…”

Section: Discussionmentioning

confidence: 99%

“…8 Comprehensive testing with supplemental specialised series' and patients' own products have been shown to improve diagnostic yield. 9,10,11 However, comprehensive patch testing is time-consuming and requires specialist dermatologist expertise and nursing support. These aspects likely contributed to the findings in Australia which showed patch testing to be under-utilised.…”

Section: Discussionmentioning

confidence: 99%

Patch testing in New Zealand: Barriers to evidence‐based care

Sapsford

Cheng

Judd³

2020

Aust J Dermatology

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Allergic contact dermatitis is a disabling condition, significantly impacting on quality of life, which can only be alleviated by identification and avoidance of a relevant allergen. Patch testing remains the gold standard diagnostic test for allergic contact dermatitis. The consistency with which patch testing is used varies throughout the world. The purpose of this study was to look at the adequacy of current patch testing practice in New Zealand. We undertook literature review of current guidance regarding patch testing and created a web‐based survey to evaluate use of patch testing in New Zealand. This was sent to all 75 vocationally registered New Zealand dermatologists. Of respondents, 46% do not perform patch testing. The most commonly cited barriers were lack of nursing support, poor remuneration, time pressure and lack of facilities. 23% noted that public patch testing services are not available in their region. The majority do not record patch test results in a database. Access to and utilisation of patch testing in New Zealand is suboptimal. Increasing services in the public sector requires investment by health boards, as there remains a dermatology workforce shortage in New Zealand. In private practice, patients often find it unsatisfactory to pay for negative tests, and adequate remuneration of patch testing by private insurers is necessary. Surveillance of patch test results at a national level is lacking, and the development of a centralised database to identify common allergens affecting our population is recommended.

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“…The updated 2018 Alternatives for Allergens report is a functionally similar and brief resource developed by ACDS with modifications to allergens and their associated products. 5 A complete list of the resources we have found to be helpful can be found in Table 1.…”

Section: Recommendations To Optimize Patient Education For Allergic C...mentioning

confidence: 99%

Recommendations to optimize patient education for allergic contact dermatitis: Our approach

et al. 2023

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Alternatives for Allergens in the 2018 American Contact Dermatitis Society Core Series: Report by the American Contact Alternatives Group

Cited by 18 publications

References 53 publications

Consumer Preferences, Product Characteristics, and Potentially Allergenic Ingredients in Best-selling Moisturizers

Consumer Preferences, Product Characteristics, and Potentially Allergenic Ingredients in Best-selling Moisturizers

Patch testing in New Zealand: Barriers to evidence‐based care

Recommendations to optimize patient education for allergic contact dermatitis: Our approach

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