Lymphomatoid Contact Dermatitis to Baby Wipes

Mendese, Gary; Beckford, Angela N; Demierre, Marie‐France

doi:10.1001/archdermatol.2010.169

Cited by 13 publications

(8 citation statements)

References 5 publications

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“…Ninety-one articles were identified from search headings of the database query. Nineteen publications, all in case report or case series format, met the study criteria and are summarized in Table 1 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Twenty-three cases of lymphomatoid contact dermatitis were identified from the reports, dating from 1976 to 2013.…”

Section: Resultsmentioning

confidence: 99%

“…To our knowledge, we describe the second case of MCI/MI lymphomatoid contact dermatitis. Lymphomatoid contact dermatitis caused by baby wipes (moist wipes) containing MCI/MI was initially described by Mendese et al in 2010 . MCI/MI is a common cosmetic and industrial antimicrobial preservative that has been implicated as the allergen in many cases of baby wipe dermatitis .…”

Section: Discussionmentioning

confidence: 99%

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T cell lymphomatoid contact dermatitis: a challenging case and review of the literature

Knackstedt

Zug

2014

Contact Dermatitis

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SummaryLymphomatoid contact dermatitis is a pseudolymphoma with clinical and histological features of allergic contact dermatitis and cutaneous T cell lymphoma. Incorrect diagnosis may lead to unnecessary testing, unnecessary treatment, or patient harm. The objective of this study is to present a case to demonstrate the diagnostic challenge and overlap between allergic contact dermatitis and cutaneous T cell lymphoma in a patient with lymphomatoid contact dermatitis caused by methylchoroisothiazolinone/methylisothiazolinone and paraben mix, and to review the existing literature in order to summarize the demographics, clinical features, allergens and treatments reported for lymphomatoid contact dermatitis. A search of major scientific databases was conducted for English-language articles reporting cases of lymphomatoid contact dermatitis or additional synonymous search headings. Nineteen articles with a total of 23 patients were analysed. Lymphomatoid contact dermatitis was more common in men, with an average age of 58.5 years. Fourteen unique allergens were identified and confirmed by patch testing. However, no single test or study was diagnostic of lymphomatoid contact dermatitis. Allergen avoidance was the most useful management tool, but selected patients required topical or systemic immunosuppression. In conclusion, without specific diagnostic features, evaluation for lymphomatoid contact dermatitis should include a thorough history and examination, patch testing, and biopsy with immunohistochemistry and clonality studies.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

T cell lymphomatoid contact dermatitis: a challenging case and review of the literature

Knackstedt

Zug

2014

Contact Dermatitis

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“…37,38 However, numerous offending agents have been reported that may produce lymphomatoid reactions, including such diverse items as resin in treated leather, constituents of ophthalmic preparations, ingredients in baby wipes, emulsifiers in shampoo, teak wood, and the striker portion of matchboxes. 35,[39][40][41][42] Gene rearrangement studies often reveal a polyclonal population of lymphocytes; however, rare clonal T-cell gene rearrangements have been reported. 31 Although long thought to be less frequent than irritant contact dermatitis, with use of better clinical studies (including more sensitive patch testing), an increasing prevalence of allergic contact dermatitis has been suggested.…”

Section: Cutaneous Drug Reactionsmentioning

confidence: 99%

Mimics of Cutaneous Lymphoma

Sarantopoulos

Palla

Said

et al. 2013

American Journal of Clinical Pathology

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The Society for Hematopathology and European Association for Haematopathology workshop, from October 27 to 29, 2011, in Los Angeles, CA, exhibited many exemplary skin biopsy specimens with interesting inflammatory changes mimicking features of cutaneous lymphoma. This article reviews features observed in cutaneous lymphoid hyperplasia, cutaneous drug reactions, lupus-associated panniculitis, pityriasis lichenoides, hypereosinophilic syndrome, histiocytic necrotizing lymphadenitis, traumatic ulcerative granuloma with stromal eosinophils, and pigmented purpuric dermatosis, as well as a brief review of the pertinent literature and discussion of submitted conference cases. For the pathologist, it is important to be aware of diagnostic pitfalls as well as the limitations of ancillary testing (eg, clonality studies). Finally, correlation with total clinical information, good communication with clinical colleagues, close clinical follow-up with rebiopsy, and prudent use of laboratory studies are vital and will likely offer the best path toward a correct diagnosis.

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“…MI alone has been used as a preservative since 2005 in numerous water‐based products, such as cosmetics and various products for household and industrial applications. It can cause severe and sometimes atypical contact dermatitis . Recent studies have shown an increasing prevalence of MI allergic contact dermatitis; 6.3% in the United States, and between 5% and 13.2% in Europe .…”

Section: Introductionmentioning

confidence: 99%

“…It can cause severe and sometimes atypical contact dermatitis. [1][2][3][4][5][6][7] Recent studies have shown an increasing prevalence of MI allergic contact dermatitis; 6.3% in the United States, 8 and between 5% and 13.2% in Europe. [9][10][11][12] One study from the United Kingdom reported a declining incidence of allergic contact dermatitis (ACD) caused by MI since 2013, 13 whereas another study from Croatia reported an exceptionally high MI contact allergy prevalence of 13.2% among 798 patients tested in 2016, with current relevance in 89.3% of the cases.…”

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confidence: 99%

Methylisothiazolinone allergic contact dermatitis: Assessment of relapses in 139 patients after avoidance advice

et al. 2019

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Background Methylisothiazolinone (MI) is a preservative that is responsible for an epidemic of allergic contact dermatitis (ACD). Few studies have been published on the prognosis of patients with MI‐induced ACD. Objectives To evaluate relapses of MI‐induced ACD and difficulties in avoiding MI in patients who had received avoidance advice. Methods A retrospective study of patients with MI‐induced ACD diagnosed in two specialized dermato‐allergology units between 2010 and 2015 was performed. The median follow‐up was 3 years. Results Relapses were observed in 64% of 139 included patients, and were severe in 18%. Rinse‐off cosmetics were responsible for the largest proportion of relapses (27%). The median time to relapse was 5 months. Sixty‐nine per cent of relapses were on the hands, and 29% were on the face. Risk factors for relapsing were hand eczema and a personal history of atopy. The main difficulties encountered in the avoidance strategy were hidden sources of MI, the lack of labelling on industrial products, the complexity of cosmetic labelling, and remembering the name of the allergen. Conclusion MI‐induced ACD has a poor prognosis. Its high rate of relapse is mainly attributable to the difficulties of avoidance. Management needs to be improved. Specialized follow‐up in the year following diagnosis is essential to educate patients.

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Lymphomatoid Contact Dermatitis to Baby Wipes

Cited by 13 publications

References 5 publications

T cell lymphomatoid contact dermatitis: a challenging case and review of the literature

T cell lymphomatoid contact dermatitis: a challenging case and review of the literature

Mimics of Cutaneous Lymphoma

Methylisothiazolinone allergic contact dermatitis: Assessment of relapses in 139 patients after avoidance advice

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