The epidemic of methylisothiazolinone: a European prospective study

Jakob Ferløv Schwensen, Wolfgang Uter, Magnus Bruze, Cecilia Svedman, An Goossens, Mark Wilkinson, Ana Gimenez-Arnau, Margarida Gonçalo, Klaus E Andersen, Evy Paulsen, Tove Agner, Caterina Foti, Kristiina Aalto-Korte, John McFadden, Ian White, Jeanne D Johansen, European Environmental Contact Dermatitis Research Group

71 Citationer (Scopus)

Abstract

BACKGROUND: The use of methylisothiazolinone (MI) in cosmetic products has caused an unprecedented epidemic of MI contact allergy. Current data concerning exposures at a European level are required.

OBJECTIVES: To describe demographics and MI exposures for European patients with MI contact allergy.

METHODS: Eleven European dermatology departments from eight European countries prospectively collected data between 1 May and 31 October 2015 among consecutive patients who had positive patch test reactions to MI (2000 ppm aq.).

RESULTS: A total of 6.0% (205/3434; range 2.6-13.0%) of patients had positive patch test reactions to MI. Dermatitis most frequently affected the hands (43.4%), face (32.7%), arms (14.6%), and eyelids (11.7%); 12.7% had widespread dermatitis. For 72.7% (149/205), MI contact allergy was currently relevant mainly because of exposure to cosmetic products (83.2%; 124/149). Of these 124 patients, 19.5% were exposed to leave-on and rinse-off cosmetic products, 24.8% only to leave-on cosmetic products and 38.9% only to rinse-off cosmetic products containing MI or methylchloroisothiazolinone/MI. The majority of these (79%) noted onset of their dermatitis between 2013 and 2015. Fifteen patients (7.3%) had previously experienced allergic reactions when they were in newly painted rooms.

CONCLUSION: Clinically relevant MI contact allergy remains prevalent across European countries, mainly because of exposure to rinse-off and leave-on cosmetic products.

OriginalsprogEngelsk
TidsskriftContact Dermatitis
Vol/bind76
Udgave nummer5
Sider (fra-til)272-279
Antal sider8
ISSN0105-1873
DOI
StatusUdgivet - maj 2017

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