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Burli A, Schlarbaum JP, Liszewski WJ, Mansh MD, Maibach HI. Allergic Contact Dermatitis in Sexual and Gender Minority Patients: Disparities and a Call to Action. Dermatitis 2023; 34:29-32. [PMID: 36705650 DOI: 10.1089/derm.0000000000000959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Objectives: Sexual and gender minority (SGM) patients face health issues relevant to dermatologists, such as allergic contact dermatitis (ACD); however, there is a lack of information surrounding common allergens causing ACD that disproportionally affect SGM patients. Methods: Covidence, Embase, MEDLINE, PubMed, Web of Science, and Google Scholar were searched to identify relevant articles studying ACD in the SGM population. Results: Common allergens associated with ACD in SGM patients include nitrates, fragrance mix, methylisothiazolinone, methylisothiazolinone-methylchloroisothiazolinone, topical antibiotics, and allergens seen in chest binders. Common anatomic sites included the chest, cheeks, perioral region, nasal orifices, and the anogenital region. Conclusions: Certain allergens and body sites affected by ACD are more common among the SGM community. This can help guide patch testing as a diagnostic tool. Further research must be conducted regarding ACD in SGM patients.
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Affiliation(s)
- Anuk Burli
- From the Department of Dermatology, University of California, San Francisco.,Santa Clara Valley Medical Center, San Jose, CA
| | - Jamie P Schlarbaum
- Department of Dermatology, Oregon Health Science and University, Portland
| | - Walter J Liszewski
- Department of Dermatology, Northwestern Feinberg School of Medicine, Chicago, IL
| | - Matthew D Mansh
- Department of Dermatology, University of Minnesota School of Medicine, Minneapolis
| | - Howard I Maibach
- From the Department of Dermatology, University of California, San Francisco
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Burli A, Schlarbaum JP, Liszewski WJ, Mansh MD, Maibach HI. Allergic Contact Dermatitis in Sexual and Gender Minority Patients: Disparities and a Call to Action. Dermatitis 2022; Publish Ahead of Print:01206501-990000000-00077. [PMID: 36255395 DOI: 10.1097/der.0000000000000959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES Sexual and gender minority (SGM) patients face health issues relevant to dermatologists, such as allergic contact dermatitis (ACD); however, there is a lack of information surrounding common allergens causing ACD that disproportionally affect SGM patients. METHODS Covidence, Embase, MEDLINE, PubMed, Web of Science, and Google Scholar were searched to identify relevant articles studying ACD in the SGM population. RESULTS Common allergens associated with ACD in SGM patients include nitrates, fragrance mix, methylisothiazolinone, methylisothiazolinone-methylchloroisothiazolinone, topical antibiotics, and allergens seen in chest binders. Common anatomic sites included the chest, cheeks, perioral region, nasal orifices, and the anogenital region. CONCLUSIONS Certain allergens and body sites affected by ACD are more common among the SGM community. This can help guide patch testing as a diagnostic tool. Further research must be conducted regarding ACD in SGM patients.
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Affiliation(s)
| | - Jamie P Schlarbaum
- Department of Dermatology, Oregon Health Science and University, Portland
| | - Walter J Liszewski
- Department of Dermatology, Northwestern Feinberg School of Medicine, Chicago, IL
| | - Matthew D Mansh
- Department of Dermatology, University of Minnesota School of Medicine, Minneapolis
| | - Howard I Maibach
- From the Department of Dermatology, University of California, San Francisco
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Analysis of the components and pH of a sample of wet wipers used for the hygiene of newborns and infants. An Bras Dermatol 2021; 96:774-776. [PMID: 34535340 PMCID: PMC8790219 DOI: 10.1016/j.abd.2020.09.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 08/29/2020] [Accepted: 09/05/2020] [Indexed: 11/21/2022] Open
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Characterization of Tattoo Aftercare Products: Allergenic Ingredients and Marketing Claims. Dermatitis 2021; 32:301-307. [PMID: 34524774 DOI: 10.1097/der.0000000000000635] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Common recommendations for tattoo aftercare to ensure proper healing include application of topical products. Little is known about tattoo aftercare products. METHODS Tattoo aftercare products were identified from a previous study and a search on Amazon.com using the phrase "tattoo aftercare." Duplicates and products without complete ingredient lists were excluded. Marketing claims were tabulated. All ingredients were entered in Excel and grouped according to Contact Allergen Management Program categories. Comparison of ingredients to North American Contact Dermatitis Group (NACDG) screening and American Contact Dermatitis Society (ACDS) Core allergens was conducted. RESULTS A total of 84 tattoo aftercare products from 52 distinct brands were found. Forty-eight distinctive market claims were identified; the use of "natural ingredient(s)" (42.9%) was most common. There were 4 to 28 ingredients per product (mean = 11.8 ± 5.5) with a total of 369 distinct ingredients listed. Products contained an average of 7.9 ± 3.9 ACDS Core allergens per product and 7.0 ± 3.7 NACDG allergens per product. Most common allergens included fragrance/botanicals (n = 529), vitamin E derivatives (n = 43), and vitamin B5 derivatives (n = 11). CONCLUSIONS This review of 84 products found that tattoo aftercare products contain an average of 8 ACDS Core and 7 NACDG allergens. Clinicians should be aware of potential allergens in tattoo aftercare products.
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Wu J, Wu T, Zheng S, Huang Y, Wang L. Low-dose repeated exposure to chemical surfactant impairs corneal epithelium: When personal cleaning products entering the eye. Exp Eye Res 2021; 210:108696. [PMID: 34228968 DOI: 10.1016/j.exer.2021.108696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Revised: 06/17/2021] [Accepted: 06/30/2021] [Indexed: 02/03/2023]
Abstract
Studies have reported that the incidence of ocular discomfort in people who often wear makeup is higher than that in the normal population. The incidence of ocular discomfort of these people may be also related to the daily ocular exposure to chemical surfactants during cleaning. The objectives of this study were to explore morphological and pathological changes in the murine ocular surface after low-dose repeated exposure to disodium cocoamphodiacetate (DC), a kind of chemical surfactant widely used in personal cleaning products, and to investigate the possible mechanisms. DC was administered in low dose (0.1%) to the ocular surface of C56BL/6 once daily for two weeks. We found that there were an increase of sodium fluorescein staining on the cornea, a significant thinning of corneal epithelial thickness, and increased TUNEL-positive cells in corneal epithelium in vivo. DC treatment also modulated the distribution of K14+ and P63+ epithelia from the limbal to the center on the cornea. In cultured murine corneal epithelial progenitor cell line (TKE2), DC treatment induced cell detachment and decreased the activation of Ak strain transforming protein (AKT), and extracellular signal-regulated kinase (ERK). And DC increased TUNEL-positive cells in vitro with increased expression of cleaved Caspase3 and B-cell lymphoma-2 associated X protein (Bax). Our results indicated that repeated low-dose DC exposure on ocular surface caused significant impairment on the structure and viability of the corneal epithelium by inhibiting epithelial proliferation and inducing apoptosis. It provides the foundations to understand the harmful effects of cleaning products daily exposure on the ocular surface.
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Affiliation(s)
- Jie Wu
- Medical School of Chinese PLA, Beijing, 100089, China; Department of Ophthalmology, The Third Medical Center, Chinese PLA General Hospital, Beijing, 100089, China
| | - Tengyun Wu
- Medical School of Chinese PLA, Beijing, 100089, China; Department of Ophthalmology, The Third Medical Center, Chinese PLA General Hospital, Beijing, 100089, China
| | - Shuo Zheng
- Medical School of Chinese PLA, Beijing, 100089, China; Department of Ophthalmology, The Third Medical Center, Chinese PLA General Hospital, Beijing, 100089, China
| | - Yifei Huang
- Department of Ophthalmology, The Third Medical Center, Chinese PLA General Hospital, Beijing, 100089, China
| | - Liqiang Wang
- Department of Ophthalmology, The Third Medical Center, Chinese PLA General Hospital, Beijing, 100089, China.
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Şengul Emeksiz Z, Özmen S. The case of a child with contact urticaria due to sodium benzoate treatment. Contact Dermatitis 2021; 86:40-41. [PMID: 34137041 DOI: 10.1111/cod.13916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Revised: 05/20/2021] [Accepted: 06/13/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Zeynep Şengul Emeksiz
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
| | - Serap Özmen
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
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Levasseur JL, Hammel SC, Hoffman K, Phillips AL, Zhang S, Ye X, Calafat AM, Webster TF, Stapleton HM. Young children's exposure to phenols in the home: Associations between house dust, hand wipes, silicone wristbands, and urinary biomarkers. ENVIRONMENT INTERNATIONAL 2021; 147:106317. [PMID: 33341585 PMCID: PMC7856225 DOI: 10.1016/j.envint.2020.106317] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 11/30/2020] [Accepted: 12/01/2020] [Indexed: 05/07/2023]
Abstract
BACKGROUND Environmental phenols, such as parabens, bisphenol A, and triclosan, are ubiquitous in indoor environments because of their use in packaging, plastics, personal care products, and as anti-microbials. The primary pathways of exposure, as well as habits and behaviors that may lead to greater exposure, are still unclear. OBJECTIVES Herein, we investigate the relationships between phenols found in residential environments by comparing levels in paired samples of house dust and hand wipes with children's urine. In addition, phenols were analyzed in a novel exposure tool, the silicone wristbands, to investigate which external matrix best correlates with individual exposure based on urinary phenol biomarkers. METHODS Children aged 3-6 years in central North Carolina, United States, provided paired hand wipe (n = 202), wristband (n = 76), and spot urine samples (n = 180), while legal guardians completed questionnaires on habits and behaviors. House dust samples (n = 186) were collected from the main living area during home visits completed between 2014 and 2016. RESULTS Environmental phenols were detected frequently in all matrices investigated. Ethyl, methyl, and propylparaben levels observed in hand wipes, dust, and on wristbands were significantly correlated to their associated urinary biomarkers. In addition, intra-paraben correlations were noted, with biomarkers of ethyl, methyl, and propylparabens generally positively and significantly correlated, which suggests co-application of parabens in products. Triclosan levels in dust were positive and significantly correlated with levels in hand wipes and wristbands and with urinary concentrations, suggesting non-personal care product sources may be important in children's overall triclosan exposure. Generally, chemicals on wristbands were more highly correlated with urinary biomarkers than with chemicals in hand wipes or house dust. In addition, more frequent lotion use was positively associated with urinary concentrations of paraben biomarkers. CONCLUSIONS Our results suggest that the home environment is an important source of exposure which has been under-investigated for some environmental phenols (e.g., triclosan in house dust). Associations between wristbands and biomarkers of exposure, which were stronger than for hand wipes and house dust, suggest that silicone wristbands may provide a suitable exposure assessment tool for some phenols.
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Affiliation(s)
| | - Stephanie C Hammel
- Nicholas School of Environment, Duke University, Durham, NC, United States; Children's Health Discovery Initiative, Duke School of Medicine, NC, United States.
| | - Kate Hoffman
- Nicholas School of Environment, Duke University, Durham, NC, United States; Children's Health Discovery Initiative, Duke School of Medicine, NC, United States.
| | - Allison L Phillips
- Nicholas School of Environment, Duke University, Durham, NC, United States.
| | - Sharon Zhang
- Nicholas School of Environment, Duke University, Durham, NC, United States.
| | - Xiaoyun Ye
- Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Antonia M Calafat
- Centers for Disease Control and Prevention, Atlanta, GA, United States.
| | - Thomas F Webster
- Boston University School of Public Health, Boston University, Boston, MA, United States.
| | - Heather M Stapleton
- Nicholas School of Environment, Duke University, Durham, NC, United States; Children's Health Discovery Initiative, Duke School of Medicine, NC, United States.
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Cohen SR, Cárdenas-de la Garza JA, Dekker P, Haidari W, Chisolm SS, Taylor SL, Feldman SR. Allergic Contact Dermatitis Secondary to Moisturizers. J Cutan Med Surg 2020; 24:350-359. [PMID: 32293193 DOI: 10.1177/1203475420919396] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Moisturizers are cosmetic products used routinely to manage various skin conditions. Even though moisturizers are often thought to have minimal or no adverse reactions, allergic contact dermatitis (ACD) to these products can develop in some cases. Methods: We studied ingredients included in 3 of the most commonly used moisturizer brands, identified their presence in standard patch testing series, and evaluated their allergenic potential, categorizing the allergens as frequent or infrequent. The standard patch testing series used as reference were the Thin-layer Rapid Use Epicutaneous patch test (T.R.U.E. test), the North American Contact Dermatitis Group (NACDG) screening standard series, and the American Contact Dermatitis Society (ACDS) core allergen series. Results: Aveeno, Cetaphil, and Cerave products had a total of 12, 14, and 9 potential allergens, respectively, the majority of which were infrequent and not included in standard patch testing series. Conclusion: Being aware of the allergenic potential of commonly used moisturizers may help healthcare providers when evaluating patients with ACD. Further testing is recommended in a targeted manner when suspecting ACD with negative standard patch testing series or when ACD is refractory to treatment.
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Affiliation(s)
- Stephanie R Cohen
- 12280 Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Jesús A Cárdenas-de la Garza
- 12280 Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Paige Dekker
- 12230 Georgetown University School of Medicine, Washington, DC, USA
| | - Wasim Haidari
- 12280 Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA.,12230 Georgetown University School of Medicine, Washington, DC, USA
| | - Sarah S Chisolm
- 12239 Department of Dermatology, Emory School of Medicine, Atlanta, GA, USA
| | - Sarah L Taylor
- 12280 Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Steven R Feldman
- 12280 Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA.,12279 Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA.,12279 Department of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA
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