Buckley DA, Basketter DA, Kan-King-Yu D, White IR, White JLM, McFadden JP. Atopy and contact allergy to fragrance: allergic reactions to the fragrance mix I (the Larsen mix).
Contact Dermatitis 2009;
59:220-5. [PMID:
18844697 DOI:
10.1111/j.1600-0536.2008.01373.x]
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Abstract
BACKGROUND
The relationship between an atopic diathesis and contact sensitization to fragrances is unclear.
OBJECTIVE
To investigate whether there is an association between atopy and allergy to fragrance mix I (FM I).
PATIENTS/METHODS
The computerized files of patients patch tested to FM I at St John's Institute of Dermatology (1980-2004) were reviewed. Demographic details recorded for all patch-tested patients included age, sex, date of testing, history of current or previous atopic eczema (AE), history of current or previous asthma nor hay fever (A/HF), family history (FH) of any type of atopy, and any positive patch tests.
RESULTS
About 8.4% of females (1713/20 338) and 6.6% of males (903/13 734) were allergic to FM I. About 8.95% (101/1129) of females with AE were allergic to FM I versus 8.63% (619/7171) of females who had neither AE and A/HF nor FH (non-atopics) (P = 0.72). About 5.6% (40/710) of males with AE were positive to FM I versus 6.9% (427/6201) of male non-atopics (P = 0.23). There was a striking increase in AE and A/HF during this 25-year period (P < 0.0001).
CONCLUSIONS
We found no association between atopy and allergy to FM I. There has been a marked increase in atopy in individuals referred for patch testing in the past 25 years.
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