Sensitization to 26 fragrances to be labelled according to current European regulation. Results of the IVDK and review of the literature

Contact Dermatitis. 2007 Jul;57(1):1-10. doi: 10.1111/j.1600-0536.2007.01088.x.

Abstract

To study the frequency of sensitization to 26 fragrances to be labelled according to current European regulation. During 4 periods of 6 months, from 1 January 2003 to 31 December 2004, 26 fragrances were patch tested additionally to the standard series in a total of 21 325 patients; the number of patients tested with each of the fragrances ranged from 1658 to 4238. Hydroxymethylpentylcyclohexene carboxaldehyde (HMPCC) was tested throughout all periods. The following frequencies of sensitization (rates in %, standardized for sex and age) were observed: tree moss (2.4%), HMPCC (2.3), oak moss (2.0), hydroxycitronellal (1.3), isoeugenol (1.1), cinnamic aldehyde (1.0), farnesol (0.9), cinnamic alcohol (0.6), citral (0.6), citronellol (0.5), geraniol (0.4), eugenol (0.4), coumarin (0.4), lilial (0.3), amyl-cinnamic alcohol (0.3), benzyl cinnamate (0.3), benzyl alcohol (0.3), linalool (0.2), methylheptin carbonate (0.2), amyl-cinnamic aldehyde (0.1), hexyl-cinnamic aldehyde (0.1), limonene (0.1), benzyl salicylate (0.1), gamma-methylionon (0.1), benzyl benzoate (0.0), anisyl alcohol (0.0). 1) Substances with higher sensitization frequencies were characterized by a considerable number of '++/+++' reactions. 2) Substances with low sensitization frequencies were characterized by a high number of doubtful/irritant and a low number of stronger (++/+++) reactions. 3) There are obviously fragrances among the 26 which are, with regard to contact allergy, of great, others of minor, and some of no importance at all.

Publication types

  • Multicenter Study
  • Review

MeSH terms

  • Adult
  • Allergens / adverse effects*
  • Dermatitis, Allergic Contact / diagnosis
  • Dermatitis, Allergic Contact / epidemiology*
  • Dermatitis, Allergic Contact / etiology
  • Dermatitis, Atopic / epidemiology
  • Dermatitis, Occupational / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patch Tests
  • Perfume / adverse effects*
  • Perfume / chemistry
  • Perfume / standards
  • Prevalence
  • Product Labeling* / legislation & jurisprudence
  • Retrospective Studies

Substances

  • Allergens
  • Perfume