Non-occupational allergic contact dermatitis caused by long-lasting nail polish kits for home use: 'the tip of the iceberg'

Contact Dermatitis. 2018 Apr;78(4):261-265. doi: 10.1111/cod.12948. Epub 2018 Jan 12.

Abstract

Background: Allergic contact dermatitis (ACD) from (meth)acrylates caused by long lasting nail polish (also known as "permanent", "semi-permanent" or "gel nail polish") has been described both in occupational and non-occupational settings. Inexpensive kits for home use have been available for purchase in many stores or through the Internet.

Objective: To report on several further cases of consumers sensitised to these nail products.

Methods: Patch test results and evaluation of ingredient labelling of products brought in by the patients.

Results: Four new cases are presented. Three of the patients reacted to 2-hydroxypropyl methacrylate, 2-hydroxyethyl methacrylate and ethyleneglycol dimethacrylate (EGDMA), and all 4 to 2-hydroxy ethylacrylate.

Conclusions: Acrylates are present in a wide range of products including medical materials. Sensitization from (meth)acrylates caused by a merely aesthetic procedure might significantly impact health by jeopardizing access to several types of medical interventions. Policies should be implemented restricting the use of long-lasting nail polishes to qualified professionals and banning the indiscriminate sale of kits for home use.

Keywords: acrylates; acrylic nails; allergic contact dermatitis; beauticians; cosmetics; long-lasting nail polish; methacrylates; nail polish; nail polish kits for home use; occupational.

MeSH terms

  • Accidents, Home
  • Adult
  • Aged
  • Consumer Product Safety
  • Cosmetics / adverse effects*
  • Cosmetics / chemistry
  • Dermatitis, Allergic Contact / diagnosis
  • Dermatitis, Allergic Contact / epidemiology
  • Dermatitis, Allergic Contact / etiology*
  • Europe
  • Female
  • Humans
  • Methacrylates / adverse effects*
  • Methacrylates / chemistry
  • Middle Aged
  • Nails*
  • Patch Tests / methods
  • Sampling Studies

Substances

  • Cosmetics
  • Methacrylates