Contact dermatitis to methylisothiazolinone: prevalence in six specialized care centers during the years 2014 and 2015

Authors

  • Juan Pedro Russo Don Jose de San Martin Hospital, La Plata, Buenos Aires, Argentina
  • Alicia Beatriz Cannavó Hospital of Clinics José de San Martín, Autonomous City of Buenos Aires, Argentina
  • Marta Patricia La Forgia Jose Maria Penna Municipal Hospital, Buenos Aires, Argentina
  • Elena Kvitko Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina
  • Lucrecia Infante Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina
  • Lucrecia Fortunato Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina
  • Gabriela Bravo Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina

Keywords:

methylisothiazolinone, allergic contact dermatitis, cosmetics

Abstract

Background: methylisothiazolinone (MI) is a preservative in cosmetics and industrial products. Allergic contact dermatitis caused by MI has shown a significant increase in its frequency in recent years with different values depending on each region. The real situation in our area is not known.

Objetive: to know the percentage of sensitized to MI in patients with eczema of our population.

Design: descriptive study of prevalence.

Methods: patch tested patients were analyzed using the allergens of Latin American Standard Series in six centers specialized in contact dermatitis during the period between March 2014 and December 2015.

Results: MOAHLFA index was used to establish the organization of the results. Patch tests detected an MI sensitization rate of 15.5%. Of this percentage, 82.6% had a clinical correlation, the majority were women (71.2%) and over 40 (62%). It should be noted that in many cases there were occupational relationships, a history of atopy and the most affected topography comprised face and hands.

Conclusions: the increase in the MI sensitization rate observed by our Contact Dermatitis Research Group in Argentina ranges from 7.02% (2011-2013) to 15.5% (2014-2015) and relates to changes published by other Research centers in Europe and the United States.

Author Biographies

Juan Pedro Russo, Don Jose de San Martin Hospital, La Plata, Buenos Aires, Argentina

Permanent Staff Physician of the Contact Dermatitis Unit and Physician Specialist in Dermatology in the Contact Dermatitis Research Group of the Argentine Society of Dermatology

Alicia Beatriz Cannavó, Hospital of Clinics José de San Martín, Autonomous City of Buenos Aires, Argentina

Head of the Contact Dermatitis and Occupational Dermatology Section. Physician Specialist in Dermatology in the Contact Dermatitis Research Group of the Argentine Society of Dermatology

Marta Patricia La Forgia, Jose Maria Penna Municipal Hospital, Buenos Aires, Argentina

Head of the Dermatology Service and Coordinator of the Contact Dermatitis Research Group, Argentine Society of Dermatology

Elena Kvitko, Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Dermatology, Contact Dermatitis Research Group

Lucrecia Infante, Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Dermatology, Contact Dermatitis Research Group

Lucrecia Fortunato, Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Dermatology, Contact Dermatitis Research Group

Gabriela Bravo, Argentine Society of Dermatology, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Dermatology, Contact Dermatitis Research Group

References

I. Leiva-Salinas M, Francés L, Silvestre JF. Update on allergic con-tact dermatitis due to methylchloroisothiazolinone/methyliso-thiazolinone and methylisothiazolinone. Actas Dermosifiliogr2014;105:840-846.

II. Urwin R, Mark Wilkinson M. Methylchloroisothiazolinone and methylisothiazolinone contact allergy: a new epidemic. Contact Derm 2014;68:250-256.

III. Castanedo-Tardana MP, Zug KA. Methylisothiazolinone. Dermatitis 2013;24:2-6.

IV. Smith HR, Wakelin SH, McFadden JP, Rycroft RJ, et ál. A 15-year review of our MOAHLFA index. Contact Derm 1999;40:227-228.

V. Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl 1980;59:44-47.

VI. Hunziker N. The “Isothiazolinone story”. Dermatology 1992;184:85-86.

VII. Debeuckelaere C, Moussallieh FM, Elbayed K, Namer IJ, et ál. In situ chemical behaviour of methylisothiazolinone (MI) and methylchloroisothiazolinone (MCI) in reconstructed human epidermis: a new approach to the cross-reactivity issue. Contact Derm 2016;74:159-167.

VIII. Fonacier L, Bernstein DI, Pacheco K, Holness DL, et ál. Contact dermatitis: a practice parameter updates 2015. J Allergy Clin Immunol Pract 2015;3:652-658.

IX. Bruze M, Engfeldt M, Goncalo M, Goossens A, et ál. Recommen-dation to include methylisothiazolinone in the European base-line patch test series-on behalf of the European Society of Con-tact Dermatitis and the European Environmental and Contact Dermatitis Research Group. Contact Derm 2013;69:263-270.

X. Yu SH, Sood A, Taylor JS. Patch testing for methylisothiazolino-ne and methylchloroisothiazolinone-methylisothiazolinone contact allergy. JAMA Dermatol 2016;152:67-72.

XI. De Unamuno B, Zaragoza Ninet V, Sierra C, De la Cuadra J. Estudio descriptivo de la sensibilización a metilcloroisotiazo-linona/metilisotiazolinona en una unidad de alergia cutánea. Actas Dermosifiliogr 2014;105:854-859.1

XII. Scherrrer M, Rocha VB, Andrade A. Contact dermatitis to me-thylisothiazolinone. An Bras Dermatol 2015;90:912-914.

XIII. Vauhkala AR, Pesonen M, Suomela M, Kuuliala O, et ál. Occu-pational contact allergy to methylchloroisothiazolinone/me-thylisothiazolinone and methylisothiazolinone. Contact Derm2015;73:150-156.

XIV. McFadden JP, Mann J, White JML, Banerjee P, et ál. Outbreak of methylisothiazolinone allergy targeting those aged ≥ 40 years. Contact Derm 2013;69:53-63.

XV. Bergfeld WF, Belsito DV, Hill RA, Klaassen CD. Amended safe-ty assessment of methylisothiazolinone as used in cosmetics. cosmetic ingredient. Review. October 8, 2014. http://www.cir-safety.org/sites/default/files/mthiaz092014FR_final.pdf.Fecha de consulta: 3 de abril de 2017.

XVI. Leiva-Salinas M, Frances L, Marin-Cabanas, I. Bouret AM. Methylchloroisothiazolinone/methylisothiazolinone and me-thylisothiazolinone allergies can be detected by 200 ppm of methylchloroisothiazolinone/ methylisothiazolinone patch test concentration. Dermatitis 2014;24:130-134.

XVII. Isaksson M, Gruvberger B, Goncalo M, Goossens A. Repeated open application test with methylisothiazolinone in indivi-duals sensitive to methylchloroisothiazolinone/methylisothia-zolinone. Contact Derm 2014;70:238-260.

XVIII. Scientific Committee on Consumer Safety (SCCS). Opinion on methylisothiazolinone. Ref Ares 2015;3108730-24/7/2015.

XIX. Reglamento técnico MERCOSUR sobre lista de sustancias de acción conservadora permitidas para productos de higiene personal, cosméticos y perfumes. (MERCOSUR/GMC/Resolu-ción 07/11), 2011.

XX. Schwensen JF, White IR, Thyssen JP, Menné T, et ál. Failures in risk assessment and risk management for cosmetic preserva-tives in Europe and the impact on public health. Contact Derm2015;73:133-141. http://ec.europa.eu/health/scientific_com-mittees/consumer_safety/docs/sccs_o_178.pdf.

Published

2017-09-01

Issue

Section

Original Articles