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Related Experiment Videos

Balsam-related systemic contact dermatitis.

T N Salam1, J F Fowler

  • 1Division of Dermatology, University of Louisville, Louisville, KY, USA.

Journal of the American Academy of Dermatology
|August 21, 2001
PubMed
Summary

Dietary modification can significantly improve dermatitis for individuals with balsam allergies. Avoiding balsam-related foods, like tomatoes and spices, led to symptom improvement in nearly half of the study participants.

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Area of Science:

  • Dermatology
  • Allergology
  • Nutrition

Background:

  • Positive patch tests to Balsam of Peru (BOP) or Fragrance Mix (FM) indicate potential systemic contact dermatitis from food and spice allergens.
  • BOP and FM are common triggers for allergic reactions manifesting as dermatitis.

Observation:

  • A retrospective study reviewed patients with positive patch tests to BOP, FM, cinnamic aldehyde, and balsam of tolu.
  • Patients were assessed for dermatitis improvement after implementing a diet avoiding balsam-related foods.

Findings:

  • Of 45 patients who modified their diet, 47% reported significant or complete improvement in dermatitis.
  • Commonly implicated foods included tomatoes, citrus, and spices.
  • Eight patients improved with fragrance or other allergen avoidance alone.

Implications:

  • A balsam-reduced diet can be an effective management strategy for patients with BOP or FM allergies.
  • Identifying and avoiding specific food triggers is crucial for managing systemic contact dermatitis.
  • Further research into dietary interventions for contact dermatitis is warranted.

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