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Related Experiment Videos

How to instruct patients sensitive to fragrances.

W G Larsen1

  • 1Portland Dermatology Clinic, OR 97210.

Journal of the American Academy of Dermatology
|October 1, 1989
PubMed
Summary

Fragrance sensitivity requires fragrance-free products or patch testing. Unusual reactions include systemic contact dermatitis and pigmented eruptions from specific cosmetic ingredients.

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Area of Science:

  • Dermatology
  • Cosmetic Science
  • Toxicology

Background:

  • Fragrance ingredients are common components in various consumer products.
  • Contact hypersensitivity to fragrances is a prevalent issue.
  • Identifying specific fragrance allergens is crucial for patient management.

Purpose of the Study:

  • To outline the clinical manifestations of fragrance sensitivity.
  • To provide guidance on product selection and diagnostic testing for fragrance-allergic patients.
  • To highlight less common but significant adverse reactions to fragrances.

Main Methods:

  • Review of clinical cases and literature on fragrance-induced dermatoses.
  • Discussion of diagnostic approaches, including repeat open application testing.
  • Categorization of adverse reactions based on clinical presentation and causative agents.

Main Results:

  • Fragrance-free products or patch testing are recommended for sensitive individuals.
  • Systemic contact dermatitis can occur due to balsam of Peru, benzyl alcohol, and menthol.
  • Phototoxic or photoallergic reactions may manifest as pigmented eruptions from perfumes and incense.
  • Reactions can extend to various products like toothpastes, sanitary napkins, and detergents.

Conclusions:

  • Patients with fragrance sensitivity have diverse reactions.
  • Careful product selection and diagnostic testing are essential.
  • Awareness of unusual reactions aids in accurate diagnosis and management.

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