Allergic Contact Dermatitis Due to Cosmetics
Conditions
Brief summary
This study evaluates the clinical and molecular effect of daily exposure to low doses of the fragrance contact allergen oxidized R-limonene. Three groups of participants are included: 1) Patients with a previous positive patch test to oxidized R-Limonene, 2) patients with a previous doubtful patch test to oxidized R-limonene and 3) healthy controls with no contact allergy to oxidized R-limonene
Interventions
A twice daily repeated open application test (ROAT) study for up to three weeks of exposure to oxidized R-limonene at 1%, 0.3% and 0.1% concentrations
A twice daily repeated open application test (ROAT) study for up to three weeks of exposure to oxidized R-limonene at a 1% concentration
Sponsors
Study design
Eligibility
Inclusion criteria
* Positive patch test (at least one reading) or doubtful patch test (at least two readings) to oxidized R-limonene 3% pet. (with 0.33% hydroperoxides content) according to international guidelines, within the last five years. * Aged 18 years or older * Received written and verbal information on the study. * Signed written consent form.
Exclusion criteria
* Active eczema in test areas. * Pregnancy or breast feeding. * Treatment with topical corticosteroids or other immune-suppressants on/near test areas within two weeks prior to study start. * Systemic immune-suppressant treatment within seven days prior to study start. * UV exposure of test areas within three weeks prior to study start. * Unable to cooperate or communicate with the investigators.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Positive ROAT (minimum score of 5) | Day (D) 21 | Proportion (%) of participants with a positive ROAT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Minimal eliciting concentration (MEC) | Day (D) 7 | Threshold concentration for a positive patch test |
Other
| Measure | Time frame | Description |
|---|---|---|
| Epidermal inflammatory markers | Positive ROAT or Day (D) 21 | Levels of inflammatory markers (e.g. IL-1beta) from tape stripping of ROAT test areas |
Countries
Denmark, Sweden