Multiple topical product dermatitis: Paradigms in understanding and future perspectives

Author:

Mangion Sean E.123ORCID,Mikkonen Antti24,Mackenzie Lorraine23,Roberts Michael S.235,Maibach Howard I.6

Affiliation:

1. Sydney Medical School University of Sydney Camperdown New South Wales Australia

2. Therapeutics Research Centre, UniSA: Clinical and Health Sciences University of South Australia Adelaide South Australia Australia

3. Basil Hetzel Institute for Translational Health Research The Queen Elizabeth Hospital Woodville South Australia Australia

4. Environment Protection Authority Victoria Centre for Applied Sciences Macleod Victoria Australia

5. Frazer Institute The University of Queensland Woollangabba Queensland Australia

6. Department of Dermatology, School of Medicine University of California San Francisco San Francisco California USA

Abstract

AbstractIt is common for people to be exposed to multiple topical products daily, either through cosmetics, personal care or drug formulations. This increases the possibility of contact dermatitis and poses a major challenge for treatment as well as the design and regulation of safe and effective topical products. Here, we define the scope of the problem of multiple topical product dermatitis and highlight a strategy for differential diagnosis. The tools currently available for prediction of skin reactions are also discussed along with further work required to improve our ability to (1) identify irritant or sensitising agents and (2) prevent dermatitis occurrence.

Publisher

Wiley

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