Abstract
Preservatives combine both antimicrobials and antioxidants and are often added to water-containing products such as skin care ointments. In general, contact allergy to preservatives is considered rare. Sensitization to preservatives is often due to the use of products on damaged skin, e.g., eczema or leg ulcers. Patients often present with symptoms of dermatitis of the hands or face. The most frequently used preservatives in cosmetics and topical drugs are parabens, imidazolinidyl urea, quaternium-15, dimethylol-dimethyl (DMDM) hydantoin, phenoxyethanol, met-hylchloroisothiazolinone/methylisothiazolinone, dia-zolinidyl urea, 2-bromo-2-nitropropane-i,3-diol and sorbic acid (Schnuch et al. 1998). Preservatives and antimicrobials are also used in industrial products (called biocides), such as metalwork fluids.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Aberer W, Reiter E, Ziegler V, et al. (1991) The importance of including thiomersal in standard screening series for allergic contact dermatitis. Am J Contact Dermat 2:110–112
Adams RM (1981) Allergic contact dermatitis due to o-phenyl- phenol. Contact Dermatitis 7:332
Adams RM (1986) Occupational skin disease. WB Saunders, Philadelphia, p 448
Adams RM (1990) Occupational skin disease. WB Saunders, Philadelphia, p 449
Aguirre A, Izu R (1993) Edematous allergic contact cheilitis from a toothpaste. Contact Dermatitis 28:42
Alomar A, Conde-Salazar L, Romaguera C (1985) Occupational dermatoses from cutting oils. Contact Dermatitis. 12:129–138
Andersen KE, Hamann K (1984) The sensitizing potential of metalworking fluid biocides (phenolic and thiazole compounds) in the guinea-pig maximization test in relation to patch-test reactivity in eczema patients. Food Chem Toxicol 22:655–660
Andersen KE, Rycroft RJ (1991) Recommended patch test concentrations for preservatives, biocides and antimicrobials. Contact Dermatitis 25:1–18
Anonymous (1985) Final report on the safety assessment of benzethonium chloride and methylbenzethonium chloride. J Am Coll Toxicol 4:65
Anonymous (1982) Hexachlorophene today (editorial). Lancet 1:87
Bardazzi F, Vassilopoulou A, Valenti R, et al. (1990) Mercuro-chrome-induced allergic contact dermatitis. Contact Dermatitis 23:381–382
Barriere H (1973) La dermite cutaneomuceuse caustique du trichlorocarbanilide. Thérapeutique 49:685
Basketter DA, Wilhelm KP (1996) Studies on non-immune immediate contact reactions in an unselected population. Contact Dermatitis 35:237–240
Bjorkner A (1968) Skin reactions to primary irritants in patients with hand eczema. O Isacson Tryckeri, Gothenburg
Björnberg A (1968) Skin reactions to primary irritants in patients with hand eczema. Thesis Isacsons, Göteborg
Boffa MJ, Beck MH (1996) Allergic contact dermatitis from quaternium 15 in oilatum cream. Contact Dermatitis 35: 45–46
Bonacci A, Haddow J (1970) Hazards in the nursery. N Eng J Med 282:633
Boulitrop Morvan C, Collet E, et al. (1993) Photoallergy to hexemidine. Photodermatol Photoimmunol Photomed 9: 154–155
Brand CU, Balmer Weber BK (1995) Contact sensitivity to 5 different ingredients of a topical medicament (imacort dream). Contact Dermatitis 33:137
Brubacher JR, Hoffman RS (1996) Salicylism from topical salicylates: review of the literature. J Toxicol Clin Toxicol 34:431–436
Calder IM, Weight LP, Grienstone D (1992) Glutaraldehyde allergy in endoscope units. Lancet 338:433
Chew AL, Maibach HI (1997) i,2-benzisothiazolin-3-one (Proxel): irritant or allergen? A clinical study and literature review. Contact Dermatitis 36:131–136
Christersson S, Wrangsjo K (1992) Contact allergy to undecylen-amide diethanolamide in a liquid soap. Contact Dermatitis 27:191–192
Clemmensen O, Hjorth N (1982) Perioral contact urticaria from sorbic acid and benzoic acid in a salad dressing. Contact Dermatitis 8:1–6
Coles RB, Wilkinson DS (1965) Necrosis and dequalinium I: balanitis. Trans St John’s Hosp Derm Soc 51:46
Corazza M, Mantovani L, Maranini C, Virgili A (1996) Allergic contact dermatitis from benzyl alcohol. Contact Dermatitis 34:74–75
Coverly J, Peters L, Whittle E, Basketter DA (1998) Susceptibility to skin stinging, non-immunologic contact urticaria and acute skin irritation; is there a relationship? Contact Dermatitis 38:90–95
Cronin E (1980) Contact dermatitis. Churchill Livingstone, Edinburgh, pp 93–170
Damstra RJ, van Vloten WA, van Ginkel (1993) CJ Allergic contact dermatitis from the preservative 1,2-benzisothiazolin-3-one (1,2-BIT, Proxel): a case report, its prevalence in those occupationally at risk and in the general population, and its relationship to allergy to its analogue Kathon GC. Contact Dermatitis 27:105–109
De Groot AC, Bos JD, Jagtman BA, et al. (1986) Contact allergy to preservatives. Contact Dermatitis 15:218–222
Methyldibromoglutaronitrile is an important contact allergen in the Netherlands. Contact Dermatitis 34:118–120
De Groot AC, Liem DH, Nater JP, van Ketel WG (1985) Patch tests with fragrance materials and preservatives. Contact Dermatitis 12:87–92
De Groot AC, van Ginkel CJ, Weijland JW (1996) Methyldibromoglutaronitril (Euxyl K-400): an important new allergen in cosmetics. J Am Acad Dermatol 35:743–747
Dejobert Y, Martin P (1991) Contact dermatitis from topical leech extract. Contact Dermatitis 24:366–367
Dooms-Goossens A, Gevers D, Merstens A, et al. (1983) Allergic contact urticaria to chloramine. Contact Dermatitis 9:319
Dooms-Goossens A, Vandaele M, et al. (1989) Hexamidine isethionate: a sensitizer in topical pharmaceutical products and cosmetics. Contact Dermatitis 21:270
Eberlein-Konig B, Bergner T, Diemer S, Przybilla B (1993) Evaluation of phototoxic properties of some food additives: sulfites exhibit prominent phototoxicity. Acta Derm Venereol 73:362–364
Fisher AA (1980) Cutaneous reactions to sorbic acid and potassium sorbate. Cutis 25:50–423
Fisher AA (1986) Contact dermatitis. Lea and Febiger, Philadelphia
Ford GP, Beck MH (1986) Reactions to Quaternium-15, Bronopol and Germall II in a standard series. Contact Dermatitis 14:322–324
Fregert S (1967) Allergic contact dermatitis from pesticides captan and phaltan. Contact Dermatitis 2:28
Fregert S, Groth O, Hjorth N, et al. (1963) Dermatitis from alcohol. J Allergy 34:904
Frosch PJ (1995) Cutaneous irritation. In: Rycroft RJG, Menné T, Frosch PJ (eds) Textbook of contact dermatitis. Springer, Berlin Heidelberg New York, pp 54–55
Gall H (1979) Toxisches kontaktekzem auf die quaternäre ammoniumverbindung benzalkoniumchlorid. Derm Beruf Umwelt 27:139
Garcie-Perez A, Moran M (1975) Dermatitis from quaternary ammonium compounds. Contact Dermatitis 1:316
Gelfarb M, Leiden M (1960) Contact eczematous contact derma titis. Arch Dermatol 82:642
Giordano, Labadie F, Pech Ormieres C (1996) Systemic contact dermatitis from sorbic acid. Contact Dermatitis 34:61–62
Glass WI (1961) An outbreak of formaldehyde dermatitis. NZ Med J 60:423
Goh CG, Ng SK (1986) Contact sensitivity to salicylic acid. Contact Dermatitis 14:114
Gross BC (1984) Cardiac arrhythmias during phenol face peeling. Plast Reconstr Surg 73:590–594
Gruvberger B, Bruze M, Almgren G (1998) Occupational dermatoses in a plant producing binders for paints and glues. Contact Dermatitis 38:71–77
Hannuksela M, Kousa M, Pirill V (1976) Allergy ingredients of vehicles. Contact Dermatitis 2:105
Hasan T, Jansen CT (1996) Photopatch test reactivity: effect of photoallergen concentration and UVA dosaging. Contact Dermatitis 34:383–386
Hasen KS (1983) Glutaraldehyde occupational dermatitis. Contact Dermatitis 9:81
Hausen BM, Emde L, Marks V (1993) An investigation of the allergenic constituents of Cladonia stellaris. Contact Dermatitis 28:70–76
Hectorne KJ, Fransway AF (1994) Diazolidinyl urea: incidence of sensitivity, patterns of cross-reactivity and clinical relevance. Contact Dermatitis 30:16–19
Heine A, Tarnick M (1987) Allergisches kontaktekzem durch Usninsaure in Deodorantsprays. Dermatol Monatsschr 173:221–225
Hodgskinson DJ, Ivens GB, et al. (1978) Chemical burns and skin preparation solutions. Surg Gynecol Obstet 147:534
Hostynek JJ (1989) Hypochlorite sensitivity in man. Contact Dermatitis 20:32
Jacobs MC, White IR, Rycroft RJ, Taub N (1995) Patch testing with preservatives at St John’s from 1982 to 1993. Contact Dermatitis 33:247–254
Kanerva L, Alanko K, Estlander T, Sihvonen T, Jolanki R (1997) Occupational allergic contact urticaria from chloramine-T solution. Contact Dermatitis 37:180–181
Kaslow RA (1976) Nosocomial pseudobacteremia: positive blood-cultures due to contaminated benzalkonium antiseptic. JAMA 236:2407
Kiec-Swierczynska M (1995) Preliminary assessment of the effect of disinfectants on skin changes in health service workers. Med Pr 46:149–154
Knudsen BB, Avnstorp C (1991) Chlorhexidine gluconate an acetate in patch testing. Contact Dermatitis 24:45–49
Koch P, Bahmer FA, Hausen BM (1995) Allergic contact dermatitis from purified eosin. Contact Dermatitis 32: 92–95
Kranke B, Szolar Platzer C, Aberer W (1996) Reactions to formaldehyde and formaldehyde releasers in a standard series. Contact Dermatitis 35:192–193
Kunze J, Kaiser HJ, Petres J (1983) Relevenz einer Jodallergie beri handelsüblichen Polyvidon-Jod-Zubereitungen. Z Hautkr 58:255
Lahti A (1980) Non-immunologic contact urticara. Acta Derm Venereol 60[Suppl 91]:1–49
Lahti A (1995) Immediate contact reactions. In: Rycroft RJG, Menné T, Frosch PJ (eds) Textbook of contact dermatitis. Springer, Berlin Heidelberg New York, p 67
Levy J, Sewell M, Goldstein N (1979) A short history of tattooing. J Derm Surg Oncol 5:851–853
Lombardi P, et al. (1984) Unusual occupational allergic contact dermatitis in a nurse. Contact Dermatitis 20:302
Lowe I, Southern J (1994) The antimicrobial activity of phenoy-ethanol in vaccines. Lett Appl Microbiol 18:115–116
Lützow-Holm, C Rönnevig JR (1988) Allergic contact dermatitis from dibrompropamidine cream. Contact Dermatitis 18: 100–101
Madden SD, Thiboutot DM, Marks JG Jr (1994) Occupationally induced allergic contact dermatitis to methylchloro-isothiazolinone/methylisothiazolinone among machinists. J Am Acad Dermatol 30:272–274
Marcussen PV (1963) Variations in the incidence of contact hypersensitivities. Trans St Johns Hosp Dermatol Soc 48:40
Martin Scott I (1960) Contact dermatitis from alcohol. J Dermatol 72:372
Menz J, Muller SA, Connolly SM (1982) Photopatch testing: a six-year experience. J Am Acad Dermatol 18:1044–1047
Merk H, Ebert L, Goerz G (1982) Allergic contact dermatitis due to the fungicide hexetidine. Contact Dermatitis 8:216
Meynadier JM, Meynadier J, Colmas A, et al. (1982) Allergie aux conservateur. Ann Derm Venereol 109:1017–1027
Michel M, Dompmartin A, Moreau A, et al. (1994) Contact photosensitivity to nonoxynol used in antiseptic preparations. Photodermatol Photoimmunol Photomed 10:198–201
Mitchell JC (1965) Allergy to lichens. Arch Dermatol 92:142–146
Mitchell JC (1972) Contact dermatitis from proflavine dihydro- chloride. Arch Dermatol 106:294
Miyauchi H, Horio T (1992) A new animal model for contact dermatitis: the hairless guinea pig. J Dermatol 19:140–145
Moscato G, Omodeo P, et al. (1997) Occupational asthma and rhinitis caused by i,2-benzisothiazolin-3-one in a chemical worker. Occup Med (Oxf) 47:249–251
Myatt AE, Beck MH (1985) Contact sensitivity to para- chlorometaxylenol (PCMX). Clin Exp Dermatol 10:491
Nethercott JR, Lawrence MJ (1984) Airborne contact urticaria due to sodium benzoate in a pharmaceutical manufacturing plant. J Occup Med 26:734–736
Nethercott JR, Holness DL, Page E (1988) Occupational contact dermatitis due to glutaraldehyde in health care workers. Contact Dermatitis 18:193–196
Ng SK, Goh CL (1989) Contact allergy to sodium hypochlorite in Eusol. Contact Dermatitis 21:281
Okano M, Nomura M, Hata S, et al. (1989) Anaphylactic symptoms due to Chlorhexidine digluconate. Arch Dermatol 125:50
Okazawa H, Aihara M, Nagatani T, et al. (1998) Allergic contact dermatitis due to ethyl alcohol. Contact Dermatitis 38:233
Osmundsen PE (1970) Contact Photodermatitis to tribromsalicylanilide (cross reaction pattern). Dermatologica 140:65
Ostler HB, Okumoto M, Daniels T (1983) Drug induced cicatri sation of the conjunctiva. Contact Dermatitis 9:155
Pecquet C, Pradalier A (1992) Allergic contact dermatitis from ethanol in a transdermal estradiol patch. Contact Dermatitis 27:275–276
Perrenoud D, Bircher A, Hunziker T, et al. (1994) Frequency of sensitization to 13 common preservatives in Switzerland, swiss contact dermatitis group. Contact Dermatitis 30:276–279
Polano MK (1984) Topical skin therapeutics. Churchill Livingstone, Edinburgh
Praditsuwan P, Taylor JS, Roenigk HH Jr (1995) Allergy to Unna boots in four patients. J Am Acad Dermatol 33:906–908
Prue C, Martinson ME, McAnally PM, Stagner WC (1998) Postmarketing survey results of T.R.U.E. TEST, a new allergen patch test. Am J Contact Dermat 9:6–10
Rafanelli S, Bacchilega R, et al. (1995) Contact dermatitis from usnic acid in vaginal ovules. Contact Dermatitis 33:271–272
Ramsing DW, Menne T (1993) Contact sensitivity to sorbic acid. Contact Dermatitis 28:124–125
Ranchoff RE, Steck WD, Taylor JS, Evey P (1986) Electrocardi ography electrode and hand dermatitis from para-chlorometaxylenol. J Am Acad Dermatol 15:348–350
Rushton A (1977) Safety of Hibitane: II human experience. J Clin Periodontol 4:73
Safford RJ, Basketter DA, Allenby CF, et al. (1990) Immediate contact reactions to chemicals in the fragrance mix and a study of the quenching action of eugenol. Br J Dermatol 123:595–606
Schick JB, Milstein MM (1981) Burn hazard of isopropyl alcohol in neonates. Pediatrics 68:587
Schnuch A, Geier J, Uter W, Frosch PJ (1998) Patch testing with preservatives, antimicrobials and industrial biocides. Results from a multicentre study. Br J Dermatol 138:467–476
Schoppelrey HP, Mily H, Agathos M, et al. (1997) Allergic contact dermatitis from pyoctanin. Contact Dermatitis 36:221–224
Shehade SA, Foulds IS (1986) Allergic contact dermatitis to brilliant green. Contact Dermatitis 14:186–187
Shumes E (1984) Allergic dermatitis to benzyl alcohol in a injectable solution. Arch Dermatol 120:1200
Singgih SI, Lantinga H, Nater JP, Woest TE, Kruyt-Gaspersz JA (1986) Occupational hand dermatoses in hospital cleaning personnel. Contact Dermatitis 14:14–19
Steinkjer B, Braathen LR (1988) Contact dermatitis from triclosan (Irgasan DP300). Contact Dermatitis 18:243–244
Taran JM, Delaney TA (1997) Contact allergy to chloroacetamide. Australas J Dermatol 38:95–96
Tilseley DA, Wilkinson DS (1965) Necrosis and dequalinium II: vulval and extragenital ulceration. Trans St John’s Hosp Dermatol Soc 51:49
Tomb RR (1991) Allergic contact dermatitis from eosin. Contact Dermatitis 24:27–29
Torresani C, Caprari E, Manar GC (1993) Contact urticaria syndrome due to phenylmercuric acetate. Contact Dermatitis 29:282–283
Tupker RA, Schuur J, Coenraads PJ (1997) Irritancy of antiseptics tested by repeated open exposures on the human skin, evaluated by non-invasive methods. Contact Dermatitis 37:213–217
van Ketel WG (1980) Sensitization to mercury from mercuro- chrome. Contact Dermatitis 6:499
Verecken P, Birringer C, Knitelius AC, Herbaut D, Germaux MA (1998) Sensitization to benzyl alcohol: a possible cause of “corticosteroid allergy”. Contact Dermatitis 38:106
Verhaeghe I, Dooms Goossens A (1997) Multiple sources of allergic contact dermatitis from parabens. Contact Dermatitis 36:269–270
Viljanto J (1980) Disinfection of surgical wounds inhibitive of normal wound healing. Arch Surg 115:253
Von Weis JF, Lever WF (1964) Percutaneous salicylic acid intoxication in psoriasis. Arch Dermatol 90:614
Wahlberg JE (1962) Two cases of hypersensitivity to quaternary ammonium compounds. Acta Derm Venereol 42:239
White IR (1995) Phototoxic and Photoallergic reactions. In: Rycroft RJG, Menné T, Frosch PJ (eds) Textbook of contact dermatitis. Springer, Berlin Heidelberg New York, p 84
Whitehead PN (1988) Dermatitis from crystal violet. Contact Dermatitis 19:141–142
Wissenschaftlicher Berat der Bundes@rztekammer (1980) Zur anwendung von polyvinylpyrrolidon-jod-komplexen (polyvi-donjod: pvp-jod). Deutsch Arztebl: 82:1434
Wright NC (1926) The action of hypochlorates on amino-acids and proteins. Biochem J 20:524
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Timmer, C. (2000). Antimicrobials and Disinfectants. In: Kanerva, L., Wahlberg, J.E., Elsner, P., Maibach, H.I. (eds) Handbook of Occupational Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07677-4_59
Download citation
DOI: https://doi.org/10.1007/978-3-662-07677-4_59
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-07679-8
Online ISBN: 978-3-662-07677-4
eBook Packages: Springer Book Archive