Russo J P, Ipiña A, Palazzolo J F, Cannavó A B, Piacentini R D, Niklasson B
Servicio de Dermatología, Hospital San Martín de La Plata, La Plata, Argentina.
Grupo de Radiación Solar y Astropartículas, Instituto de Física Rosario, CONICET-UNR, Rosario, Argentina.
Actas Dermosifiliogr (Engl Ed). 2018 Jul-Aug;109(6):521-528. doi: 10.1016/j.ad.2018.02.011. Epub 2018 Apr 11.
Photoallergic contact dermatitis (PACD) to oxybenzone was reported for the first time in 1980. Oxybenzone is the most common photoallergen in the United States and Canada and the fourth most common .in Europe. There are no studies or data on the prevalence of oxybenzone PACD in Argentina.
To determine the proportion of photosensitive patients with PACD to oxybenzone.
We conducted a descriptive cross-sectional study of 35 patients with photosensitivity reactions confirmed by photopatch testing at the Research Center of Hospital Público San Martín in La Plata, Argentina, in 2015 and 2016.
PACD was identified in 6 patients (17.14%). Five of these (14.28%) had at least one positive reaction to oxybenzone in the photopatch test; 4 had a reaction at irradiated sites only (5 J/cm UVA) and one had a reaction at both irradiated and nonirradiated sites.
PACD to sunscreens containing oxybenzone is common and is probably underdiagnosed due to a lack of confirmation by photopatch tests or other diagnostic tools. Sensitization rates vary according to region and are influenced by sunscreen ingredients and variations in the use of sunscreen products, cosmetics, and topical drugs.
1980年首次报道了对二苯甲酰甲烷的光变应性接触性皮炎(PACD)。二苯甲酰甲烷是美国和加拿大最常见的光变应原,在欧洲是第四常见的光变应原。在阿根廷,没有关于二苯甲酰甲烷PACD患病率的研究或数据。
确定对二苯甲酰甲烷发生PACD的光敏患者的比例。
我们于2015年和2016年在阿根廷拉普拉塔市圣马丁公立医院研究中心对35例经光斑贴试验确诊为光敏反应的患者进行了描述性横断面研究。
6例患者(17.14%)被诊断为PACD。其中5例(14.28%)在光斑贴试验中对二苯甲酰甲烷至少有一次阳性反应;4例仅在照射部位(5 J/cm UVA)有反应,1例在照射部位和未照射部位均有反应。
对含二苯甲酰甲烷的防晒霜发生PACD很常见,可能由于缺乏光斑贴试验或其他诊断工具的证实而未被充分诊断。致敏率因地区而异,并受防晒成分以及防晒产品、化妆品和局部用药使用差异的影响。