Eczema and Allergic Contact Dermatitis
Leading Medical Journal Research and Helpful Websites
Allergic Contact Dermatitis
Affects 14.5 Million Americans every year
“Allergic contact dermatitis (ACD) is an important disease that notably affects 14.5 million Americans each year.”Bickers DR, Lim HW, Margolis D, et al.
The burden of skin diseases: 2004 a joint project of the American Academy of Dermatology and the Society for Investigative Dermatology.
J Am Acad Dermatol. 2006;55(3):490-500
Skin disease is one of the top 15 groups of medical conditions for which prevalence and health care spending increased the most between 1987 and 2000, with approximately 1 of 3 people in the United States with a skin disease at any given time. Even so, a national data profile on skin disease has not been conducted since the late 1970s. This study closes the gap by estimating the prevalence, economic burden, and impact on quality of life for 22 leading categories of skin disease.
The estimated annual cost of skin disease in 2004 was 39.3 billion dollars, including 29.1 billion dollars in direct medical costs (costs of health services and products) and 10.2 billion dollars in lost productivity costs (defined as costs related to consumption of medical care, costs associated with impaired ability to work, and lost future earning potential because of premature death). Based on a methodology of willingness to pay for symptom relief, the additional economic burden of skin disease on quality of life amounted to an estimated 56.2 billion dollars. Including the economic burden on quality of life, the total economic burden of skin disease to the US public in 2004 was approximately 96 billion dollars.
Benzoates and Balsam of Peru Allergy
Benzoic Acid, Sodium Benzoate, Benzyl Alcohol
Allergic contact dermatitis (ACD) is an important disease that notably affects 14.5 million Americans each year.1The economic impact of this disease is high in terms of both patient morbidity and loss of income, school, and work, not to mention significant expenditures for visits to health care providers and for medicaments. A correct diagnosis of ACD will improve, prevent, or “cure” the dermatitis and decrease overall costs to the health care system.1 Once patch testing is performed and a culprit has been identified, education becomes the critical intervention to ensure adherence to an avoidance regimen.
With allergen avoidance, remission of the dermatitis ensues. If patients are unable to comply with the avoidance regimen, they become at risk for recurrent or sustained dermatitis or progression to a systematized presentation.2,3 The 2 main types of contact dermatitis are irritant and allergic, with irritant contact dermatitis (ICD) being the most common. ICD may occur in anyone who is exposed to an irritating substance with significant duration or in significant concentrations such as chronic or frequent water exposure, abrasive cleansers, detergents, and soaps. It is important to note that ICD can at times precede or be a concomitant diagnosis with ACD.4,5 ACD is a delayed type-IV hypersensitivity reaction that can occur due to a large number of chemicals from poison ivy to fragrances in shampoos. The evaluation of ACD fits well with theranostic theory, as the epicutaneous patch test diagnostic evaluation dictates the avoidance management in each individual patient.
Although ACD is not “curable,” many individuals will achieve complete remission with assiduous avoidance. This article highlights ACD and explores top relevant allergens, regional-based dermatitis presentations, topic-based dermatitis presentations, and clinical tips and pearls for diagnosis and treatment, with a focus on benzoates.
Flowers of Benjamin: A Brief History
“This acid was known to the ancient chemists under the name of Flowers of Benjamin, or of Benzoin, and was procured, by sublimation, from the gum or resin called Benzoin.”
– Antoine Lavoisier, Elements of Chemistry, 17896
Alchemist Michel de Nostradame, more popularly known as prophesier Nostradamus, first described benzoic acid in 1556.7,8 To produce benzoic acid, Nostradame dry-distilled gum benzoin, the balsam resin from trees of the genus Styrax.9(“Gum” is a misnomer, as resin is not a water-soluble polysaccharide.9) Gum benzoin was popularly used at that time in fragrances, especially incense.10 Other benzoates were discovered and used as fragrances and flavorings. Sources from the 18th and 19th century describe benzoates used as fragrances and flavorings. For example, in the Handbook of Soap Manufacture, benzyl benzoate is noted for its use as a “fixateur,” a perfume that possessed the property to help soap “retain other and more delicate odours.”11 It was also said to be used to produce counterfeit arrack, a rum-like alcoholic beverage from the East Indies.12,13 (The author the Cookery Book directs 2 scruples of benzoic acid to be dissolved in 1 quart of rum to make “mock arrack.”12)…
find full article at link
Balsam of Peru Allergy
The Allergy Life
Website and OS App Product Database
SkinSafe is a website and IOS / Android app that can be used to filter out common top allergens. SkinSafe is a large database of products that is growing everyday. It has a unique scan feature on the app that can allow you to not only scan your product in question, but also to add your product to the growing database.
Database created in conjunction with Mayo Clinic Allergic Contact Dermatitis Dermatologist Dr. James Yiannias, M.D.
Custom Patient Allergy Code, PAC
If you have confirmed patch tested contact dermatitis allergies, email your complete list to firstname.lastname@example.org A free, custom allergy code will be e-mailed to you. By entering this into the system (website or App), your search results will be tailored to your specific allergy needs. A complete list is often given to your dr, but I encourage you to learn to search this database to learn your allergens.
The Learning Center gives you the option of looking up ingredients individually. Once given a PAC, each ingredient will display “Safe for Me” or “Not Safe for Me” dipictor. This not only helps you learn safe/unsafe ingredients, but it also is a wonderful way to sort out a product not included in the database yet.
Pre Emptive Avoidance Strategy
If you or your child already has eczema, a pre-emptive avoidance strategy is your best strategy at avoiding further issues like developing allergic contact dermatitis. Allergic contact dermatitis (ACD) is a T-cell mediated skin inflammation caused by repeated skin exposure to contact allergens. Research is showing that eczema/broken skin is the perfect environment for an allergen to invade the skin. By using the avoidance of top allergens strategy, you are creating a safe environment. You can read more here P.E.A.S. Please and SkinSafe
Detailed P.E.A.S. Info
The idea of the pre-emptive approach was developed by Dr. Sharon Jacob, Board Certified Dermatologist and Founder & CEO of the Dermatitis Academy, an invaluable resource to us. Dermatitis Academy