Kumkum-induced allergic contact dermatitis: Are we missing the actual culprit?
| Autor: | Ashwini Annabathula, CR Srinivas, S Priya |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Positive reaction Sudan-1 Dermatology medicine.disease_cause Calcium Hydroxide Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences Curcuma 0302 clinical medicine Allergen lcsh:Dermatology medicine Humans 030212 general & internal medicine Coloring Agents Fragrance mix Allergic contact dermatitis Aged business.industry turmeric Contact hypersensitivity Patch test Small sample Middle Aged Patch Tests lcsh:RL1-803 medicine.disease Infectious Diseases Dermatitis Allergic Contact 4-Aminoazobenzene kumkum Female business Negative reaction |
| Zdroj: | Indian Journal of Dermatology, Venereology and Leprology, Vol 84, Iss 2, Pp 153-156 (2018) |
| ISSN: | 0378-6323 |
| DOI: | 10.4103/ijdvl.ijdvl_45_17 |
| Popis: | Background: Kumkum, made with turmeric and slaked lime along with colour enhancing dyes is known to cause allergic contact dermatitis. The possible contact allergens in kumkum include turmeric, Sudan-1, 4-aminoazobenzene, brilliant lake red R and cananga oil. We report patch test results among patients with suspected contact hypersensitivity to kumkum. Objective: To identify the allergen causing kumkum induced allergic contact dermatitis by patch testing and to advise patients about organic kumkum which doesnot contain colour enhancing dyes. Methods: Eighteen patients with suspected contact hypersensitivity to kumkum were patch tested with undiluted kumkum, undiluted turmeric, Sudan-1 (95%), 4-aminoazobenzene and allergens of the Indian Standard Series. Results: Of the 18 patients, 14 patients had patch test positivity to kumkum and 4 had a negative reaction to kumkum. Patch test with other suspected contact allergens showed positive reaction to turmeric in 4 patients, Sudan-1 in 3 patients and 4-aminoazobenzene in 2 patients. Among the allergens of the Indian Standard Series, positivity to nickel and fragrance mix was seen in 5 and 2 patients respectively. Positive reaction to PPD, chlorocresol and parthenium was seen in 1 patient each. Limitation: Small sample size. Conclusion: Allergic contact dermatitis to kumkum occurs both due to the dyes (added for enhancing the colour) and turmeric. All patients with suspected allergic contact dermatitis should be patch tested with kumkum, turmeric and dyes, based on which alternative non-allergic material could be advised. Kumkum dermatitis can also occur due to various other allergens, for which too patch testing should be done. |
| Databáze: | OpenAIRE |
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