Allergic contact dermatitis by shampoo components: a descriptive analysis of 20 cases

array:24 ["pii" => "S0365059620301732" "issn" => "03650596" "doi" => "10.1016/j.abd.2019.12.009" "estado" => "S300" "fechaPublicacion" => "2020-09-01" "aid" => "228" "copyright" => "Sociedade Brasileira de Dermatologia" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "sco" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "pt" => array:19 [ "pii" => "S2666275220302496" "issn" => "26662752" "doi" => "10.1016/j.abdp.2020.07.008" "estado" => "S300" "fechaPublicacion" => "2020-09-01" "aid" => "228" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "sco" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "pt" => array:10 [ "idiomaDefecto" => true "cabecera" => "Carta – Investigação" "titulo" => "Dermatite alérgica de contato por componentes de xampus: análise descritiva de 20 casos" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "658" "paginaFinal" => "660" ] ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 618 "Ancho" => 1250 "Tamanyo" => 137244 ] ] "descripcion" => array:1 [ "pt" => "Paciente com eczema crônico (intensa liquenificação na fronte) por dermatite alérgica de contato à metilisotiazolinona presente nos xampus de que fazia uso." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rosana Lazzarini, Lilian Lemos Costa, Nathalie Mie Suzuki, Mariana de Figueiredo Silva Hafner" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Rosana" "apellidos" => "Lazzarini" ] 1 => array:2 [ "nombre" => "Lilian Lemos" "apellidos" => "Costa" ] 2 => array:2 [ "nombre" => "Nathalie Mie" "apellidos" => "Suzuki" ] 3 => array:2 [ "nombre" => "Mariana de Figueiredo Silva" "apellidos" => "Hafner" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0365059620301732" "doi" => "10.1016/j.abd.2019.12.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301732?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302496?idApp=UINPBA00008Z" "url" => "/26662752/0000009500000005/v1_202010040634/S2666275220302496/v1_202010040634/pt/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0365059620301835" "issn" => "03650596" "doi" => "10.1016/j.abd.2020.02.010" "estado" => "S300" "fechaPublicacion" => "2020-09-01" "aid" => "238" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "sco" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Case Letter" "titulo" => "Onset of vitiligo in a patient with acquired secondary hypogonadism under treatment with testosterone gel 2%: inside the pathogenesis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "661" "paginaFinal" => "662" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 586 "Ancho" => 905 "Tamanyo" => 72577 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Symmetric macules of vitiligo on the dorsomedial part of the hands." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Giovanni Paolino, Pietro Bearzi, Santo Raffaele Mercuri" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Giovanni" "apellidos" => "Paolino" ] 1 => array:2 [ "nombre" => "Pietro" "apellidos" => "Bearzi" ] 2 => array:2 [ "nombre" => "Santo Raffaele" "apellidos" => "Mercuri" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2666275220302563" "doi" => "10.1016/j.abdp.2020.02.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302563?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301835?idApp=UINPBA00008Z" "url" => "/03650596/0000009500000005/v2_202011080908/S0365059620301835/v2_202011080908/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0365059620301707" "issn" => "03650596" "doi" => "10.1016/j.abd.2020.03.006" "estado" => "S300" "fechaPublicacion" => "2020-09-01" "aid" => "225" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "What is your diagnosis?" "titulo" => "Case for diagnosis. Penile lesion in HIV-negative patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "655" "paginaFinal" => "657" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2682 "Ancho" => 1519 "Tamanyo" => 270944 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Erythematoviolaceous papules on the corona of the glans." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mauro Cunha Ramos, Fabiana Bazanella de Oliveira, Vicente Sperb Antonello, Ana Leticia Boff" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Mauro Cunha" "apellidos" => "Ramos" ] 1 => array:2 [ "nombre" => "Fabiana Bazanella de" "apellidos" => "Oliveira" ] 2 => array:2 [ "nombre" => "Vicente Sperb" "apellidos" => "Antonello" ] 3 => array:2 [ "nombre" => "Ana Leticia" "apellidos" => "Boff" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2666275220302460" "doi" => "10.1016/j.abdp.2020.07.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302460?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301707?idApp=UINPBA00008Z" "url" => "/03650596/0000009500000005/v2_202011080908/S0365059620301707/v2_202011080908/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "Research Letter" "titulo" => "Allergic contact dermatitis by shampoo components: a descriptive analysis of 20 cases" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "658" "paginaFinal" => "660" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Rosana Lazzarini, Lilian Lemos Costa, Nathalie Mie Suzuki, Mariana de Figueiredo Silva Hafner" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Rosana" "apellidos" => "Lazzarini" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Lilian Lemos" "apellidos" => "Costa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Nathalie Mie" "apellidos" => "Suzuki" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 3 => array:4 [ "nombre" => "Mariana de Figueiredo Silva" "apellidos" => "Hafner" "email" => array:1 [ 0 => "mariana@hafner.med.br" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Allergy Unit, Dermatology Clinic, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Dermatology Clinic, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1062 "Ancho" => 905 "Tamanyo" => 116754 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Patient with hyperchromia and abrasions on the back caused by pruritus from allergic contact dermatitis to cocamidopropyl betaine in shampoos (demonstrated by patch test)." ] ] ] "textoCompleto" => "Shampoos are the most used cosmetics for hair and scalp care. They are composed of several ingredients, usually ranging from 10 to 30, with different functions, such as surfactants for cleanning, preservatives to stabilize the product, and fragrances to make them cosmetically pleasant to the consumer.<a class="elsevierStyleCrossRefs" href="#bib0005">1–3</a>Adverse reactions to their use may occur. Although studies demonstrate that the sensitizing power of allergens present in rinse products is low (through ephemeral contact with the skin), allergic contact dermatitis (ACD) due to components of shampoos has been well described in the literature.<a class="elsevierStyleCrossRef" href="#bib0020">4</a> It is possible that sensitization occurs earlier by contact with other products containing the same allergens. In addition, factors such as frequency of use and presence of atopy may influence the onset of ACD.Pruritus and hair loss are the most described symptoms. Eczematous lesions are usually observed on the scalp, face, ears, and cervical region.<a class="elsevierStyleCrossRefs" href="#bib0005">1,5</a> In these cases, the patch test is the main tool for the identification of the causal agent and, subsequently, treatment.This study aimed to evaluate the main allergens that cause ACD by shampoos and the epidemiological characteristics of the population affected by this condition in a specialized dermatological service of a quaternary hospital.A total of 654 patch tests were carried out between January 2014 and August 2019. Among them, those with a final diagnosis of ACD by shampoo were chosen for analysis. All selected cases were tested with the Brazilian standard (FDA Allergenic, Brazil), capillary (IPI ASAC, Brazil), and Latin American (Chemothecnique, Sweden) tests.ACD by shampoo was diagnosed in 20 patients (3% of those who underwent the patch test). Of these, 19 (95%) were female and one male. The mean age was 52.2 years. The higher frequency of female patients is consistent with the greater use of cosmetics by this group.The mean time of illness was 46 months, reflecting probable difficulties in establishing the diagnosis, thus lengthening the time of illness since the causative agents were not withdrawn.The most affected regions in patients were: scalp in 12 cases (60%), face and upper limbs in ten (50%) each, cervical in seven (35%), back in four (20%), ears in three (15%), chest and armpits in two (10%) each, and abdomen and shoulders in one (5%) each; these data are compatible with the literature. This variety of possible clinical presentations contributes to diagnostic difficulties, particularly when there are no evident lesions on the scalp, as occurred in eight out of 20 patients (40%), which can be explained by the anatomical characteristics of this region (great thickness and greater number of pilosebaceous units), which hinder the penetration of allergens and the detection of eczema.<a class="elsevierStyleCrossRefs" href="#bib0005">1,2</a> In some patients, the lesions affected the areas that come into contact with the shampoo when it is rinsed: the forehead, eyelids, auricular region, lateral cervical, and back (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1–3</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia>The relevant positive results of the patch tests are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>. The responsible allergens were preservatives (Kathon CG, formaldehyde, captan, methyldibromo glutaronitrile and dyazolinidyl urea), fragrances (FM1, FM2, and balsam of Peru), and surfactants (cocamidopropyl betaine, lauryl polyglucoside, and decyl glucoside). These results are in agreement with the literature.<a class="elsevierStyleCrossRef" href="#bib0005">1</a> It is noteworthy that among the eleven ACD-causing allergens presented, only four are included in the Brazilian standard test (Kathon CG, formaldehyde, fragrance-mix 1, and balsam of Peru), while the others were present in the complementary tests used. In all cases, the diagnosis was confirmed by a test with current relevance, verified by reading the labels of the shampoos used (proving the exposure to the detected allergens), and the complete improvement after removal of these agents during clinical follow-up.<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>As most shampoos have similar compositions, it is common for the dermatitis to persist even after patients change the product and brand on their own. Thus, it is essential to perform a patch test whenever there is clinical suspicion, which should be performed with the standard and the complementary series, thus allowing individualized guidance for each patient regarding which products should be used.Financial supportNone declared.Authors’ contributionsRosana Lazzarini: Approval of the final version of the manuscript; conception and planning of the study; effective participation in research orientation.Lilian Lemos Costa: Obtaining, analyzing, and interpreting the data; critical review of the literature.Nathalie Mie Suzuki: Elaboration and writing of the manuscript; critical review of the manuscript.Mariana de Figueiredo Silva Hafner: Conception and planning of the study; elaboration and writing of the manuscript; critical review of the manuscript.Conflicts of interestNone declared." "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial support" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Authors’ contributions" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-09-18" "fechaAceptado" => "2019-12-08" "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "How to cite this article: Lazzarini R, Costa LL, Suzuki NM, Hafner MFS. Allergic contact dermatitis by shampoo components: a descriptive analysis of 20 cases. An Bras Dermatol. 2020;95. https://doi.org/10.1016/j.abd.2019.12.009." ] 1 => array:2 [ "etiqueta" => "☆☆" "nota" => "Study conducted at the Dermatology Clinic, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil." ] ] "multimedia" => array:4 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 487 "Ancho" => 905 "Tamanyo" => 97939 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Patient with chronic eczema (intense lichenification on the forehead) due to allergic contact dermatitis from methyl isothiazolinone present in the shampoos used." ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1268 "Ancho" => 905 "Tamanyo" => 200328 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Patient with allergic contact dermatitis to components of the shampoos involving the pre-auricular, retroauricular, and lateral cervical regions (areas that come into contact with the shampoo when it is rinsed)." ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1062 "Ancho" => 905 "Tamanyo" => 116754 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Patient with hyperchromia and abrasions on the back caused by pruritus from allergic contact dermatitis to cocamidopropyl betaine in shampoos (demonstrated by patch test)." ] ] 3 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Relevant allergens \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Number of positive tests \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Kathon CG<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">26.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Formaldehyde \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">17.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Cocamidopropyl betaine \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Captan<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Lauryl polyglucoside \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Decyl glucoside \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Methyldibromo glutaronitrile \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">FM1<a class="elsevierStyleCrossRef" href="#tblfn0015">c</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">FM2<a class="elsevierStyleCrossRef" href="#tblfn0020">d</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Diazolinidyl urea \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Balsam of Peru \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Total \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">47<a class="elsevierStyleCrossRef" href="#tblfn0025">e</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100.0 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2418970.png" ] ] ] "notaPie" => array:5 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "Kathon CG: methylisothiazolinone + methylchloroisothiazolinone." ] 1 => array:3 [ "identificador" => "tblfn0010" "etiqueta" => "b" "nota" => "Captan: N-trichloromethylthio-4-cyclohexene-1,2-dicarboximide." ] 2 => array:3 [ "identificador" => "tblfn0015" "etiqueta" => "c" "nota" => "FM1: geraniol, cinnamaldehyde, hydroxycitronellal, cinnamyl alcohol, amylcinnamaldehyde, isoeugenol, eugenol, and oak moss." ] 3 => array:3 [ "identificador" => "tblfn0020" "etiqueta" => "d" "nota" => "FM2: coumarin, lyral, citronellol, farnesol, citral, hexyl cinnamic aldehyde." ] 4 => array:3 [ "identificador" => "tblfn0025" "etiqueta" => "e" "nota" => "NOTE: some patients presented more than one positive test." ] ] ] "descripcion" => array:1 [ "en" => "Relevant allergens found in patch tests." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Shampoos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Zirwas" 1 => "J. Moennich" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Dermatitis" "fecha" => "2009" "volumen" => "20" "paginaInicial" => "106" "paginaFinal" => "110" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Common Allergens Identified Based on Patch Test Results in Patients with Suspected Contact Dermatitis of the Scalp" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N.M. Aleid" 1 => "R. Fertig" 2 => "A. Maddy" 3 => "A. Tosti" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000453530" "Revista" => array:6 [ "tituloSerie" => "Skin Appendage Disord" "fecha" => "2017" "volumen" => "3" "paginaInicial" => "7" "paginaFinal" => "14" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28611994" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Contact Dermatitis to Cosmetics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.J. Zirwas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Rev Allergy Immunol" "fecha" => "2019" "volumen" => "56" "paginaInicial" => "119" "paginaFinal" => "128" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Skin Sensitization Induction Potential From Daily Exposure to Fragrances in Personal Care Products" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D.A. Drechsel" 1 => "K.M. Towle" 2 => "E.S. Fung" 3 => "R.M. Novick" 4 => "D.J. Paustenbach" 5 => "A.D. Monnot" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Dermatitis" "fecha" => "2018" "volumen" => "29" "paginaInicial" => "324" "paginaFinal" => "331" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chronic eyelid dermatitis secondary to cocamidopropyl betaine allergy in a patient using baby shampoo eyelid scrubs" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.D. Welling" 1 => "T.F. Mauger" 2 => "L.R. Schoenfield" 3 => "A.J. Hendershot" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JAMA Ophthalmol" "fecha" => "2014" "volumen" => "132" "paginaInicial" => "357" "paginaFinal" => "359" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03650596/0000009500000005/v2_202011080908/S0365059620301732/v2_202011080908/en/main.assets" "Apartado" => array:4 [ "identificador" => "82768" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Research Letter" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009500000005/v2_202011080908/S0365059620301732/v2_202011080908/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301732?idApp=UINPBA00008Z"]

Statistics

Research Letter

Allergic contact dermatitis by shampoo components: a descriptive analysis of 20 cases

Rosana Lazzarinia, Lilian Lemos Costab, Nathalie Mie Suzukia, Mariana de Figueiredo Silva Hafnera,

Corresponding author

mariana@hafner.med.br

Corresponding author.

a Allergy Unit, Dermatology Clinic, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil

b Dermatology Clinic, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil

Read

6912

Times
was read the article

2832

Total PDF

4080

Total HTML

Share statistics

 array:24 [
  "pii" => "S0365059620301732"
  "issn" => "03650596"
  "doi" => "10.1016/j.abd.2019.12.009"
  "estado" => "S300"
  "fechaPublicacion" => "2020-09-01"
  "aid" => "228"
  "copyright" => "Sociedade Brasileira de Dermatologia"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by/4.0/"
  "subdocumento" => "sco"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "pt" => array:19 [
      "pii" => "S2666275220302496"
      "issn" => "26662752"
      "doi" => "10.1016/j.abdp.2020.07.008"
      "estado" => "S300"
      "fechaPublicacion" => "2020-09-01"
      "aid" => "228"
      "copyright" => "Sociedade Brasileira de Dermatologia"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by/4.0/"
      "subdocumento" => "sco"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "pt" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta &#8211; Investiga&#231;&#227;o</span>"
        "titulo" => "Dermatite al&#233;rgica de contato por componentes de xampus&#58; an&#225;lise descritiva de&#160;20&#160;casos"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "658"
            "paginaFinal" => "660"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "pt" => true
        ]
        "contienePdf" => array:1 [
          "pt" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 618
                "Ancho" => 1250
                "Tamanyo" => 137244
              ]
            ]
            "descripcion" => array:1 [
              "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Paciente com eczema cr&#244;nico &#40;intensa liquenifica&#231;&#227;o na fronte&#41; por dermatite al&#233;rgica de contato &#224; metilisotiazolinona presente nos xampus de que fazia uso&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Rosana Lazzarini, Lilian Lemos Costa, Nathalie Mie Suzuki, Mariana de Figueiredo Silva Hafner"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Rosana"
                "apellidos" => "Lazzarini"
              ]
              1 => array:2 [
                "nombre" => "Lilian Lemos"
                "apellidos" => "Costa"
              ]
              2 => array:2 [
                "nombre" => "Nathalie Mie"
                "apellidos" => "Suzuki"
              ]
              3 => array:2 [
                "nombre" => "Mariana de Figueiredo Silva"
                "apellidos" => "Hafner"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0365059620301732"
          "doi" => "10.1016/j.abd.2019.12.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301732?idApp=UINPBA00008Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302496?idApp=UINPBA00008Z"
      "url" => "/26662752/0000009500000005/v1_202010040634/S2666275220302496/v1_202010040634/pt/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0365059620301835"
    "issn" => "03650596"
    "doi" => "10.1016/j.abd.2020.02.010"
    "estado" => "S300"
    "fechaPublicacion" => "2020-09-01"
    "aid" => "238"
    "copyright" => "Sociedade Brasileira de Dermatologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "sco"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>"
      "titulo" => "Onset of vitiligo in a patient with acquired secondary hypogonadism under treatment with testosterone gel 2&#37;&#58; inside the pathogenesis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "661"
          "paginaFinal" => "662"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 586
              "Ancho" => 905
              "Tamanyo" => 72577
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Symmetric macules of vitiligo on the dorsomedial part of the hands&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Giovanni Paolino, Pietro Bearzi, Santo Raffaele Mercuri"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Giovanni"
              "apellidos" => "Paolino"
            ]
            1 => array:2 [
              "nombre" => "Pietro"
              "apellidos" => "Bearzi"
            ]
            2 => array:2 [
              "nombre" => "Santo Raffaele"
              "apellidos" => "Mercuri"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S2666275220302563"
        "doi" => "10.1016/j.abdp.2020.02.006"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302563?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301835?idApp=UINPBA00008Z"
    "url" => "/03650596/0000009500000005/v2_202011080908/S0365059620301835/v2_202011080908/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0365059620301707"
    "issn" => "03650596"
    "doi" => "10.1016/j.abd.2020.03.006"
    "estado" => "S300"
    "fechaPublicacion" => "2020-09-01"
    "aid" => "225"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "crp"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">What is your diagnosis&#63;</span>"
      "titulo" => "Case for diagnosis&#46; Penile lesion in HIV-negative patient"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "655"
          "paginaFinal" => "657"
        ]
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2682
              "Ancho" => 1519
              "Tamanyo" => 270944
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0020"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Erythematoviolaceous papules on the corona of the glans&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Mauro Cunha Ramos, Fabiana Bazanella de Oliveira, Vicente Sperb Antonello, Ana Leticia Boff"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Mauro Cunha"
              "apellidos" => "Ramos"
            ]
            1 => array:2 [
              "nombre" => "Fabiana Bazanella de"
              "apellidos" => "Oliveira"
            ]
            2 => array:2 [
              "nombre" => "Vicente Sperb"
              "apellidos" => "Antonello"
            ]
            3 => array:2 [
              "nombre" => "Ana Leticia"
              "apellidos" => "Boff"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S2666275220302460"
        "doi" => "10.1016/j.abdp.2020.07.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220302460?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301707?idApp=UINPBA00008Z"
    "url" => "/03650596/0000009500000005/v2_202011080908/S0365059620301707/v2_202011080908/en/main.assets"
  ]
  "en" => array:17 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Research Letter</span>"
    "titulo" => "Allergic contact dermatitis by shampoo components&#58; a descriptive analysis of 20 cases"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "658"
        "paginaFinal" => "660"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Rosana Lazzarini, Lilian Lemos Costa, Nathalie Mie Suzuki, Mariana de Figueiredo Silva Hafner"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Rosana"
            "apellidos" => "Lazzarini"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Lilian Lemos"
            "apellidos" => "Costa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Nathalie Mie"
            "apellidos" => "Suzuki"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:4 [
            "nombre" => "Mariana de Figueiredo Silva"
            "apellidos" => "Hafner"
            "email" => array:1 [
              0 => "mariana@hafner.med.br"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Allergy Unit&#44; Dermatology Clinic&#44; Santa Casa de Miseric&#243;rdia de S&#227;o Paulo&#44; S&#227;o Paulo&#44; SP&#44; Brazil"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Dermatology Clinic&#44; Santa Casa de Miseric&#243;rdia de S&#227;o Paulo&#44; S&#227;o Paulo&#44; SP&#44; Brazil"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1062
            "Ancho" => 905
            "Tamanyo" => 116754
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Patient with hyperchromia and abrasions on the back caused by pruritus from allergic contact dermatitis to cocamidopropyl betaine in shampoos &#40;demonstrated by patch test&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Shampoos are the most used cosmetics for hair and scalp care&#46; They are composed of several ingredients&#44; usually ranging from 10 to 30&#44; with different functions&#44; such as surfactants for cleanning&#44; preservatives to stabilize the product&#44; and fragrances to make them cosmetically pleasant to the consumer&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Adverse reactions to their use may occur&#46; Although studies demonstrate that the sensitizing power of allergens present in rinse products is low &#40;through ephemeral contact with the skin&#41;&#44; allergic contact dermatitis &#40;ACD&#41; due to components of shampoos has been well described in the literature&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> It is possible that sensitization occurs earlier by contact with other products containing the same allergens&#46; In addition&#44; factors such as frequency of use and presence of atopy may influence the onset of ACD&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Pruritus and hair loss are the most described symptoms&#46; Eczematous lesions are usually observed on the scalp&#44; face&#44; ears&#44; and cervical region&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;5</span></a> In these cases&#44; the patch test is the main tool for the identification of the causal agent and&#44; subsequently&#44; treatment&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">This study aimed to evaluate the main allergens that cause ACD by shampoos and the epidemiological characteristics of the population affected by this condition in a specialized dermatological service of a quaternary hospital&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">A total of 654 patch tests were carried out between January 2014 and August 2019&#46; Among them&#44; those with a final diagnosis of ACD by shampoo were chosen for analysis&#46; All selected cases were tested with the Brazilian standard &#40;FDA Allergenic&#44; Brazil&#41;&#44; capillary &#40;IPI ASAC&#44; Brazil&#41;&#44; and Latin American &#40;Chemothecnique&#44; Sweden&#41; tests&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">ACD by shampoo was diagnosed in 20 patients &#40;3&#37; of those who underwent the patch test&#41;&#46; Of these&#44; 19 &#40;95&#37;&#41; were female and one male&#46; The mean age was 52&#46;2 years&#46; The higher frequency of female patients is consistent with the greater use of cosmetics by this group&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The mean time of illness was 46 months&#44; reflecting probable difficulties in establishing the diagnosis&#44; thus lengthening the time of illness since the causative agents were not withdrawn&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The most affected regions in patients were&#58; scalp in 12 cases &#40;60&#37;&#41;&#44; face and upper limbs in ten &#40;50&#37;&#41; each&#44; cervical in seven &#40;35&#37;&#41;&#44; back in four &#40;20&#37;&#41;&#44; ears in three &#40;15&#37;&#41;&#44; chest and armpits in two &#40;10&#37;&#41; each&#44; and abdomen and shoulders in one &#40;5&#37;&#41; each&#59; these data are compatible with the literature&#46; This variety of possible clinical presentations contributes to diagnostic difficulties&#44; particularly when there are no evident lesions on the scalp&#44; as occurred in eight out of 20 patients &#40;40&#37;&#41;&#44; which can be explained by the anatomical characteristics of this region &#40;great thickness and greater number of pilosebaceous units&#41;&#44; which hinder the penetration of allergens and the detection of eczema&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> In some patients&#44; the lesions affected the areas that come into contact with the shampoo when it is rinsed&#58; the forehead&#44; eyelids&#44; auricular region&#44; lateral cervical&#44; and back &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figs&#46; 1&#8211;3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">The relevant positive results of the patch tests are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46; The responsible allergens were preservatives &#40;Kathon CG&#44; formaldehyde&#44; captan&#44; methyldibromo glutaronitrile and dyazolinidyl urea&#41;&#44; fragrances &#40;FM1&#44; FM2&#44; and balsam of Peru&#41;&#44; and surfactants &#40;cocamidopropyl betaine&#44; lauryl polyglucoside&#44; and decyl glucoside&#41;&#46; These results are in agreement with the literature&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> It is noteworthy that among the eleven ACD-causing allergens presented&#44; only four are included in the Brazilian standard test &#40;Kathon CG&#44; formaldehyde&#44; fragrance-mix 1&#44; and balsam of Peru&#41;&#44; while the others were present in the complementary tests used&#46; In all cases&#44; the diagnosis was confirmed by a test with current relevance&#44; verified by reading the labels of the shampoos used &#40;proving the exposure to the detected allergens&#41;&#44; and the complete improvement after removal of these agents during clinical follow-up&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">As most shampoos have similar compositions&#44; it is common for the dermatitis to persist even after patients change the product and brand on their own&#46; Thus&#44; it is essential to perform a patch test whenever there is clinical suspicion&#44; which should be performed with the standard and the complementary series&#44; thus allowing individualized guidance for each patient regarding which products should be used&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0055" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authors&#8217; contributions</span><p id="par0060" class="elsevierStylePara elsevierViewall">Rosana Lazzarini&#58; Approval of the final version of the manuscript&#59; conception and planning of the study&#59; effective participation in research orientation&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Lilian Lemos Costa&#58; Obtaining&#44; analyzing&#44; and interpreting the data&#59; critical review of the literature&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Nathalie Mie Suzuki&#58; Elaboration and writing of the manuscript&#59; critical review of the manuscript&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Mariana de Figueiredo Silva Hafner&#58; Conception and planning of the study&#59; elaboration and writing of the manuscript&#59; critical review of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0080" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Financial support"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Authors&#8217; contributions"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflicts of interest"
        ]
        3 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2019-09-18"
    "fechaAceptado" => "2019-12-08"
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0030">How to cite this article&#58; Lazzarini R&#44; Costa LL&#44; Suzuki NM&#44; Hafner MFS&#46; Allergic contact dermatitis by shampoo components&#58; a descriptive analysis of 20 cases&#46; An Bras Dermatol&#46; 2020&#59;95&#46; <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.abd.2019.12.009">https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;abd&#46;2019&#46;12&#46;009</span>&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0035">Study conducted at the Dermatology Clinic&#44; Santa Casa de Miseric&#243;rdia de S&#227;o Paulo&#44; S&#227;o Paulo&#44; SP&#44; Brazil&#46;</p>"
      ]
    ]
    "multimedia" => array:4 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 487
            "Ancho" => 905
            "Tamanyo" => 97939
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Patient with chronic eczema &#40;intense lichenification on the forehead&#41; due to allergic contact dermatitis from methyl isothiazolinone present in the shampoos used&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1268
            "Ancho" => 905
            "Tamanyo" => 200328
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Patient with allergic contact dermatitis to components of the shampoos involving the pre-auricular&#44; retroauricular&#44; and lateral cervical regions &#40;areas that come into contact with the shampoo when it is rinsed&#41;&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1062
            "Ancho" => 905
            "Tamanyo" => 116754
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Patient with hyperchromia and abrasions on the back caused by pruritus from allergic contact dermatitis to cocamidopropyl betaine in shampoos &#40;demonstrated by patch test&#41;&#46;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0020"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Relevant allergens&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Number of positive tests&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Kathon CG<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Formaldehyde&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cocamidopropyl betaine&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Captan<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Lauryl polyglucoside&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Decyl glucoside&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Methyldibromo glutaronitrile&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FM1<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FM2<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diazolinidyl urea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Balsam of Peru&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">e</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2418970.png"
              ]
            ]
          ]
          "notaPie" => array:5 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Kathon CG&#58; methylisothiazolinone&#8239;&#43;&#8239;methylchloroisothiazolinone&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Captan&#58; N-trichloromethylthio-4-cyclohexene-1&#44;2-dicarboximide&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">FM1&#58; geraniol&#44; cinnamaldehyde&#44; hydroxycitronellal&#44; cinnamyl alcohol&#44; amylcinnamaldehyde&#44; isoeugenol&#44; eugenol&#44; and oak moss&#46;</p>"
            ]
            3 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "d"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">FM2&#58; coumarin&#44; lyral&#44; citronellol&#44; farnesol&#44; citral&#44; hexyl cinnamic aldehyde&#46;</p>"
            ]
            4 => array:3 [
              "identificador" => "tblfn0025"
              "etiqueta" => "e"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">NOTE&#58; some patients presented more than one positive test&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Relevant allergens found in patch tests&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Shampoos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Zirwas"
                            1 => "J&#46; Moennich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Dermatitis"
                        "fecha" => "2009"
                        "volumen" => "20"
                        "paginaInicial" => "106"
                        "paginaFinal" => "110"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Common Allergens Identified Based on Patch Test Results in Patients with Suspected Contact Dermatitis of the Scalp"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;M&#46; Aleid"
                            1 => "R&#46; Fertig"
                            2 => "A&#46; Maddy"
                            3 => "A&#46; Tosti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000453530"
                      "Revista" => array:6 [
                        "tituloSerie" => "Skin Appendage Disord"
                        "fecha" => "2017"
                        "volumen" => "3"
                        "paginaInicial" => "7"
                        "paginaFinal" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28611994"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Contact Dermatitis to Cosmetics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;J&#46; Zirwas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Rev Allergy Immunol"
                        "fecha" => "2019"
                        "volumen" => "56"
                        "paginaInicial" => "119"
                        "paginaFinal" => "128"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin Sensitization Induction Potential From Daily Exposure to Fragrances in Personal Care Products"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;A&#46; Drechsel"
                            1 => "K&#46;M&#46; Towle"
                            2 => "E&#46;S&#46; Fung"
                            3 => "R&#46;M&#46; Novick"
                            4 => "D&#46;J&#46; Paustenbach"
                            5 => "A&#46;D&#46; Monnot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Dermatitis"
                        "fecha" => "2018"
                        "volumen" => "29"
                        "paginaInicial" => "324"
                        "paginaFinal" => "331"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic eyelid dermatitis secondary to cocamidopropyl betaine allergy in a patient using baby shampoo eyelid scrubs"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;D&#46; Welling"
                            1 => "T&#46;F&#46; Mauger"
                            2 => "L&#46;R&#46; Schoenfield"
                            3 => "A&#46;J&#46; Hendershot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "JAMA Ophthalmol"
                        "fecha" => "2014"
                        "volumen" => "132"
                        "paginaInicial" => "357"
                        "paginaFinal" => "359"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03650596/0000009500000005/v2_202011080908/S0365059620301732/v2_202011080908/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "82768"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Research Letter"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009500000005/v2_202011080908/S0365059620301732/v2_202011080908/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620301732?idApp=UINPBA00008Z"
]

Article information

ISSN: 03650596
Original language: English

DOI:10.1016/j.abd.2019.12.009

The statistics are updated each day

Year/Month	Html	Pdf	Total

2024 November	25	8	33
2024 October	141	80	221
2024 September	200	84	284
2024 August	216	106	322
2024 July	211	124	335
2024 June	166	90	256
2024 May	145	58	203
2024 April	116	87	203
2024 March	128	67	195
2024 February	120	77	197
2024 January	97	54	151
2023 December	76	52	128
2023 November	89	65	154
2023 October	74	106	180
2023 September	104	83	187
2023 August	97	45	142
2023 July	102	25	127
2023 June	77	43	120
2023 May	79	20	99
2023 April	59	22	81
2023 March	83	44	127
2023 February	73	36	109
2023 January	48	32	80
2022 December	67	21	88
2022 November	102	48	150
2022 October	84	50	134
2022 September	77	67	144
2022 August	58	36	94
2022 July	53	55	108
2022 June	57	54	111
2022 May	50	52	102
2022 April	57	51	108
2022 March	59	67	126
2022 February	37	34	71
2022 January	46	67	113
2021 December	32	54	86
2021 November	39	48	87
2021 October	47	82	129
2021 September	35	40	75
2021 August	49	42	91
2021 July	38	38	76
2021 June	38	60	98
2021 May	44	76	120
2021 April	115	214	329
2021 March	89	62	151
2021 February	28	17	45
2021 January	63	15	78
2020 December	44	17	61
2020 November	49	10	59
2020 October	38	14	52
2020 September	35	10	45
2020 August	10	10	20
2020 July	14	13	27

Show all

Indexed in:

Follow us:

Subscribe:

Statistics

Indexed in:

Follow us:

Subscribe:

Statistics

Subscribe to our newsletter