Air-oxidized linalool-a frequent cause of fragrance contact allergy

Johanna Bråred Christensson, Klaus Ejner Andersen, Magnus Bruze, Jeanne D Johansen, Begoña Garcia-Bravo, Ana Gimenez Arnau, Chee-Leok Goh, Rosemary Nixon, Ian R White

    76 Citations (Scopus)

    Abstract

    Background. Linalool is a common fragrance terpene that, in pure form, is not allergenic or is a very weak allergen. However, linalool autoxidizes on air exposure, and the oxidation products can cause contact allergy. In a Swedish study, oxidized linalool 6.0% in petrolatum (pet.) gave 5% positive patch test reactions in 2500 dermatitis patients. Objectives. To investigate whether oxidized linalool 6%, with a stable concentration of the main haptens, the linalool hydroperoxides (Lin-OOHs) in pet., could be a useful tool for the detection of contact allergy in an international setting. Methods. Oxidized linalool 6.0% (Lin-OOHs 1%) pet. was tested in 2900 consecutive dermatitis patients in Denmark, the United Kingdom, Singapore, Spain, Sweden, and Australia. Results. Overall, 6.9% (range 3-13%) of the patients showed positive patch test reactions to oxidized linalool. Doubtful reactions were found in 9.2% of the patients (range 0-36%). Few irritant reactions were seen. Conclusions. In an international setting, oxidized linalool has been shown to be a common allergen. Oxidized linalool 6.0% (Lin-OOHs 1%) pet. is a useful, standardized and stable tool for the detection of contact allergy in dermatitis patients. Many patients showing positive patch test reactions to oxidized linalool would not have been informed of their fragrance allergy if this specific test had not been performed.
    Original languageEnglish
    JournalContact Dermatitis
    Volume67
    Issue number5
    Pages (from-to)247-259
    Number of pages13
    ISSN0105-1873
    DOIs
    Publication statusPublished - Nov 2012

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