What is in? What is out? Updating the British Society for Cutaneous Allergy facial series: What's out? Updating the British Society for Cutaneous Allergy Facial Series

S. Rolls (Lead / Corresponding author), E. Owen, C. G. Bertram, J. F. Bourke, D. A. Buckley, M. M. U. Chowdhury, S. M. Cooper, S. A. Ghaffar, C. M. Green, T. M. Hughes, G. A. Johnston, C. M. Reckling, D. A. Thompson, S. H. Wakelin, M. Wilkinson, N. M. Stone

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
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Abstract

Background: Allergic contact dermatitis (ACD) to cosmetics is widely reported. To ensure we are accurately diagnosing ACD, patch test series should be continually reviewed to identify relevant and emerging allergens and highlight those that are outdated. The current British Society for Cutaneous Allergy (BSCA) facial series recommends 26 allergens and was last modified in 2012. Objectives: To review and update the BSCA facial series.

Methods: We retrospectively reviewed the results from 12 UK and Ireland patch test centres’ facial series from January 2016 to December 2017. We recorded the number of allergens tested in each centre and the detection rate for each allergen. Using a 0·3% positive rate as the inclusion threshold, we established which allergens in the BSCA facial series had positive patch test rates < 0·3% and > 0·3%. Allergens not in the BSCA facial series that had a positive patch test rate > 0·3% were identified.

Results: Overall, 4224 patients were patch tested to the facial series. The number of allergens included in individual centres’ facial series ranged from 24 to 66, with a total of 103 allergens tested across all centres. Twelve of the 26 allergens in the BSCA facial series had a positive patch test rate < 0·3% and 14 had a rate > 0·3%. Twenty-five allergens not recommended in the BSCA facial series had a positive patch test rate > 0·3%.

Conclusions: This audit has highlighted the significant variation in practice that exists among patch test centres, despite a recommended facial series. The BSCA facial series has been updated and now contains 24 allergens. Fifteen allergens remain, 11 allergens have been dropped and nine new allergens have been added.

Original languageEnglish
Pages (from-to)151-155
Number of pages5
JournalBritish Journal of Dermatology
Volume184
Issue number1
Early online date13 Apr 2020
DOIs
Publication statusPublished - Jan 2021

Keywords

  • allergic contact dermatitis
  • facial series
  • cosmetic allergens
  • patch testing

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