Should methyldibromo glutaronitrile continue to be used in the European baseline Series? A REIDAC national cross-sectional study


Por: Mercader-Garcia, P, Pastor-Nieto, MA, Gonzalez-Perez, R, Cordoba-Guijarro, S, Gimenez-Arnau, AM, Ruiz-Gonzalez, I, Mora-Fernandez, V, Miquel, J, Silvestre-Salvador, JF, Ortiz-Frutos, FJ, Sanz-Sanchez, T, Rodriguez-Serna, M, Perez-Feal, P, Sanchez-Perez, J, Heras-Mendaza, F, Serra-Baldrich, E, Zaragoza-Ninet, V, Hervella-Garces, M, Gatica-Ortega, ME, Garcia-Doval, I, Descalzo, MA, Borrego, L

Publicada: 1 nov 2021
Resumen:
Background Methyldibromo glutaronitrile (MDBGN) was one of the most frequent and relevant allergens found in patch testing at the beginning of this century. In 2008, this preservative was banned from cosmetics in Europe and ever since the prevalence of contact allergy to MDBGN has progressively decreased. Despite that gradual decline, MDBGN is still patch-tested in most baseline series. This study assessed the frequency of MDBGN sensitization, epidemiological characteristics of allergic patients, and the relevance of positive patch tests in a nationwide Spanish registry (REIDAC). Patients and methods We evaluated consecutively patch-tested patients in all participating centres. Using these data, we calculated the proportion of patients with positive patch tests to MDBGN from June 2018 to June 2020 and evaluated the relevance of the positive patch tests. Results One hundred and fourteen out of 5072 (2.24 %) tested patients were sensitized to MDBGN. Clinical current relevance was confirmed in only one case. Conclusion Although the frequency of contact allergy to MDBGN remains high, no clinical significance was found in most of these patients (5072 tests needed to obtain one relevant positive result). The clinical usefulness of this allergen seems weak and its continued inclusion in the European baseline series is questionable.

Filiaciones:
Mercader-Garcia, P:
 Univ Jose M Morales Meseguer, Hosp Gen, Dept Dermatol, Murcia, Spain

Pastor-Nieto, MA:
 Univ Guadalajara, Hosp Gen, Dept Dermatol, Guadalajara, Spain

Gonzalez-Perez, R:
 Hosp Univ Araba, Dept Dermatol, Vitoria, Spain

Cordoba-Guijarro, S:
 Hosp Univ Fuenlabrada, Dept Dermatol, Fuenlabrada, Spain

Gimenez-Arnau, AM:
 Hosp Mar IMAS, Dept Dermatol, Barcelona, Spain

Ruiz-Gonzalez, I:
 Complejo Asistencial Univ Leon, Dept Dermatol, Leon, Spain

Mora-Fernandez, V:
 Univ German Trias & Pujol, Hosp Gen, Dept Dermatol, Barcelona, Spain

Miquel, J:
 Hosp Arnau Vilanova, Dept Dermatol, Valencia, Spain

Silvestre-Salvador, JF:
 Hosp Gen Univ, Dept Dermatol, Alicante, Spain

Ortiz-Frutos, FJ:
 Univ 12 Octubre, Hosp Gen, Dept Dermatol, Madrid, Spain

Sanz-Sanchez, T:
 Univ Infanta Sofia, Hosp Gen, Dept Dermatol, Madrid, Spain

Rodriguez-Serna, M:
 Univ La Fe, Hosp Gen, Dept Dermatol, Valencia, Spain

Perez-Feal, P:
 Univ Santiago Compostela, Complejo Hosp, Dept Dermatol, Santiago De Compostela, Spain

Sanchez-Perez, J:
 Hosp Univ La Princesa, Dept Dermatol, Madrid, Spain

Heras-Mendaza, F:
 Hosp Fdn Jimenez Diaz, Dept Dermatol, Madrid, Spain

Serra-Baldrich, E:
 Hosp Santa Creu & Sant Pau, Dept Dermatol, Barcelona, Spain

Zaragoza-Ninet, V:
 Univ Valencia, Consorcio Hosp Gen, Dept Dermatol, Valencia, Spain

Hervella-Garces, M:
 Complejo Hosp Navarra, Dept Dermatol, Pamplona, Spain

Gatica-Ortega, ME:
 Complejo Hosp Toledo, Dept Dermatol, Toledo, Spain

Garcia-Doval, I:
 Acad Espanola Dermatol & Venereol, Fdn Piel Sana, Res Unit, Madrid, Spain

Descalzo, MA:
 Acad Espanola Dermatol & Venereol, Fdn Piel Sana, Res Unit, Madrid, Spain

Borrego, L:
 Univ Las Palmas Gran Canaria, Univ Insular Materno Infantil, Complejo Hosp, Dept Dermatol, Las Palmas Gran Canaria, Spain
ISSN: 01051873
Editorial
WILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA, Dinamarca
Tipo de documento: Article
Volumen: 85 Número: 5
Páginas: 572-577
WOS Id: 000708830800011
ID de PubMed: 33745152
imagen Green Published

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