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Occupational Medicine 52:13-16 (2002)
Copyright © 2002 Society of Occupational Medicine

Original Paper

Fragrance as an occupational allergen

D. A. Buckley, R. J. G. Rycroft, I. R. White and J. P. McFadden

St John's Institute of Dermatology, St Thomas' Hospital, London SEI 7EH, UK

Abstract

Sensitization to fragrance is believed to occur mainly outside the workplace. This study addresses the frequency of fragrance allergy in patch test patients of differing occupations during a 15 year period. The occupation most strongly associated with fragrance allergy in both sexes was health care work (positive tests in 11.7% of males and 10.4% of females). Retired individuals also had high rates of fragrance allergy (11.6% of males and 14.5% of females), and the prevalence of sensitization increased with advancing age. Health care workers and metalworkers had statistically significantly higher rates of allergy to eugenol than did workers in other occupations. Food handlers had significantly higher rates of allergy to cinnamal and cinnamic alcohol. These findings suggest that sensitization to fragrance occurs more frequently in an occupational setting than is generally understood and could have implications for preventive measures.

Keywords      Allergic contact dermatitis; cinnamal; cinnamic alcohol; eugenol; fragrances; isoeugenol; oak moss; occupation; patch testing; perfumes


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