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Vol. 109. Num. 6.July - August 2018
Pages e37-e46Pages 465-576
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Vol. 109. Num. 6.July - August 2018
Pages e37-e46Pages 465-576
Novelties in Dermatology
DOI: 10.1016/j.adengl.2018.05.008
Allergic Contact Dermatitis Caused by Acrylates in Long-Lasting Nail Polish
Dermatitis alérgica de contacto por acrilatos en esmaltes permanentes
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M.E. Gatica-Ortegaa,
Corresponding author
mariaelenagatica@yahoo.com.ar

Corresponding author.
, M.A. Pastor-Nietob,c, J.F. Silvestre-Salvadord
a Servicio de Dermatología, Complejo Hospitalario de Toledo, Toledo, Spain
b Hospital Universitario de Guadalajara, Guadalajara, Spain
c Universidad de Alcalá de Henares, Madrid, Spain
d Hospital General de Alicante, Alicante, Spain
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Tables (3)
Table 1. Review of the Literature on Permanent Nail Polish.
Table 2. Main Characteristics of Manicure Techniques Involving Acrylates.
Table 3. Recommendations for Beauticians Not Sensitized (Primary Prevention) and Sensitized to Acrylates (Secondary Prevention).
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Abstract

The first reported cases of allergic contact dermatitis from acrylates in manicure procedures in relation to the application of porcelain nails were published decades ago. The frequency of sensitization has increased due to the introduction of the so-called permanent nail polish containing photo-bonded acrylates, mainly involving the beauticians who apply them, and to a lesser extent, the consumers. The recent commercialized permanent polish kits for domestic use could trigger even higher degrees of sensitization. In this article, the clinical features, diagnostic procedures, treatment and preventive measures are described. Acrylates are present in a wide range of sources including multiple medical materials. Sensitization caused by a merely aesthetic procedure might end up having an eventual important impact in the future consumer's health which is why restrictive policies should be implemented limiting its use to qualified professionals and banning the indiscriminate sale of domestic kits.

Keywords:
Allergic contact dermatitis
Occupacional
Acrylates
Permanent nail polish
Acrylic nails
Beauticians
Resumen

Los primeros casos de dermatitis alérgica de contacto por acrilatos en procedimientos de manicura se describieron hace décadas en relación con la aplicación de uñas de porcelana. Recientemente se ha incrementado la frecuencia de sensibilización secundariamente a la implantación de los llamados esmaltes permanentes que contienen acrilatos UV curables, predominantemente entre las esteticistas que los aplican y en menor medida en usuarias. La reciente comercialización de kits de uso doméstico podría precipitar un aumento en la frecuencia aún mayor. En este artículo describimos su técnica de aplicación, la clínica, el diagnóstico, el tratamiento y la prevención. Los acrilatos están presentes en una amplia variedad de fuentes, incluidos múltiples materiales médicos. Una sensibilización desencadenada por un procedimiento puramente estético podría llegar a tener una importante repercusión en la salud, por lo que se imponen políticas restrictivas por parte de las autoridades que limiten su uso a profesionales cualificados y prohíban la venta indiscriminada de kits caseros.

Palabras clave:
Dermatitis alérgica de contacto
Ocupacional
Acrilatos
Esmaltes permanentes
Uñas acrílicas
Esteticistas

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