Actas Dermo-Sifiliográficas (English Edition) Actas Dermo-Sifiliográficas (English Edition)
Novelties in Dermatology
Allergic Contact Dermatitis Caused by Acrylates in Long-Lasting Nail Polish
Dermatitis alérgica de contacto por acrilatos en esmaltes permanentes
M.E. Gatica-Ortegaa,, , 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
Received 03 April 2017, Accepted 03 August 2017
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.

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.

Keywords
Allergic contact dermatitis, Occupacional, Acrylates, Permanent nail polish, Acrylic nails, Beauticians
Palabras clave
Dermatitis alérgica de contacto, Ocupacional, Acrilatos, Esmaltes permanentes, Uñas acrílicas, Esteticistas

Article

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