1081 Eyelid Dermatitis:  Patch Test Results during a 15-Year Period in Korea and Evaluation of Metal Contents in Eye Shadows

Wednesday, 14 October 2015
Hall D1 Foyer (Floor 3) (Coex Convention Center)

Hae Young Choi, MD , School of Medicine, Dermatology, Ewha Womans Mokdong Hospital, Seoul, South Korea

Hye Jin Lee, MD , School of Medicine, Dermatology, Ewha Womans Mokdong Hospital, Seoul, South Korea

Ju Yun Woo, MD , School of Medicine, Dermatology, Ewha Womans Mokdong Hospital, Seoul, South Korea

Ji Yeon Byun, MD PhD , Dermatology, Ewha Womans University Mokdong Hospital, Seoul, South Korea

You Won Choi, MD PhD , Dermatology, Ewha Womans University Mokdong Hospital, Seoul, South Korea

Hye Jin Lee, MD , School of Medicine, Dermatology, Ewha Womans Mokdong Hospital, Seoul, South Korea

Background. Allergic contact dermatitis is a common diagnosis in eyelid dermatitis. Sensitization to metals are prevalent in eyelid dermatitis and color cosmetic products are frequently suspected as the source of metal exposure. This study was performed to investigate the recent contact allergens for eyelid dermatitis and to assess metal contents in eye shadow products.

Methods. Data were collected in the department of dermatology of Ewha Womans University hospital from December 1998 to February 2014. A total of 983 patients were patch tested during the period and 67 patients had eyelid dermatitis among them. To examine metal elements in color cosmetic products for eyes, randomly selected 10 eye shadows were analyzed.

Results. Frequent allergens were metals, thimerosal, and phenylenediamine in patients with eyelid dermatitis. The sensitization rates of individual allergens were not significantly different between patients with eyelid dermatitis and without eyelid dermatitis. All 10 eye shadow products contained more than 5 ppm of at least one element, nickel, cobalt or chromium.

Conclusion. Metals were top-rank allergens in eyelid dermatitis and eye shadow products contained significant amount of nickel, cobalt or chromium to elicit allergic reactions. Patients with eyelid dermatitis and metal allergy should be informed that color eye make-up products can elicit or aggravate their symptoms.