Not all lanolin alcohols are equal. This is an important consideration when examining the reported incidence of allergic contact dermatitis to lanolin alcohol and the absence of allergic contact dermatitis demonstrated in this research.
No incidence of wound infection was observed in this research, in agreement with prior studies. Thus, petrolatum ointment with lanolin alcohol is suitable as a dressing for wounds healing by secondary intention.
No incidence of wound infection was observed in this research, in agreement with prior studies. Thus, petrolatum ointment with lanolin alcohol is suitable as a dressing for wounds healing by secondary intention.
SUMMARY
Allergic contact dermatitis to a wound healing ointment containing
lanolin alcohol should be of minimal concern to
dermatologists. A wound healing ointment containing lanolin
alcohol without antibiotics is a suitable post-surgical wound
dressing.
DISCLOSURES
Drs. Draelos, Rigel, and Kircik received an educational grant
from Beiersdorf to conduct this research.
REFERENCES
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2. Knijp J, Bruynzeel DP, Rustemeyer T. Diagnosing lanolin contact allergy with lanolin alcohol and Amerchol L101. Contact Dermatitis. 2019; 80:298–303
3. Uter W, Schnuch A, Geier J for the IVDK. Contact sensitization to lanolin alcohols and Amerchol® L101-analysis of IVDK data. Contact Dermatitis. 2018; 78:355-371
4. Warshaw EM, Maibach HI, Taylor JS, et al. North American Contact Dermatitis Group patch test results: 2011-2012. Dermatitis. 2015:26(1):49-59
5. Zug KA, Khoa A, Belsito DV, et al. Patch testing in children from 2005 to 2012:results from the North American Contact Dermatitis Group. Dermatitis. 2014; 25 (6):345-355
6. Warshaw E, Belsito D, Taylor J, et al. North American Contact Dermatitis Group patch test results: 2009 to 2010. Dermatitis. 2013. 24(2): 50-59
7. Warshaw E, Nelsen D, Maibach H, et al. Positive patch test reactions to lanolin: cross-sectional data from the North American Contact Dermatitis Group, 1994 to 2006. Dermatitis. 2009; 20(2):79–88
8. DeKoven J, Warshaw E, Belsito D, et al. North American Contact Dermatitis Group patch test results 2013-2014. Dermatitis. 2016. 28 (1): 33-46
9. Draelos Z, Rizer R, Trookman N. A comparison of postprocedural wound care treatments: Do antibiotic-based ointments improve outcomes? J Am Acad Dermatol. North Carolina/Colorado. 2010. 64(3): S23-29
10. Taylor SC, Averyhart AN, Heath CR. Postprocedural wound-healing efficacy following removal of dermatosis papulosa nigra lesions in an African American population: A comparison of a skin protectant ointment and a topical antibiotic. J Am Acad Dermatol. Philadelphia. 2010. 64(3): S30-S35
11. Sarnoff DS. A comparison of wound healing between a skin protectant ointment and a medical device topical emulsion after laser resurfacing of the perioral area. J Am Acad Dermatol. New York. 2010. 64(3): S36-S43
12. Trookman N, Rizer R, Weber T. Irritation and allergy patch test analysis of topical treatments commonly used in wound care: Evaluation on normal and compromised skin. J Am Acad Dermatol. 2011. 64(3): S16-22
13. Weber T, Gottlieb A, Kowcz A, Schoelermann A. A current review of the lanolin alcohol contact allergy literature. J Am Acad Dermatol. 2007. 58:AB57
14. Fowler J, Perryman J, Fowler L, Langley N. Lanolin allergy: A 500 patient patch test assessment of six pharmaceutical grade lanolins. J Am Acad Dermatol. 2009. 60: AB72
2. Knijp J, Bruynzeel DP, Rustemeyer T. Diagnosing lanolin contact allergy with lanolin alcohol and Amerchol L101. Contact Dermatitis. 2019; 80:298–303
3. Uter W, Schnuch A, Geier J for the IVDK. Contact sensitization to lanolin alcohols and Amerchol® L101-analysis of IVDK data. Contact Dermatitis. 2018; 78:355-371
4. Warshaw EM, Maibach HI, Taylor JS, et al. North American Contact Dermatitis Group patch test results: 2011-2012. Dermatitis. 2015:26(1):49-59
5. Zug KA, Khoa A, Belsito DV, et al. Patch testing in children from 2005 to 2012:results from the North American Contact Dermatitis Group. Dermatitis. 2014; 25 (6):345-355
6. Warshaw E, Belsito D, Taylor J, et al. North American Contact Dermatitis Group patch test results: 2009 to 2010. Dermatitis. 2013. 24(2): 50-59
7. Warshaw E, Nelsen D, Maibach H, et al. Positive patch test reactions to lanolin: cross-sectional data from the North American Contact Dermatitis Group, 1994 to 2006. Dermatitis. 2009; 20(2):79–88
8. DeKoven J, Warshaw E, Belsito D, et al. North American Contact Dermatitis Group patch test results 2013-2014. Dermatitis. 2016. 28 (1): 33-46
9. Draelos Z, Rizer R, Trookman N. A comparison of postprocedural wound care treatments: Do antibiotic-based ointments improve outcomes? J Am Acad Dermatol. North Carolina/Colorado. 2010. 64(3): S23-29
10. Taylor SC, Averyhart AN, Heath CR. Postprocedural wound-healing efficacy following removal of dermatosis papulosa nigra lesions in an African American population: A comparison of a skin protectant ointment and a topical antibiotic. J Am Acad Dermatol. Philadelphia. 2010. 64(3): S30-S35
11. Sarnoff DS. A comparison of wound healing between a skin protectant ointment and a medical device topical emulsion after laser resurfacing of the perioral area. J Am Acad Dermatol. New York. 2010. 64(3): S36-S43
12. Trookman N, Rizer R, Weber T. Irritation and allergy patch test analysis of topical treatments commonly used in wound care: Evaluation on normal and compromised skin. J Am Acad Dermatol. 2011. 64(3): S16-22
13. Weber T, Gottlieb A, Kowcz A, Schoelermann A. A current review of the lanolin alcohol contact allergy literature. J Am Acad Dermatol. 2007. 58:AB57
14. Fowler J, Perryman J, Fowler L, Langley N. Lanolin allergy: A 500 patient patch test assessment of six pharmaceutical grade lanolins. J Am Acad Dermatol. 2009. 60: AB72
AUTHOR CORRESPONDENCE
Zoe Diana Draelos MD zdraelos@northstate.net
