{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T01:38:38Z","timestamp":1792546718514,"version":"4.5.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T00:00:00Z","timestamp":1364774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dermatitis\u00ae"],"published-print":{"date-parts":[[2013,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Allergic contact dermatitis (ACD) of the vulva arises as a primary condition or develops secondary to topical agents. We aimed to describe the incidence of ACD in patients presenting with vulvar symptoms and to identify the allergens of most importance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Using a database of the patch testing results from 3 geographically distinct sites, we identified patients tested to a gynecologic series between 2003 and 2010. Patients had patch testing to the standard European battery and a gynecologic series. Patch testing was in line with accepted universal methods: application on day 1, allergen removal and initial reading on day 3, and final reading on day 5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety patients were included. Thirty-five (39%) had a relevant positive result. The 5 allergens with the highest number of cases with a relevant reaction were natural fragrance mix 2%, balsam of Peru, benzocaine 5%, fragrance mix 8%, and quaternium 15 1%. The most common gynecologic series allergen to cause a relevant reaction was terconazole.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Allergic contact dermatitis is a frequent finding in patients presenting with vulvar symptoms. We identified a relevant positive result to patch testing in 39%. We found fragrances, medicaments, and preservatives to be of most relevance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/der.0b013e318284da33","type":"journal-article","created":{"date-parts":[[2014,4,16]],"date-time":"2014-04-16T12:03:02Z","timestamp":1397649782000},"page":"64-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":63,"title":["Allergic Contact Dermatitis of the Vulva"],"prefix":"10.1177","volume":"24","author":[{"given":"Susan M.","family":"O\u2019Gorman","sequence":"first","affiliation":[{"name":"From the Departments of *Internal Medicine, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rochelle R.","family":"Torgerson","sequence":"additional","affiliation":[{"name":"Dermatology, Mayo Clinic, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,4,1]]},"reference":[{"issue":"37","key":"e_1_3_1_2_2","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1111\/j.1365-2133.1990.tb04425.x","article-title":"Pruritus vulvae: a manifestation of contact hypersensitivity?","volume":"123","author":"Doherty VR","year":"1990","unstructured":"Doherty VR, , Forsyth A, , MacKie RM. Pruritus vulvae: a manifestation of contact hypersensitivity?. Br J Dermatol, 1990; 123(Suppl 37): 26\u201327.","journal-title":"Br J Dermatol"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2008.00442.x"},{"issue":"5","key":"e_1_3_1_4_2","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/j.1600-0536.2008.01325.x","article-title":"Patients with vulval pruritus: patch test results","volume":"58","author":"Utas S","year":"2008","unstructured":"Utas S, , Ferahbas A, , Yildiz S. Patients with vulval pruritus: patch test results. Contact Dermatitis, 2008; 58(5): 296\u2013298.","journal-title":"Contact Dermatitis"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.2310\/6620.2010.10048"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.144.6.749"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0105-1873.2004.00444.x"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.1998.tb05666.x"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2010.08.006"},{"issue":"8","key":"e_1_3_1_10_2","first-page":"649","article-title":"Allergic contact dermatitis in patients with anogenital complaints","volume":"45","author":"Bauer A","year":"2000","unstructured":"Bauer A, , Geier J, , Elsner P. Allergic contact dermatitis in patients with anogenital complaints. 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J Reprod Med, 2003; 48(1): 33\u201336.","journal-title":"J Reprod Med"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.2310\/6620.2004.04004"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajcd.1997.2798"},{"issue":"2","key":"e_1_3_1_18_2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1600-0536.1997.tb00045.x","article-title":"Is patch testing necessary in vulval vestibulitis?","volume":"37","author":"Nunns D","year":"1997","unstructured":"Nunns D, , Ferguson J, , Beck M, et al. Is patch testing necessary in vulval vestibulitis?. 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