{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:45:59Z","timestamp":1790520359866,"version":"4.1.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,6,1]],"date-time":"2013-06-01T00:00:00Z","timestamp":1370044800000},"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":[[2013,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Current evaluation of suspected allergic contact dermatitis to lanolin includes patch testing to lanolin alcohol (30% in petrolatum). Using this method, the prevalence of lanolin allergy is low (1.8%\u20132.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study was to determine whether patch testing to a single lanolin derivative results in underdiagnosis compared with patch testing to 12 lanolin derivatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were prospectively patch tested to (1) lanolin alcohol (30% in petrolatum) in our standard allergen series; (2) Amerchol L101 (50% in petrolatum) in our cosmetic series; and (3) 10 lanolin derivatives (using concentrations and vehicles recommended in the literature) in a supplemental series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 286 patients, the overall prevalence of positive reactions to lanolin in at least 1 of the 3 patch test series was 6.29% (95% confidence interval [CI], 3.48%-9.11%) (n = 18). The prevalence rates of lanolin allergy using the standard, cosmetic, and supplemental series were 1.05% (95% CI, 0%\u20132.23%), 3.85% (95% CI, 1.62%\u20136.07%), and 3.85% (95% CI, 1.62%\u20136.07%), respectively. Amerchol L101 was associated with increased reaction rates compared with the standard (odds ratio, 3.81;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007) and supplemental (odds ratio, 8.85;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) series, whereas reaction rates were similar for the standard and supplemental series (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.78).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Amerchol L101 and patients\u2019 own products should be added to a standard patch testing allergen series to adequately identify lanolin allergy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/der.0b013e3182937aa4","type":"journal-article","created":{"date-parts":[[2014,4,16]],"date-time":"2014-04-16T12:03:28Z","timestamp":1397649808000},"page":"119-123","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Diagnosis and Prevalence of Lanolin Allergy"],"prefix":"10.1177","volume":"24","author":[{"given":"Rachel Y. N.","family":"Miest","sequence":"first","affiliation":[{"name":"From the *Department of Dermatology, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Yiannias","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Mayo Clinic, Scottsdale, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Hui H.","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Health Sciences Research, Mayo Clinic, Scottsdale, AZ."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Mayo Clinic, Scottsdale, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,6,1]]},"reference":[{"key":"e_1_3_1_2_2","first-page":"431","volume-title":"Contact and Occupational Dermatology","author":"Marks JG","year":"2002","unstructured":"Marks JG Jr, , Elsner P, , DeLeo VA. 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