{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:44:27Z","timestamp":1791297867197,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T00:00:00Z","timestamp":1499126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Temporary tattoos made with an extract of the jagua fruit (<jats:italic><jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>enipa americana<\/jats:italic> <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>.) are becoming increasingly popular. It is claimed that it is \u2018dermatologically tested\u2019 and does not contain <jats:italic><jats:styled-content style=\"fixed-case\">p<\/jats:styled-content><\/jats:italic>\u2010phenylenediamine. Extracts of jagua and gardenia fruits have been used by indigenous people in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>outh <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merica, as well as in traditional <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese medicine, for centuries. Genipin is currently used for its cross\u2010linking effect in the manufacture of polysaccharides, and is being investigated for its anti\u2010inflammatory and other properties.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report the presence of the allergenic substance genipin in a self\u2010administered temporary tattoo dye made from the fruit juice of jagua (<jats:italic><jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>enipa americana<\/jats:italic> <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>A 39\u2010year\u2010old female who repeatedly applied \u2018completely natural and 100% safe\u2019 <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>arth <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>agua\u00ae tattoo, obtained via the internet, to her left hand developed allergic contact dermatitis within 6\u2009weeks. Analysis of the dye showed the presence of geniposide and genipin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patch tests with the dye and with its main components, including genipin, gave strong positive reactions to the latter. There was no sensitization to other ingredients or <jats:italic>p<\/jats:italic>\u2010amino compounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We report an extensively evaluated case of allergic contact dermatitis caused by a temporary <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>arth <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>agua\u00ae tattoo. The allergen identified is genipin, a substance that is increasingly used for tattoos and as a therapeutic agent in medicine. This could result in an increase in the number of allergic reactions in the future.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.12844","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T14:10:17Z","timestamp":1499177417000},"page":"374-378","source":"Crossref","is-referenced-by-count":19,"title":["Allergic contact dermatitis caused by a new temporary blue\u2013black tattoo dye\u2009\u2013\u2009sensitization to genipin from jagua (<i><scp>G<\/scp>enipa americana<\/i><scp>L<\/scp>.) fruit extract"],"prefix":"10.1111","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6683-3975","authenticated-orcid":false,"given":"Andreas J.","family":"Bircher","sequence":"first","affiliation":[{"name":"Allergy Unit, Dermatology Clinic University Hospital Basel and University of Basel 4031  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Sigg","sequence":"additional","affiliation":[{"name":"Private practice  6004 Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"Scherer Hofmeier","sequence":"additional","affiliation":[{"name":"Allergy Unit, Dermatology Clinic University Hospital Basel and University of Basel 4031  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urs","family":"Schlegel","sequence":"additional","affiliation":[{"name":"Kantonales Laboratorium Basel\u2010Stadt  4056 Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urs","family":"Hauri","sequence":"additional","affiliation":[{"name":"Kantonales Laboratorium Basel\u2010Stadt  4056 Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2011.07882_suppl.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/JAA.S90265"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12074"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/molecules16054295"},{"key":"e_1_2_6_6_1","volume-title":"Genipa americana L. 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