{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:07:55Z","timestamp":1788815275145,"version":"build-2803163510"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Surfactants in personal care products are an established trigger of allergic contact dermatitis. However, regional data comparing market usage with sensitization rates remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To examine 15-year trends in Thai surfactant prevalence and correlate them with clinical patch test reactivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Surfactant prevalence in 6864 personal care products was surveyed using the Thai Contact Allergen Avoidance Program database (2010\u20132024). Concurrently, patch test results from 6603 patients were analyzed across 3 5-year intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Cocamidopropyl betaine (CAPB) was the most prevalent surfactant overall (20.3%) and in cleansers (43.2%), whereas polysorbates predominated in non-cleansing formulations (17.9%). In cleansers, use of CAPB (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), glucosides (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.009), and cetrimonium chloride (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) rose over time. Cetrimonium bromide, benzalkonium chloride, and CAPB showed the highest patch test positivity rates. Conversely, positivity declined for CAPB (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), benzalkonium chloride (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007), lauryl glucoside (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.019), and cocamide diethanolamine (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The Thai market is shifting toward milder surfactants. A paradoxical decline in CAPB and lauryl glucoside sensitization occurred despite their rising prevalence. Continuous market monitoring is essential to keep patch test series and patient counseling relevant.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17103568261484376","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T02:11:36Z","timestamp":1788574296000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evolving Surfactant Trends in the Thai Personal Care Market Over 15 Years and Their Association with Clinical Patch Test Reactivity"],"prefix":"10.1177","author":[{"given":"Pichanee","family":"Limtanakool","sequence":"first","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waranya","family":"Boonchai","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Korakot","family":"Leelathanakorn","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monthathip","family":"Bunyavaree","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3887-8041","authenticated-orcid":false,"given":"Chawengsak","family":"Khamkaen","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silada","family":"Kanokrungsee","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1684\/ejd.2022.4290"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.1995.tb00470.x"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000730"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000511"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.2310\/6620.2010.10022"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2011.01978.x"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/derm.2024.0474"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000330"},{"issue":"3","key":"e_1_3_1_10_1","first-page":"183","article-title":"CONTACT ALLERGEN AVOIDANCE PROGRAM (CAAP)","volume":"34","author":"Bunyavaree M","year":"2018","unstructured":"9.Bunyavaree M, , Limphoka P, , Kumpangsin T, et al. CONTACT ALLERGEN AVOIDANCE PROGRAM (CAAP). Thai J Dermatol. 2018;34(3):183\u2013191.","journal-title":"Thai J Dermatol"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12432"},{"issue":"3","key":"e_1_3_1_12_1","first-page":"59S","article-title":"Safety assessment of triethanolamine and triethanolamine-containing ingredients as used in cosmetics","volume":"32","author":"Fiume MM","year":"2013","unstructured":"11.Fiume MM, , Heldreth B, , Bergfeld WF, et al. Safety assessment of triethanolamine and triethanolamine-containing ingredients as used in cosmetics. 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