Irritant Contact Dermatitis Risk of Common Topical Traditional Chinese Medicines Used for Skin-Lightening: A Pilot Clinical Trial with 30 Volunteers
Topical traditional Chinese medicine- (TTCM-) related contact dermatitis is not uncommon but ignored. Patch and photopatch tests using 6 individual herbal ingredients and Bai-Zhi-Kao (BZK; 白 芷 膏), a skin-lightening TTCM preparation, were conducted on 30 participants. Twenty-five subjects showed at l...
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| Veröffentlicht in: | Evidence-based complementary and alternative medicine 2014-01, Vol.2014 (2014), p.1-8 |
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| creator | Chen, Wen-Chi Chen, Huey-Yi Jan, Chia-Ing Shen, Jui-Lung Wu, Meng-Tse Lin, Tzu-Chun Tsai, Kao-Sung Chen, Yung-Hsiang |
| description | Topical traditional Chinese medicine- (TTCM-) related contact dermatitis is not uncommon but ignored. Patch and photopatch tests using 6 individual herbal ingredients and Bai-Zhi-Kao (BZK; 白 芷 膏), a skin-lightening TTCM preparation, were conducted on 30 participants. Twenty-five subjects showed at least 1 positive reaction, including 6 (20.0%) participants who reacted to BZK. The majority reacted to Radix Ampelopsis japonica (Bai-Lian; 白 蘞) (60.0%), whereas few reacted to Rhizoma Bletilla striata (Bai-Ji; 白 芨) (16.7%), Rhizoma Atractylodis macrocephalae (Bai-Zhu; 白 朮) (10.0%), Radix Angelicae dahuricae (Bai-Zhi; 白 芷) (3.3%), and Herba asari (Xi-Xin; 細 辛) (3.3%). In the photopatch test, 3 participants (10.0%) reacted positively to BZK and 10 to ≥1 constituent; however, all reacted to Radix Angelicae dahuricae (26.7%), Radix Ampelopsis japonica (13.3%), and Rhizoma Bletilla striata (3.3%). In contrast, no subjects showed positive reactions to Sclerotium Poria cocos (Bai-Fu-Ling; 白 茯 苓). Thus, BZK and its constituents might present potential latent risk of contact dermatitis owing to the possible presence of Radix Ampelopsis japonica and Radix Angelicae dahuricae. Furthermore, TTCMs, particularly cosmetic products, must be used carefully, with ample warning of potential contact dermatitis risk. |
| doi_str_mv | 10.1155/2014/609064 |
| format | Article |
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Patch and photopatch tests using 6 individual herbal ingredients and Bai-Zhi-Kao (BZK; 白 芷 膏), a skin-lightening TTCM preparation, were conducted on 30 participants. Twenty-five subjects showed at least 1 positive reaction, including 6 (20.0%) participants who reacted to BZK. The majority reacted to Radix Ampelopsis japonica (Bai-Lian; 白 蘞) (60.0%), whereas few reacted to Rhizoma Bletilla striata (Bai-Ji; 白 芨) (16.7%), Rhizoma Atractylodis macrocephalae (Bai-Zhu; 白 朮) (10.0%), Radix Angelicae dahuricae (Bai-Zhi; 白 芷) (3.3%), and Herba asari (Xi-Xin; 細 辛) (3.3%). In the photopatch test, 3 participants (10.0%) reacted positively to BZK and 10 to ≥1 constituent; however, all reacted to Radix Angelicae dahuricae (26.7%), Radix Ampelopsis japonica (13.3%), and Rhizoma Bletilla striata (3.3%). In contrast, no subjects showed positive reactions to Sclerotium Poria cocos (Bai-Fu-Ling; 白 茯 苓). Thus, BZK and its constituents might present potential latent risk of contact dermatitis owing to the possible presence of Radix Ampelopsis japonica and Radix Angelicae dahuricae. Furthermore, TTCMs, particularly cosmetic products, must be used carefully, with ample warning of potential contact dermatitis risk.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2014/609064</identifier><identifier>PMID: 24817899</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Ampelopsis ; Angelica dahurica ; Atractylodes macrocephala ; Bletilla striata ; Chinese medicine ; Clinical trials ; Constituents ; Contact dermatitis ; Contact potentials ; Cosmetics ; Dermatitis ; Eczema ; Herbal medicine ; Pharmaceuticals ; Skin ; Skin preparations ; Traditional Chinese medicine ; Ultrasonic testing</subject><ispartof>Evidence-based complementary and alternative medicine, 2014-01, Vol.2014 (2014), p.1-8</ispartof><rights>Copyright © 2014 Kao-Sung Tsai et al.</rights><rights>Copyright © 2014 Kao-Sung Tsai et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2014 Kao-Sung Tsai et al. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-25b6369982656bd149164f510df5c4827c6a3b103e65f492289f4aa247941c423</citedby><cites>FETCH-LOGICAL-c467t-25b6369982656bd149164f510df5c4827c6a3b103e65f492289f4aa247941c423</cites><orcidid>0000-0002-8756-5113</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003776/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003776/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24817899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zhang, Junhua</contributor><contributor>Junhua Zhang</contributor><creatorcontrib>Chen, Wen-Chi</creatorcontrib><creatorcontrib>Chen, Huey-Yi</creatorcontrib><creatorcontrib>Jan, Chia-Ing</creatorcontrib><creatorcontrib>Shen, Jui-Lung</creatorcontrib><creatorcontrib>Wu, Meng-Tse</creatorcontrib><creatorcontrib>Lin, Tzu-Chun</creatorcontrib><creatorcontrib>Tsai, Kao-Sung</creatorcontrib><creatorcontrib>Chen, Yung-Hsiang</creatorcontrib><title>Irritant Contact Dermatitis Risk of Common Topical Traditional Chinese Medicines Used for Skin-Lightening: A Pilot Clinical Trial with 30 Volunteers</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Topical traditional Chinese medicine- (TTCM-) related contact dermatitis is not uncommon but ignored. Patch and photopatch tests using 6 individual herbal ingredients and Bai-Zhi-Kao (BZK; 白 芷 膏), a skin-lightening TTCM preparation, were conducted on 30 participants. Twenty-five subjects showed at least 1 positive reaction, including 6 (20.0%) participants who reacted to BZK. The majority reacted to Radix Ampelopsis japonica (Bai-Lian; 白 蘞) (60.0%), whereas few reacted to Rhizoma Bletilla striata (Bai-Ji; 白 芨) (16.7%), Rhizoma Atractylodis macrocephalae (Bai-Zhu; 白 朮) (10.0%), Radix Angelicae dahuricae (Bai-Zhi; 白 芷) (3.3%), and Herba asari (Xi-Xin; 細 辛) (3.3%). In the photopatch test, 3 participants (10.0%) reacted positively to BZK and 10 to ≥1 constituent; however, all reacted to Radix Angelicae dahuricae (26.7%), Radix Ampelopsis japonica (13.3%), and Rhizoma Bletilla striata (3.3%). In contrast, no subjects showed positive reactions to Sclerotium Poria cocos (Bai-Fu-Ling; 白 茯 苓). Thus, BZK and its constituents might present potential latent risk of contact dermatitis owing to the possible presence of Radix Ampelopsis japonica and Radix Angelicae dahuricae. Furthermore, TTCMs, particularly cosmetic products, must be used carefully, with ample warning of potential contact dermatitis risk.</description><subject>Ampelopsis</subject><subject>Angelica dahurica</subject><subject>Atractylodes macrocephala</subject><subject>Bletilla striata</subject><subject>Chinese medicine</subject><subject>Clinical trials</subject><subject>Constituents</subject><subject>Contact dermatitis</subject><subject>Contact potentials</subject><subject>Cosmetics</subject><subject>Dermatitis</subject><subject>Eczema</subject><subject>Herbal medicine</subject><subject>Pharmaceuticals</subject><subject>Skin</subject><subject>Skin preparations</subject><subject>Traditional Chinese medicine</subject><subject>Ultrasonic testing</subject><issn>1741-427X</issn><issn>1741-4288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkc1rFDEAxQdRbK2evEvAiyhjk0w-exDK-lVYUXQr3kI2k-ymnUnWJGPx__APNsuuS_XkJXnwfrw88prmMYIvEaL0FENEThmUkJE7zTHiBLUEC3H3oPm3o-ZBzlcQYsk5v98cYSIQF1IeN78uUvJFhwJmMRRtCnht06iLLz6Dzz5fg-iqNY4xgEXceKMHsEi6r34MVc_WPthswQfbe7OV4DLbHriYwJdrH9q5X62LDT6szsA5-OSHWF8afNgH-Xre-LIGHQRf4zCFYm3KD5t7Tg_ZPtrfJ83l2zeL2ft2_vHdxex83hrCeGkxXbKOSSkwo2zZIyIRI44i2DtqiMDcMN0tEewso45IjIV0RGtMuCTIENydNK92uZtpOdre2FCSHtQm-VGnnypqr_52gl-rVfyhCIQd56wGPNsHpPh9srmo0Wdjh0EHG6esEMUEUVHrVfTpP-hVnFL9wqwwZFhADDtaqRc7yqSYc7LuUAZBtV1bbddWu7Ur_eR2_wP7Z94KPN8BdaVe3_j_S7MVsU7fgpHgtdxvngG7hw</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Chen, Wen-Chi</creator><creator>Chen, Huey-Yi</creator><creator>Jan, Chia-Ing</creator><creator>Shen, Jui-Lung</creator><creator>Wu, Meng-Tse</creator><creator>Lin, Tzu-Chun</creator><creator>Tsai, Kao-Sung</creator><creator>Chen, Yung-Hsiang</creator><general>Hindawi Publishing Corporation</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8756-5113</orcidid></search><sort><creationdate>20140101</creationdate><title>Irritant Contact Dermatitis Risk of Common Topical Traditional Chinese Medicines Used for Skin-Lightening: A Pilot Clinical Trial with 30 Volunteers</title><author>Chen, Wen-Chi ; Chen, Huey-Yi ; Jan, Chia-Ing ; Shen, Jui-Lung ; Wu, Meng-Tse ; Lin, Tzu-Chun ; Tsai, Kao-Sung ; Chen, Yung-Hsiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-25b6369982656bd149164f510df5c4827c6a3b103e65f492289f4aa247941c423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Ampelopsis</topic><topic>Angelica dahurica</topic><topic>Atractylodes macrocephala</topic><topic>Bletilla striata</topic><topic>Chinese medicine</topic><topic>Clinical trials</topic><topic>Constituents</topic><topic>Contact dermatitis</topic><topic>Contact potentials</topic><topic>Cosmetics</topic><topic>Dermatitis</topic><topic>Eczema</topic><topic>Herbal medicine</topic><topic>Pharmaceuticals</topic><topic>Skin</topic><topic>Skin preparations</topic><topic>Traditional Chinese medicine</topic><topic>Ultrasonic testing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Wen-Chi</creatorcontrib><creatorcontrib>Chen, Huey-Yi</creatorcontrib><creatorcontrib>Jan, Chia-Ing</creatorcontrib><creatorcontrib>Shen, Jui-Lung</creatorcontrib><creatorcontrib>Wu, Meng-Tse</creatorcontrib><creatorcontrib>Lin, Tzu-Chun</creatorcontrib><creatorcontrib>Tsai, Kao-Sung</creatorcontrib><creatorcontrib>Chen, Yung-Hsiang</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Evidence-based complementary and alternative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Wen-Chi</au><au>Chen, Huey-Yi</au><au>Jan, Chia-Ing</au><au>Shen, Jui-Lung</au><au>Wu, Meng-Tse</au><au>Lin, Tzu-Chun</au><au>Tsai, Kao-Sung</au><au>Chen, Yung-Hsiang</au><au>Zhang, Junhua</au><au>Junhua Zhang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Irritant Contact Dermatitis Risk of Common Topical Traditional Chinese Medicines Used for Skin-Lightening: A Pilot Clinical Trial with 30 Volunteers</atitle><jtitle>Evidence-based complementary and alternative medicine</jtitle><addtitle>Evid Based Complement Alternat Med</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>2014</volume><issue>2014</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>1741-427X</issn><eissn>1741-4288</eissn><abstract>Topical traditional Chinese medicine- (TTCM-) related contact dermatitis is not uncommon but ignored. Patch and photopatch tests using 6 individual herbal ingredients and Bai-Zhi-Kao (BZK; 白 芷 膏), a skin-lightening TTCM preparation, were conducted on 30 participants. Twenty-five subjects showed at least 1 positive reaction, including 6 (20.0%) participants who reacted to BZK. The majority reacted to Radix Ampelopsis japonica (Bai-Lian; 白 蘞) (60.0%), whereas few reacted to Rhizoma Bletilla striata (Bai-Ji; 白 芨) (16.7%), Rhizoma Atractylodis macrocephalae (Bai-Zhu; 白 朮) (10.0%), Radix Angelicae dahuricae (Bai-Zhi; 白 芷) (3.3%), and Herba asari (Xi-Xin; 細 辛) (3.3%). In the photopatch test, 3 participants (10.0%) reacted positively to BZK and 10 to ≥1 constituent; however, all reacted to Radix Angelicae dahuricae (26.7%), Radix Ampelopsis japonica (13.3%), and Rhizoma Bletilla striata (3.3%). In contrast, no subjects showed positive reactions to Sclerotium Poria cocos (Bai-Fu-Ling; 白 茯 苓). Thus, BZK and its constituents might present potential latent risk of contact dermatitis owing to the possible presence of Radix Ampelopsis japonica and Radix Angelicae dahuricae. Furthermore, TTCMs, particularly cosmetic products, must be used carefully, with ample warning of potential contact dermatitis risk.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>24817899</pmid><doi>10.1155/2014/609064</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8756-5113</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Ampelopsis Angelica dahurica Atractylodes macrocephala Bletilla striata Chinese medicine Clinical trials Constituents Contact dermatitis Contact potentials Cosmetics Dermatitis Eczema Herbal medicine Pharmaceuticals Skin Skin preparations Traditional Chinese medicine Ultrasonic testing |
| title | Irritant Contact Dermatitis Risk of Common Topical Traditional Chinese Medicines Used for Skin-Lightening: A Pilot Clinical Trial with 30 Volunteers |
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