the contact allergen replacement database james a. yiannias md associate professor of dermatology...
TRANSCRIPT
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The Contact Allergen The Contact Allergen Replacement DatabaseReplacement Database
James A. Yiannias MDJames A. Yiannias MDAssociate Professor of Associate Professor of
DermatologyDermatology
Mayo Clinic ScottsdaleMayo Clinic Scottsdale
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Purpose
To facilitate antigen avoidance Database generates list of skin care
products free of patient’s known allergens > 1,500 U.S. skin care products
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Utility of Database
Consider a patient who is patch test sensitive to fragrance mixfragrance mix
Patient has been educated how to avoid fragrance, yet...
Eczema persists since patient didn’t realize – Cinnamic alc. & Balsam of PeruCinnamic alc. & Balsam of Peru = Fragrance– Unscented & fragrance free products don’t
assure elimination of fragrance cross-reactors
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How CARD Helps…
CARD recognizes cross-reactions & synonyms and – generates a comprehensive list of skin
care products free of all fragrance like antigens!
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Another eg: Utility of CARD
Patient is imid urea & quat-15 sensitive Allergen avoidance reviewed Patient’s eczema persists--
Pt didn’t realize that DMDM-Hydantoin should be avoided
Database recognizes cross-reactions & deletes all products containing formaldehyde releasers
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Products in Database
Soaps, Shampoos, Conditioners Moisturizers Sunscreens Make-ups All prescription topicals in PDR All OTC topicals in OTC PDR
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How Products Were Chosen
Hypoallergenic skin care product lines (eg. Aveeno, Almay, many others)
Large companies with widely available products
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Database Maintenance
All product formulations are updated continuously
Products with formulas > 1 year are deleted
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Database Clinical Usage
In use clinically at Mayo Clinic for 6 years and by American Contact Dermatitis Society Members for more than 3 years
Broad patient and physician acceptance / endorsement
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How to use CARD …next 7 slides
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www.contactderm.orgwww.contactderm.org
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CARDCARD