Topical salicylate allergy

What is a current salicylate and where is it found?

Salicylate is a chemical naturally found in plants and is the main ingredient in the oral pain reliever aspirin. It is also found in many fruits and vegetables, as well as many toiletries and cosmetics.

Products containing topical salicylates that can cause contact allergy

• Sunscreen or tan lotion

• Fragrances and perfumes.

• Shampoo and conditioner

• An herbal remedy
• A cosmetic such as lipstick, lotion, or skin cleanser.

• Mint-flavored mouthwash and toothpaste

• Shaved off cream
• Cream for muscle pain
• Heel balm

The main salicylates used in sunscreens are homomenthyl salicylate (homosalate), ethylhexyl salicylate (octyl salicylate), and trolamine salicylate. They have weak UVB absorbing properties and are generally used in combination with other chemical absorbing sunscreen agents. Topical salicylates do not protect against UVA rays.

How does a topical allergy to salicylate present?

Salicylates used in sunscreens and other cosmetic products are generally very well tolerated. Allergy to topical salicylate products is rare. There have been some case reports with a small number of patients reacting to topical salicylate products. Most of the patients developed classic allergic contact dermatitis.

Am I allergic to topical salicylate?

A topical allergy to salicylate is diagnosed by patch tests with 2% salicylate in olive oil.

Treatment of allergy to topical salicylates.

If you are diagnosed with an allergy to topical salicylates, avoid exposure to products that contain salicylates. Treatment of salicylate dermatitis can be treated like any other acute dermatitis/eczema; This may include treatment with topical corticosteroids and emollients.

What should I do to avoid allergy to topical salicylates?

Read product labels and avoid products that contain salicylates or any of their derivatives. Ask your pharmacist for advice and a suitable alternative.

Names for salicylates in topical products

• Homomenthyl salicylate (homosalate)
• Ethylhexyl salicylate (octyl salicylate)
• Trolamine salicylate
• Benzyl salicylate
• Amyl salicylate
• Phenyl salicylate

More information

Formula: homomenthyl salicylate - C_sixteenH₂₂OR₃

CAS Number: 118-56-9

Cross Reactions: Unknown

Appearance: colorless to light yellow liquid

Sensitizer: salicylates and their derivatives.

Patch test: 2% salicylate in olive oil