{"id":6577,"date":"2020-04-22T07:31:06","date_gmt":"2020-04-22T10:31:06","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/alergia-de-contacto-al-propoleo\/"},"modified":"2020-04-27T17:17:46","modified_gmt":"2020-04-27T20:17:46","slug":"contact-allergy-to-propolis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/","title":{"rendered":"Propolis contact allergy"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#%C2%BFQue-es-el-propoleos\" >What is propolis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#Quien-se-pone-en-contacto-reacciones-alergicas-al-propoleos-y-por-que\" >Who gets allergic reactions to propolis and why?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#Ocupacional\" >Occupational<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#Productos-cosmeticos\" >Cosmetic products<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#Terapeutico-utilizar\" >Terap\u00e9utico utilizar<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#Comida\" >Food<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#Agente-de-refuerzo\" >reinforcing agent<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#Preparaciones-orales-de-liberacion-modificada\" >Modified-release oral preparations<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-alergia-al-propoleo\" >What are the clinical features of allergy to propolis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#%C2%BFComo-se-diagnostica-la-alergia-al-propoleos\" >How is propolis allergy diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alergia-de-contacto-al-propoleo\/#%C2%BFCual-es-el-tratamiento-para-la-alergia-al-propoleo\" >What is the treatment for allergy to propolis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-el-propoleos\"><\/span>What is propolis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Propolis is the glue made by bees to build, repair, and protect their hives. It consists of partially digested resins from a variety of tree buds and bark mixed with beeswax. In Europe, it is derived mainly from poplar shoots, but conifers are also used. Propolis, therefore, is a complex mixture comprising balsams and resins, waxes, essential oils, pollen and cinnamyl alcohol, vitamins A, B, C and E, flavonoids and minerals.<\/p>\n<p>A number of other substances related to propolis can be listed as ingredients, particularly of cosmetics. Cera flava is the yellow wax produced from a honeycomb. Cera alba is the bleached form of Cera flava. It is used as an emulsifying and thickening agent in cosmetics and as a food additive (E901) for coating and glazing candies and fresh fruits. Other substances related to propolis include propolis wax, beeswax acid, and synthetic beeswax.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Quien-se-pone-en-contacto-reacciones-alergicas-al-propoleos-y-por-que\"><\/span>who gets in touch <span class=\"term\" data-term-id=\"1336\">allergic reactions<\/span> to propolis and why?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Propolis is becoming more and more important <span class=\"term\" data-term-id=\"408\">allergen<\/span>, with European studies reporting positive <span class=\"term\" data-term-id=\"224\">patch<\/span> Test rates from 1.2 to 6.6%. In a series from Finland, the rate increased from 0.5% in 1995-7 to 1.4% in 2000-2. Another study in children reported an increase from 2% to 13.7% between 1995 and 2002; The 75% of the patch-tested children had used a natural product or alternative medicine remedy. In a 2010 Polish patch test study with children with <span class=\"term\" data-term-id=\"319\">chronic<\/span> <span class=\"term\" data-term-id=\"805\">recurrent<\/span> <span class=\"term\" data-term-id=\"491\">eczema<\/span> and <span class=\"term\" data-term-id=\"1542\">atopy<\/span>, a positive propolis patch test was recorded in 16.5% of children aged 7 to 8 years and in 5.4% of adolescents aged 16 to 17 years. Propolis was the second most common positive patch test positive allergen after nickel in children and the fourth most common in adolescents.<\/p>\n<p>Paradoxically, contact <span class=\"term\" data-term-id=\"272\">stomatitis<\/span> and allergic contact cheilitis to propolis have been reported in a <span class=\"term\" data-term-id=\"127\">HIV<\/span>positive patient taking a propolis 30% <span class=\"term\" data-term-id=\"1119\">solution<\/span> orally.<\/p>\n<p>Exposure to propolis and propolis-related substances can occur in multiple settings.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Ocupacional\"><\/span>Occupational<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Beekeepers \u2013 propolis <span class=\"term\" data-term-id=\"1136\">allergy<\/span> it can develop after many years of exposure. In one study, the average time of exposure before developing allergy to propolis was 9.5 years (range 0.1-35 years).<\/li>\n<li>Violinists and fiddlers: Propolis has been a component of Italian varnish for centuries.<\/li>\n<li>Cobblers: Beeswax is used for the seams of handmade boots and may be contaminated with propolis.<\/li>\n<li>Woodcutters, including forestry workers and farmers, specifically cutting aspens.<\/li>\n<li>Artists \u2013 beeswax moldings<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Productos-cosmeticos\"><\/span>Cosmetic products<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>facial creams<\/li>\n<li>Lipsticks and balms<\/li>\n<li>depilatory waxes<\/li>\n<\/ul>\n<p>oral hygiene products<\/p>\n<ul>\n<li>Toothpaste<\/li>\n<li>Mouthwash<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Terapeutico-utilizar\"><\/span>\n<span class=\"term\" data-term-id=\"1150\">Therapeutic<\/span> use<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Propolis has been widely used in natural therapeutic products due to its purported antiseptic, anti-<span class=\"term\" data-term-id=\"490\">inflammatory<\/span>, <span class=\"term\" data-term-id=\"1206\">anesthetic<\/span> and antioxidant properties.<\/li>\n<li>Propolis is advocated as a natural steroid and chemical free alternative.<\/li>\n<li>Natural therapeutic products containing propolis include mouth drops, cough syrups, ointments, lotions, drops, and oral pills.<\/li>\n<li>Propolis has been commonly implicated in contact <span class=\"term\" data-term-id=\"1137\">allergies<\/span> complicating chronic <span class=\"term\" data-term-id=\"1178\">venous<\/span> insufficiency (5%) and <span class=\"term\" data-term-id=\"825\">anogenital<\/span> disease (2.5%).<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Comida\"><\/span>Food<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Honey \u2013 Although propolis is usually removed entirely, it can be added for its purported therapeutic effect<\/li>\n<li>Brightness: in fruits, candies, chewable vitamins, gum<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Agente-de-refuerzo\"><\/span>reinforcing agent<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Ointments and creams<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Preparaciones-orales-de-liberacion-modificada\"><\/span>Modified-release oral preparations<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>To adjust the melting point of <span class=\"term\" data-term-id=\"1329\">suppositories<\/span>.<\/li>\n<\/ul>\n<p>Biocosmetics and biotherapeutics appear to be the most common source of exposure to propolis in those sensitized.<\/p>\n<p>The oldest <span class=\"term\" data-term-id=\"409\">Allergens<\/span> In poplar-derived propolis, the cocoons are caffeine. 3-methyl-2-butenyl caffeate and phenylethyl caffeate are the main sensitizers. Benzyl caffeate, geranyl caffeate, benzyl salicylate, benzyl cinnamate, methyl cinnamate, ferulic acid, and tectochrysin are also sensitizers present in propolis.<\/p>\n<p>Propolis allergy often cross-reacts with <em>pereirae by myroxylon<\/em> (balsam of Peru) since there are 13 known <span class=\"term\" data-term-id=\"1555\">constituents<\/span> in common. Other recognized cross-reactions due to shared ingredients (commonly cinnamic acid, cinnamyl alcohol, vanillin) include:<\/p>\n<ul>\n<li>Rosin<\/li>\n<li>\n<p>Fragrance Blend I<\/li>\n<li>Carnauba wax (from the Brazilian carnauba palm): used as an edible gloss finish.<\/li>\n<\/ul>\n<p>Cross-reaction with beeswax is rare but can occur, possibly due to contamination with propolis.<\/p>\n<p>Contact with propolis can be direct or, less frequently, in the air.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-alergia-al-propoleo\"><\/span>What are the clinical features of allergy to propolis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Contact allergy to propolis results in <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> or <span class=\"term\" data-term-id=\"1646\">urticaria<\/span>. Symptoms and signs include:<\/p>\n<ul>\n<li>Itching, burning, pain<\/li>\n<li>\n<span class=\"term\" data-term-id=\"324\">Located<\/span> swelling of the lips and tongue<\/li>\n<li>Located <span class=\"term\" data-term-id=\"255\">eruption<\/span>\n<ul>\n<li>\n<p>hand dermatitis \u2013 common presentation<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"492\">eczematous<\/span><\/li>\n<li>\n<span class=\"term\" data-term-id=\"248\"><span class=\"term\" data-term-id=\"1902\">psoriasiform<\/span><\/span>  (I like it <span class=\"term\" data-term-id=\"1475\">palmoplantar<\/span> psoriasis)<\/li>\n<li>redness, small bumps, itching<\/li>\n<\/ul>\n<\/li>\n<li>eczematous rash around the mouth<span class=\"term\" data-term-id=\"227\">perioral<\/span> eczema)<\/li>\n<li>\n<p>cheilitis \u2013 redness, <span class=\"term\" data-term-id=\"384\">climbing<\/span> and <span class=\"term\" data-term-id=\"966\">crust<\/span> of the lips<\/li>\n<li>\n<p>stomatitis, including mouth <span class=\"term\" data-term-id=\"1279\">ulcers<\/span>\n<\/li>\n<li>violinist&#039;s neck<\/li>\n<li>facial redness, itching, and swelling if due to air contact<\/li>\n<\/ul>\n<\/li>\n<li>Urticaria<\/li>\n<li>Throat complaints: difficulty swallowing or speaking<\/li>\n<li>\n<span class=\"term\" data-term-id=\"380\">Systemic<\/span> symptoms such as shortness of breath<\/li>\n<li>\n<p> Autosensitizing dermatitis (rash at a site distant from <span class=\"term\" data-term-id=\"949\">primary<\/span> contact) has been reported.<\/li>\n<\/ul>\n<p>Reactions begin within hours to days of exposure in a previously sensitized patient. Initial <span class=\"term\" data-term-id=\"1204\">sensitization<\/span> it takes 10 to 15 days.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-alergia-al-propoleos\"><\/span>How is propolis allergy diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Diagnosis of allergy to propolis is made by patch testing with 10% propolis in petrolatum and the probable source \u201cas is\u201d or diluted, eg honey, cosmetic or therapeutic formulation. An outbreak of original dermatitis has been reported in association with positive patch test reactions.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-alergia-al-propoleo\"><\/span>What is the treatment for allergy to propolis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Avoidance of propolis-containing products results in resolution of the reaction, but sometimes an additional unidentified source of propolis exposure causes milder symptoms to persist. Therefore, it is important to reassess if contact allergy symptoms do not fully resolve despite avoiding the original source of propolis.<\/p>\n<p>Beekeepers with allergic contact dermatitis on the hands due to propolis may continue to work with hives wearing rubber or leather gloves.<\/p>\n<p>In a case, <span class=\"term\" data-term-id=\"406\">ingestion<\/span> of propolis-enriched honey as a capsule had no effect despite perioral cheilitis\/eczema and positive patch test for honey and propolis.<\/p>\n<p>Patients with known allergies to conifers, poplars, salicylates, and Myroxylon sloths are advised to avoid propolis due to <span class=\"term\" data-term-id=\"1677\">allergenic<\/span> constituents It is important to note the names of substances related to propolis, as they should also be avoided.<\/p>\n<p>Dermatitis is usually treated with <span class=\"term\" data-term-id=\"1888\">emollients<\/span> and <span class=\"term\" data-term-id=\"1330\">current<\/span> steroids Hives are treated with oral antihistamines.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es el prop\u00f3leos? El prop\u00f3leos es el pegamento hecho por las abejas para construir, reparar y proteger sus colmenas. Consiste en resinas parcialmente digeridas de una variedad de brotes&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6577","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6577","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6577"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6577\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6577"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}