title: The skin allergenic properties of chemicals may depend on contaminants--evidence from studies on coumarin.
abstract: OBJECTIVE
  Positive patch tests are considered representative of a contact allergy to the tested chemical. However, contaminants and derivatives rather than the suspected chemical itself could be responsible for the allergic skin reactions. Here, we tested the importance of contaminants in the sensitizing and allergenic properties of coumarin in mice and humans. Coumarin, an ingredient in cosmetics and fragrances, was chosen as the reference chemical since conflicting results have been obtained regarding its ability to induce contact allergy. In some chemical preparations, this could be explained by the presence of coumarin derivatives endowed with allergenic properties.
  
  
  METHODS
  In mice, three different coumarin preparations were tested in the local lymph node assay. In humans, we assessed the irritant and allergenic properties of highly pure coumarin in nonallergic and fragrance-allergic patients.
  
  
  RESULTS
  Pure coumarin did not exhibit irritant or sensitizing properties in the local lymph node assay. In contrast, two other commercially available coumarins and three contaminants that were detected in these coumarin preparations were identified as weak and moderate sensitizers, respectively. In humans, pure coumarin was extremely well tolerated since only 1 out of 512 patients exhibited a positive patch test to the chemical.
  
  
  CONCLUSIONS
  These results indicate that coumarin cannot be considered as a common contact allergen and further emphasize that purity of chemicals is mandatory for the assessment of their allergenicity.
authors: INSERM U 503, IFR 128 BioSciences Lyon-Gerland, Lyon, France.
authors: M
authors: M
authors: Vocanson
authors: C
authors: C
authors: Goujon
authors: G
authors: G
authors: Chabeau
authors: M
authors: M
authors: Castelain
authors: M
authors: M
authors: Valeyrie
authors: F
authors: F
authors: Floc'h
authors: C
authors: C
authors: Maliverney
authors: A
authors: A
authors: Gard
authors: J F
authors: JF
authors: Nicolas