In a population of 1883 patients tested for
allergic contact dermatitis (1985-1988), a prevalence of 5.4% (103 cases) was seen for wood
tars (ICDRG
allergen, 12% pet.) sensitization. In this group (n = 103), retrospectively, a combined
allergy was seen to wood
tars and fragrance mix in 43% and to wood
tars and
balsam of Peru in 31%. A combined
allergy to wood
tars and
coal tar was seen in 19 patients (18.5%): 14 to liquor carbonis detergens (LCD), 8 to lianthral and 3 to both LCD and lianthral. Within the group with wood
tars allergy (n = 103), a minority (n = 37) had a history of
atopic dermatitis. Comparison of the test results in atopic and non-atopic subgroups (within the group of 103) revealed a higher incidence of combined wood
tars-fragrance mix
allergy in the atopic group (n = 37). In this group, a lower incidence of combined wood
tars-
coal tar sensitization was seen in comparison with the non-atopic group (n = 66). The authors believe that combined "wood
tars-
coal tar"
allergy could be the consequence of cross-sensitization rather than due to long-term previous topical treatment with tar derivatives. The high % of cross-
allergy between wood
tars and fragrance mix emphasizes the role of wood
tars as an important
indicator allergen in
perfume allergy.