Evidence map›Paper›PMID 24817899›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2014

Irritant contact dermatitis risk of common topical traditional chinese medicines used for skin-lightening: a pilot clinical trial with 30 volunteers.

Kao-Sung Tsai, Tzu-Chun Lin, Meng-Tse Wu, Jui-Lung Shen, Ming-Ya Mao, Huey-Yi Chen, Yung-Hsiang Chen, Wen-Chi Chen

Abstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kao-Sung TsaiSchool of Chinese Medicine, Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Departments of Dermatology, Medical Research, Obstetrics and Gynecology, and Urology, China Medical University Hospital, Taichung 40402, Taiwan.
Tzu-Chun LinSchool of Chinese Medicine, Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Departments of Dermatology, Medical Research, Obstetrics and Gynecology, and Urology, China Medical University Hospital, Taichung 40402, Taiwan.
Meng-Tse WuDepartments of Dermatology, Medical Research, Obstetrics and Gynecology, and Urology, China Medical University Hospital, Taichung 40402, Taiwan.
Jui-Lung ShenDepartment of Dermatology, Taichung Veteran General Hospital, Taichung 40705, Taiwan.
Ming-Ya MaoDepartments of Dermatology, Medical Research, Obstetrics and Gynecology, and Urology, China Medical University Hospital, Taichung 40402, Taiwan.
Huey-Yi ChenSchool of Chinese Medicine, Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Departments of Dermatology, Medical Research, Obstetrics and Gynecology, and Urology, China Medical University Hospital, Taichung 40402, Taiwan.
Yung-Hsiang ChenSchool of Chinese Medicine, Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Departments of Dermatology, Medical Research, Obstetrics and Gynecology, and Urology, China Medical University Hospital, Taichung 40402, Taiwan.ORCID 0000-0002-8756-5113
Wen-Chi ChenSchool of Chinese Medicine, Graduate Institute of Chinese Medicine, Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Departments of Dermatology, Medical Research, Obstetrics and Gynecology, and Urology, China Medical University Hospital, Taichung 40402, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Topical traditional Chinese medicine- (TTCM-) related contact dermatitis is not uncommon but ignored. Patch and photopatch tests using 6 individual herbal ingredients and Bai-Zhi-Kao (BZK; ), a skin-lightening TTCM preparation, were conducted on 30 participants. Twenty-five subjects showed at least 1 positive reaction, including 6 (20.0%) participants who reacted to BZK. The majority reacted to Radix Ampelopsis japonica (Bai-Lian; ) (60.0%), whereas few reacted to Rhizoma Bletilla striata (Bai-Ji; ) (16.7%), Rhizoma Atractylodis macrocephalae (Bai-Zhu; ) (10.0%), Radix Angelicae dahuricae (Bai-Zhi; ) (3.3%), and Herba asari (Xi-Xin; ) (3.3%). In the photopatch test, 3 participants (10.0%) reacted positively to BZK and 10 to ≥1 constituent; however, all reacted to Radix Angelicae dahuricae (26.7%), Radix Ampelopsis japonica (13.3%), and Rhizoma Bletilla striata (3.3%). In contrast, no subjects showed positive reactions to Sclerotium Poria cocos (Bai-Fu-Ling; ). Thus, BZK and its constituents might present potential latent risk of contact dermatitis owing to the possible presence of Radix Ampelopsis japonica and Radix Angelicae dahuricae. Furthermore, TTCMs, particularly cosmetic products, must be used carefully, with ample warning of potential contact dermatitis risk.

Identifiers

PMID24817899
PMCPMC4003776

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.