Evidence map›Paper›PMID 40400120›Full record

ArticleContact dermatitis2025

The Italian Trend of Contact Allergy to 2-Hydroxyethyl Methacrylate: Is the Current European Legislation Working?

Elena Sofia Caroppo, Gabriele Casciola, Katharina Hansel, Alba Guglielmo, Silvia Mariel Ferrucci, Fabrizio Guarneri, Maria Michela Lauriola, Maddalena Napolitano, Cataldo Patruno, Paolo Romita and 5 more

Abstract read
In one paragraph

Article in Contact dermatitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Elena Sofia CaroppoDermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Gabriele CasciolaDermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Katharina HanselDermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0002-6674-4278
Alba GuglielmoSection of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
Silvia Mariel FerrucciDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Fabrizio GuarneriSection of Dermatology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID https://orcid.org/0000-0003-0805-8496
Maria Michela LauriolaIstituti Ospedalieri Bergamaschi, Policlinico San Marco, Dermatology Unit, Italy.ORCID https://orcid.org/0000-0002-2243-0293
Maddalena NapolitanoSection of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.ORCID https://orcid.org/0000-0003-3309-8190
Cataldo PatrunoDepartment of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy.
Paolo RomitaSection of Dermatology, Department of Precision and Regenerative Medicine and Jonian Area, University Aldo Moro of Bari, Bari, Italy.ORCID https://orcid.org/0000-0002-5559-9722
Donatella SchenaSection of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy.
Ilaria TraveSection of Dermatology, Department of Health Sciences, University of Genoa, IRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Leonardo BianchiDermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0001-8838-048X
Luca StingeniDermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0001-7919-8141
2‐HEMA Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background(Meth)acrylates are well-known causes of allergic contact dermatitis, and nail products are the major source of exposure, especially in a non-occupational setting. In 2020, the European legislation restricted 2-hydroxyethyl methacrylate (2-HEMA) only in nail cosmetics to professional use.

objectiveTo investigate the Italian prevalence trend of positive patch test reactions to 2-HEMA, the best marker for delayed hypersensitivity to (meth)acrylates.

methodsA retrospective descriptive study on consecutive patients patch tested with the Italian baseline series containing 2-HEMA was performed in 8 Italian Dermatology Clinics. Demographics, patch test results, exposure settings and sources were analysed.

resultsAmongst 7133 patch tested patients, 147 (2.1%) resulted positive to 2-HEMA with an increasing trend from 2019 (1.6%) to 2023 (2.7%). The median age of sensitised female patients with a relevant positive patch test reaction to 2-HEMA was significantly decreasing over time (p = 0.004). Non-occupational allergic contact dermatitis was documented in 68.7%; artificial nails were the leading source of exposure in both occupational (75.0%) and non-occupational (72.2%) settings.

conclusionThe prevalence of contact allergy to 2-HEMA in Italy shows a progressively increasing trend over time. Currently, the European legislation does not appear to be effective in preventing or reducing this phenomenon.

Indexed as

CosmeticsDermatitis, Allergic ContactDermatitis, OccupationalMethacrylatesAdultAgedFemaleHumansItalyMaleMiddle AgedOccupational ExposurePatch TestsPrevalenceRetrospective StudiesYoung AdultCosmeticshydroxyethyl methacrylateMethacrylates2‐hydroxyethyl methacrylateacrylatescontact allergyEuropean legislationmethacrylatespatch test

Identifiers

PMID40400120
PMCPMC12318905

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.