Evidence map›Paper›PMID 41804652›Full record

SynthesisContact dermatitis2026

Prevalence of Contact Allergy to Isothiazolinones in Dermatitis Patients From 2000 to 2025: A Systematic Review and Meta-Analysis.

Daniel Isufi, Kian Karimian, Mikkel Bak Jensen, Christoffer Kursawe Larsen, Rebekka Søgaard, Jeanne Duus Johansen, Jakob Ferløv Baselius Schwensen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Contact dermatitis, 2026. 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

7 authors.

Daniel IsufiDepartment of Dermatology and Allergy, Herlev and Gentofte-Copenhagen University Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0009-0003-2780-3604
Kian KarimianNational Allergy Research Centre, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0009-0005-1580-4671
Mikkel Bak JensenNational Allergy Research Centre, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-2442-5735
Christoffer Kursawe LarsenNational Allergy Research Centre, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Copenhagen, Denmark.
Rebekka SøgaardNational Allergy Research Centre, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0009-0004-7749-0383
Jeanne Duus JohansenNational Allergy Research Centre, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-3537-8463
Jakob Ferløv Baselius SchwensenNational Allergy Research Centre, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0009-0007-9756-656X

Funding

The Danish Environmental Protection Agency under the Ministry of Environment of Denmark
6 · The paper itself

Abstract

Isothiazolinones are employed in the preservation of cosmetic, consumer and industrial products, with the objective of preventing deterioration and spoilage. However, the utilization of isothiazolinones is associated with an elevated risk of developing contact allergy (CA). Herein, we assess the epidemiology of CA to isothiazolinones among dermatitis patients from year 2000 onwards. We systematically searched PubMed, Embase, and Web of Science from 1 January 2000 to 19 April 2025 yielding 115 studies comprising 1 514 781 dermatitis patients. The prevalence of CA to methylchloroisothiazolinone/methylisothiazolinone (MCI/MI) was 4.58%, methylisothiazolinone (MI) was 5.48%, and benzisothiazolinone (BIT) was 2.09%. The clinical relevance ranged from 60.1% for MCI/MI, 55.6% for MI, and 35.3% for BIT. Asia and North and South America exhibited the highest rates of CA to isothiazolinones, whereas Europe showed lower rates. These findings underscore the efficacy of proactive risk management for post-marketed substances such as MI, underscoring substantial regional variations in usage patterns, which are contingent on the strictness or permissiveness of their incorporation into everyday consumer products. There is an indication of a decline, particularly regarding MI and MCI/MI. However, there has been an increase in the use of substances such as BIT, which necessitates enhanced surveillance measures.

Indexed as

CosmeticsDermatitis, Allergic ContactPreservatives, PharmaceuticalThiazolesHumansPrevalence1,2-benzisothiazoline-3-one2-methyl-4-isothiazolin-3-one5-chloro-2-methyl-4-isothiazolin-3-oneCosmeticsPreservatives, PharmaceuticalThiazolesallergic contact dermatitisbenzisothiazolinonecontact allergyepidemiologyisothiazolinonesmethylchloroisothiazolinonemethylisothiazolinoneprevalence

Identifiers

PMID41804652
PMCPMC13139707

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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.