Occupational Allergic Contact Dermatitis in Manicurists: A Systematic Review

Document Type

Conference Proceeding

Publication Date

7-22-2025

Publication Title

Dermatitis

Abstract

Objectives: Acrylates are a prevalent cause of allergic contact dermatitis (ACD) in both non-occupational and occupational settings. This is particularly evident in the artificial nail practice, where consumers and manicurists face increased sensitization risks. A focused analysis on occupational ACD among manicurists is needed to identify industry trends and exposure risks. This study systematically reviews documented cases of occupational ACD in manicurists. Methods: A literature search was conducted in PubMed, Embase, and Scopus using appropriate MESH terms and keywords. 272 studies were identified, with 14 included for data analysis. Case studies that included individualized demographic data and patch testing results were included. Studies that did not focus specifically on professional manicurists or lacked patient data were excluded. Results: From the 272 studies, 14 articles detailing 17 patients were analyzed. A total of 100 positive patch tests were documented between all patients. Hydroxymethyl methacrylate (100% of patients), ethylene glycol dimethacrylate (76%), and hydroxypropyl methacrylate (41%) were the most common. Two patients left the profession due to ACD, allergen avoidance was advised for all, and specialty gloves recommended for four. Conclusions: This study highlights the risk of occupational ACD in manicurists, primarily from acrylates like hydroxymethyl methacrylate and ethylene glycol. The findings emphasize the need for improved safety protocols, including the use of specialty gloves, to reduce workplace allergen exposure. Standardizing nail product ingredient labels is crucial for allergen avoidance. Given that patients left the profession due to ACD, proactive measures are essential to protect workers and address the rise of occupational ACD in this industry.

Volume

36

Issue

4

First Page

e425

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