DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages

Translate

Contact allergy to benzisothiazolinone

Author: Dr Julia Zhu, Dermatology Advanced Registrar Trainee, Greenlane Clinical Centre, New Zealand. Copy edited by Gus Mitchell. January 2022


Contact allergy to benzisothiazolinone — codes and concepts
open

What is benzisothiazolinone?

Benzisothiazolinone (BIT) is an organic compound widely used as an industrial preservative for its antimicrobial properties and has the potential to cause allergic contact dermatitis.

Benzoisothiazolinone, also known as 1,2-Benzisothiazolin-3-one, is an established contact allergen and belongs to a class of molecules called isothiazolinones. Other known sensitisers from this class include methylisothiazolinone (MI) and octylisothiazolinone.

Where is benzisothiazolinone found?

It may be present in:

  • Water based paints, varnishes, stains, and printing inks
  • Adhesives, plasters, and sealant
  • Household cleaning products, laundry detergents, and fabric softener
  • Cooling fluids, industrial processes.

The US Environmental Protection Agency declared benzisothiazolinone a moderate skin sensitiser. It is banned from use in personal care products in Europe but may still be found in products from other parts of the world.

Benzisothiazolinone can be an important cause of allergic contact dermatitis from paints. Benzisothiazolinone in paints can evaporate continuously at low levels over weeks to months, posing a risk as an airborne allergen to those exposed.

Who gets contact allergy to benzisothiazolinone?

The exact incidence of allergic contact dermatitis due to benzisothiazolinone is not known. However, current literature has not shown benzisothiazolinone to be a common allergen. Benzisothiazolinone allergy is more likely to be due to occupational exposure given the products that it is found in.

What are the features of contact allergy to benzisothiazolinone?

Hand contact dermatitis can be a feature of contact allergy to benzisothiazolinone if the individual has direct skin exposure to the allergen after sensitisation. This may appear as a red, itchy, swollen rash that may even be weepy or blistering.

If airborne contact occurs, the affected person may experience dermatitis affecting the face and around the eyes.

How is contact allergy to benzisothiazolinone diagnosed?

Patch testing is the standard diagnostic test with a positive patch test reaction indicating an allergy. As benzisothiazolinone is not a common allergen, it is not included in many of the standard patch test series internationally. It is part of the European comprehensive series and British standard series.

Patch testing details:

  • Benzisothiazolinone 0.1% petrolatum.

How is contact allergy to benzisothiazolinone treated?

  • Discontinue exposure to any offending products containing benzisothiazolinone.
  • Carefully explore items in the home and occupational environments, especially as benzisothiazolinone is more frequently found in industrial processes.
  • Treat active dermatitis with a topical steroid to control and reduce inflammation.

For more information on treatment, see allergic contact dermatitis.

What should I do to avoid benzisothiazolinone?

It is important to be mindful of products that may contain benzisothiazolinone. When handling paints or cleaning products, it is always useful to wear protective equipment (such as mask and gloves) especially if there is uncertainty around whether a product contains benzisothiazolinone. For personal products, in countries where it is not banned, it is useful to read the manufacturer’s ingredient list to ensure that benzisothiazolinone is not present. This may be found on the manufacturer’s website or by contacting the manufacturer directly.

 

Bibliography

  • Aerts O, Goossens A, Lambert J, Lepoittevin JP. Contact allergy caused by isothiazolinone derivatives: an overview of non-cosmetic and unusual cosmetic sources. Eur J Dermatol. 2017;27(2):115–122. doi:10.1684/ejd.2016.2951 Journal
  • Gupta R, Kullberg SA, Warshaw EM. Relevant Contact Allergy to Benzisothiazolinone in a Personal Care Product. Dermatitis. 2020;31(2):e13–e14. doi:10.1097/DER.0000000000000558. Journal
  • King N, Latheef F, Wilkinson M. Trends in preservative allergy: Benzisothiazolinone emerges from the pack. Contact Dermatitis. 2021;85(6):637–42. doi:10.1111/cod.13968. Journal
  • Madsen JT, Andersen KE. Contact allergy to 1,2-benzisothiazolin-3-one. Contact Dermatitis. 2016;75(5):324–6. doi:10.1111/cod.12570. Journal

On DermNet NZ

Other websites

 

Books about skin diseases

 

Related information

Sign up to the newsletter