Seamus Hammond
Fragrances and perfumes are some of the most frequently cited substances that cause eczema reactions. Fragrance sensitivity is a condition that affects millions of people, and fragrances can be found almost everywhere, from perfumes and air fresheners to cleaning products. The National Eczema Association (NEA) reports that 8-15% of eczema patients have a fragrance allergy, and fragrances account for up to 40% of allergic reactions from cosmetics. This article will explore the relationship between fragrance and eczema, providing tips and insights for managing eczema and fragrance sensitivity.
| Characteristics | Values |
|---|---|
| Prevalence of fragrance allergy in eczema patients | 8% to 15% |
| Proportion of allergic reactions from cosmetics due to fragrance | Up to 40% |
| Common fragrance ingredients that can cause skin sensitivity | Rose oil, vanilla, sweet almond oil |
| Products that may contain fragrance | Shampoos, deodorants, lotions, air fresheners, pesticides, flavored tobacco, foods (e.g. tomatoes, cola, chocolate, citrus) |
| Symptoms of fragrance sensitivity | Watering eyes, sneezing, skin irritation |
| Tips for eczema sufferers who want to use fragrance | Spraying perfume on clothes, using organic shampoos with natural fragrances, coconut and cocoa-butter lotions, using scented deodorant instead of perfume |
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What You'll Learn
Fragrance sensitivity and allergies
Fragrance sensitivity is a real condition that affects millions of people. Fragrances are often made up of dozens or even hundreds of synthetic chemical compounds, and the manufacturers of these fragrances typically do not disclose their full composition. Fragrance sensitivity occurs when an individual displays signs of irritation or an allergic reaction due to the ingredients or chemicals in fragrances.
The National Eczema Association (NEA) reports that 8% to 15% of eczema patients have a fragrance allergy, and fragrances account for 30-45% of cosmetic allergic reactions. Fragrances are one of the most frequently cited substances in personal and cosmetic care products that cause eczema reactions.
Some products marketed as \"unscented\" or \"fragrance-free\" may still contain a \"masking\" fragrance to cover up unwanted natural odors from herbal or botanical ingredients, which can cause skin reactions. These products may contain allergens such as rose oil, vanilla, and sweet almond oil.
If you have a fragrance allergy, it is important to be cautious when purchasing products and to check the labels for common fragrance ingredients. Some medications can help control allergy symptoms, such as nasal antihistamines and nasal corticosteroid medications for respiratory-focused symptoms.
Additionally, some people with eczema choose to spray perfume on their clothes or carry a scented handkerchief or sachet to enjoy fragrances without applying them directly to their skin.
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Eczema flare-ups
The National Eczema Association (NEA) reports that 8% to 15% of eczema patients have a fragrance allergy, and fragrances account for up to 40% of allergic reactions from cosmetics. Fragrances can be made up of dozens or even hundreds of synthetic chemical compounds, and the specific compounds are often not disclosed by manufacturers. This makes it challenging for individuals with eczema to identify and avoid potential triggers.
To prevent eczema flare-ups, it is recommended to use fragrance-free or unscented products. However, it is important to note that even products labelled as "unscented" or "fragrance-free" may still contain masking fragrances or other ingredients that can cause skin reactions. These masking fragrances are used to cover up unwanted natural odors from herbal or botanical ingredients. For example, products may contain allergens such as rose oil, vanilla, or sweet almond oil, which can trigger eczema flare-ups. Therefore, it is crucial to carefully read product labels and look for common fragrance ingredients, rather than simply relying on the terms "unscented" or "fragrance-free."
Additionally, individuals with eczema can take other measures to prevent flare-ups. This includes being cautious when trying new products and monitoring the skin's reaction, as well as opting for natural or organic fragrances, which some individuals with eczema have found to be gentler on the skin. For example, some individuals with eczema have shared their positive experiences with using coconut and cocoa-butter lotions, organic shampoos with natural fragrances, and solid perfumes. It is also recommended to avoid spraying perfume directly on the skin and instead spraying it on clothing or carrying a scented item, such as a handkerchief or sachet, to prevent direct contact with the skin.
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Natural vs. chemical ingredients
Fragrances are often added to cosmetic and personal care products to make them smell good and to mask the odour of unpleasant ingredients. However, they are a common allergen and can cause skin irritation and trigger eczema flare-ups. This is true for both natural and synthetic fragrances.
Natural Ingredients
Natural ingredients with a scent, such as German Chamomile or Roman Chamomile, are not considered true fragrances. However, some people may be sensitised to these ingredients, and since they are clearly labelled, they can be avoided. Other natural fragrance ingredients to avoid if you have eczema include rose oil, vanilla, and sweet almond oil. Essential oils, even popular ones like tea tree oil, can also irritate the skin. Lanolin, a natural emollient derived from sheep's wool, is another potential allergen that can provoke eczema flare-ups.
Chemical Ingredients
Fragrances and perfumes are typically made up of dozens or even hundreds of synthetic chemical compounds. These compounds are usually of plant or animal origin, but manufacturers often do not disclose their exact composition for competitive reasons. Synthetic fragrances can cause skin sensitivity or an allergic reaction, leading to potential flare-ups. Other chemical ingredients to avoid if you have eczema include urea, retinoids, sulphates, dyes, and formaldehyde.
It is important to note that each person's eczema is unique, and what triggers a reaction in one person may not bother another. Therefore, it is essential to carefully read labels, limit exposure to potential triggers, and consult a dermatologist if you are unsure.
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Reading product labels
Firstly, it's important to note that labels are not always as transparent as we would like them to be. The Food and Drug Administration (FDA) has limited authority over cosmetics and personal care products, and while they require ingredients to be listed on package labels, very few labels list the specific ingredients within general categories, such as "fragrance," "flavor," and "inactive ingredients."
When reading product labels, beware of products labeled as "hypoallergenic," "natural," or "organic." These labels do not guarantee that a product is safe for you to use if you have eczema or contact dermatitis. Instead, carefully read the ingredient lists to check for potential allergens or irritants. Ingredients are often listed in descending order of concentration, so the first ingredient on the list is present in the greatest amount. However, if ingredient amounts are less than 1%, they may be listed in any order.
If you are looking for fragrance-free products, read the labels carefully. "Fragrance" is a common ingredient on personal product labels, and people with eczema are often allergic to fragrance. Unfortunately, it can be challenging to identify which fragrance-related chemical is causing the issue.
In addition to avoiding fragrances, people with eczema should prioritize keeping their skin hydrated and moisturized. Look for thick, clear, petroleum-based moisturizers with low water and alcohol content to prevent burning or stinging. During flares, products containing pramoxine or colloidal oatmeal can help relieve itching and pain.
By learning to read product labels and understanding the ingredients, you can make informed choices to manage your eczema effectively and safely.
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Fragrance-free alternatives
Fragrances and perfumes are one of the most frequently cited substances in personal and cosmetic care products that cause eczema flare-ups. In fact, fragrances are most likely to cause allergic contact dermatitis, accounting for 30-45% of reactions in cosmetic products.
When looking for fragrance-free alternatives, it is important to note that products labelled as "unscented" or "fragrance-free" may still contain fragrance components, sometimes called masking fragrances, to cover up offensive odors that may naturally occur in a product. These products may contain allergens such as rose oil, vanilla, and sweet almond oil.
To avoid this, look for products with the National Eczema Association's (NEA) Seal of Acceptance. The NEA has created a list of specific ingredients in its Seal Ecz-clusion list that are known irritants and allergens. Products that have been awarded the Seal have been vetted by the NEA and are safe to use for those with eczema.
When it comes to moisturizing, opt for products that are fragrance-free and have short ingredient lists. Creams and ointments that feel "greasy" are very effective at keeping moisture in and irritants out. Some recommended fragrance-free products include CeraVe Eczema Relief Creamy Oil, which is also non-comedogenic and allergy-tested, and an intensive balm with topical lipids like ceramides, which help improve atopic dermatitis and support skin barrier function.
Additionally, the "soak and seal" method is recommended by many healthcare providers to combat dry skin and reduce eczema flares. This involves bathing with lukewarm water and a gentle, no-fragrance cleanser, followed by applying topical medications and a fragrance-free moisturizer to the rest of the body.
While it may be tempting to use fragrances, it's best to avoid them if you have eczema-prone skin. Instead, focus on finding fragrance-free products that work for you and help soothe your skin.
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Frequently asked questions
Fragrance is one of the most frequently cited substances that cause eczema reactions. Fragrances are typically comprised of dozens or even hundreds of synthetic chemical compounds. Some of the most common fragrance ingredients that cause eczema flares include rose oil, vanilla, and sweet almond oil.
Fragrance sensitivity is when an individual displays signs of irritation or an allergic reaction due to ingredients or chemicals in fragrances. If you suspect you have a fragrance sensitivity, it is important to be more cognizant of what you buy and keep all fragrances off of your body and out of your immediate environment.
Symptoms of a fragrance allergy can be respiratory-focused, such as sneezing and watery eyes. Fragrance allergies can also cause skin reactions, such as eczema flares and rashes.
If you have a fragrance allergy, it is important to carefully read product labels and avoid products that contain common fragrance ingredients. Even products labeled as "'unscented' or 'fragrance-free' may still contain fragrances, so it is important to be cautious when trying new products.
Some people with eczema find that they can use certain fragrances without triggering a reaction. Organic shampoos with natural fragrances, coconut and cocoa-butter lotions, and solid perfumes are some options that may be better tolerated by people with eczema. However, it is important to note that everyone's skin is different, and what works for one person may not work for another.
