Fragrance mix reactions and lime allergic contact dermatitis

Amy Swerdlin, David Rainey, Frances J. Storrs

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Allergic contact dermatitis due to citrus fruits is rare, but has been reported in cooks and bartenders. We report an interesting case of a bartender with hand dermatitis who had an allergic contact sensitivity to lime peel, fragrance mix I, and fragrance mix II. Most reported cases of citrus peel allergy are due to D-limonene, which makes up the majority of the peel oil. However, our patient had an allergic reaction to geraniol, which is a minor component of the peel oil and is present in fragrance mix I. It is important to consider a contact sensitivity to citrus in patients who have positive reactions to fragrance mix I and II and who are occupationally exposed to citrus fruits. An initial positive reaction to fragrance mixes should prompt further testing to citrus in these individuals.

Original languageEnglish (US)
Pages (from-to)214-216
Number of pages3
Issue number4
StatePublished - Aug 2010

ASJC Scopus subject areas

  • Immunology and Allergy
  • Dermatology


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