Intolerance to cosmetics

1) Examine every cosmetic and skin-care product

2) Administer patch and photopatch tests to rule out occult

allergic and photoallergic dermatitis

3) Test for contact urticaria

4) Do careful repeat open application testing (ROAT)

5) Treat endogenous inflammatory disease

6) Limit skin-care to:

Water washing without soap or detergent

Lip cosmetics as desired, if lips are clear

Eye cosmetics as desired, if eyelids are asymptomatic

Face powder

Glycerin and rose water as a moisturizer, if necessary.

Cosmetic intolerance syndrome:
It is extreme end of irritant or allergic contact dermatitis to cosmetic products.
Patient can not tolerate any cosmetics over face due to burning sensation.
Definition :
It is an uncommon clinical phenomenon in which patients complain of facial burning and discomfort associated with application of most skin-care products.

Severity of symptoms does not match objective signs of disease.

 status cosmeticus:  condition in which patients no longer tolerate the use of any facial cosmetic product.

 irritation to occult allergic contact dermatitis, allergic photocontact dermatitis, contact urticarial reaction, or a combination can be presenting symptoms.
Investigations:
careful clinical review and patch testing of casual agents.
Advice:
 prolonged program of eliminating cosmetics is  important.

dermatologic nondisease: facial burning continuously, without showing objective signs.