Prevalence of Sodium Lauryl Sulfate Allergy and Association of Patch Testing of Sodium Lauryl Sulfate Allergy and Self-Reported Recurrent Aphthous Stomatitis in Thai Healthy Volunteers

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Jirayu Saepoo
Kanokporn Pangsomboon
Amares Thammasukitar
Pakin Pakdeetewamit
Suthinan Amornsirinukroh
Thunchanok Chitvarodom

Abstract

The objectives of this study were to determine the prevalence of sodium lauryl sulfate (SLS) allergy in Thai healthy volunteers and investigate the association between SLS allergy and self-reported recurrent aphthous stomatitis (RAS) history. This study collected data from 71 Thai healthy participants at the Faculty of Dentistry, Prince of Songkla University. Eligible participants received 0.5% SLS and distilled water (negative control) patch testing on the forearm for 48 hours. Twenty-four hours after removal of the patch testing, participants were recalled for a test interpretation. In addition, participants were also requested to respond to the baseline characteristics and related history of RAS, including the presence of RAS and the number, size, duration, frequency, location, prodromal symptoms, family history, and stress related to RAS. Descriptive statistics described baseline characteristics, characteristics of RAS, SLS allergy interpretation, and prevalence of SLS allergy among Thai healthy subjects. Fisher’s exact test was used to determine the association between SLS allergy and RAS history. The results showed that the prevalence of SLS allergy was 81.82% in Thai healthy subjects. The subjects with a history of RAS were mainly female, usually presenting one RAS ulcer with ≤ 5 mm size of ulcer located on non-keratinized mucosa, of less than one week in duration, occurring over three times per year, presenting prodromal symptoms, and being related to family history. All subjects with a history of RAS were 100% positive for SLS allergy; in contrast, subjects without a history of RAS were 67.74% positive for SLS. A significant association was found between SLS allergy and self-reported RAS history (p=0.003). However, no significant association between the scoring level of SLS allergic reactions and self-reported RAS history was found.  In conclusion, SLS allergy is associated with self-reported RAS events. Therefore, SLS allergy should be considered as one factor in patients with a history of RAS.

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Saepoo J, Pangsomboon K, Thammasukitar A, Pakdeetewamit P, Amornsirinukroh S, Chitvarodom T. Prevalence of Sodium Lauryl Sulfate Allergy and Association of Patch Testing of Sodium Lauryl Sulfate Allergy and Self-Reported Recurrent Aphthous Stomatitis in Thai Healthy Volunteers. Khon Kaen Dent J [Internet]. 2023 May 31 [cited 2024 Jul. 18];26(2):87-94. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/254164
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Author Biographies

Jirayu Saepoo, Department of Oral Diagnostic Sciences, Faculty of Dentistry, Prince of Songkla University, Songkhla.

Department of Oral Diagnostic Sciences, Faculty of Dentistry, Prince of Songkla University, Hatyai, Thailand

Kanokporn Pangsomboon, Department of Oral Diagnostic Sciences, Faculty of Dentistry, Prince of Songkla University, Songkhla.

Department of Oral Diagnostic Sciences, Faculty of Dentistry, Prince of Songkla University, Hatyai, Thailand

Amares Thammasukitar, Undergraduate Student, Faculty of Dentistry, Prince of Songkla University, Songkhla.

Undergraduate student

Pakin Pakdeetewamit , Undergraduate Student, Faculty of Dentistry, Prince of Songkla University, Songkhla.

Undergraduate student

Suthinan Amornsirinukroh , Undergraduate Student, Faculty of Dentistry, Prince of Songkla University, Songkhla.

Undergraduate student

Thunchanok Chitvarodom , Undergraduate Student, Faculty of Dentistry, Prince of Songkla University, Songkhla.

Undergraduate student

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