Blausen_0014_AllergicDermatitis

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One of the first “safety” issues an aromatherapist learns in their training are three important reactions to watch for when essential oils come in contact with the skin.

1. Irritation (localized to the areas where the product has been applied)

2. Phototoxicity (a light-induced reaction to a photoactive essential oil that requires contact with the aromatic then subsequent exposure to UV light)

3. Sensitization (an allergic reaction that shows up in places other than where the oil was applied).

The first two are pretty well understood.  But how well do you understand No 3 – the reaction called sensitization?  Would you recognize it if happened to you or one of your aromatherapy customers?  Would you recognize it if it happened to you?  I am sensitized to Kombo Butter and let me tell you, it ain’t pretty.

What Exactly is Sensitization?

Sensitization is an allergic reaction of the immune system. The reaction will be noticed in places other than where you applied the oil.   Think: poison ivy.

It occurs upon first exposure but may be so slight it is unnoticeable. With subsequent use of the oil, an inflammatory reaction will occur. The severity of the reaction can seem out of proportion to the amount of oil being used.

Signs of Sensitization:

  • Rash with inflammation
  • Raised, bumpy, itchy skin
  • Eczema

How to Avoid Sensitization Reactions:

  • Oils high in aldehydes and phenols are more likely to be sensitizers. Use caution with these oils.
  • Do not use old, oxidized oils on the skin.
  • If someone already knows they are sensitive to certain aromas, avoid using them.

Other Considerations:

  • Sensitization doesn’t have to be related to dose. Can be localized, generalized and even systemic. Always needs more than one exposure to the offending substance for the reaction to be elicited.
  • Only a small percentage of people have sensitization reactions.
  • Women are more likely to have fragrance allergy than men.
  • A substance can be non- sensitizing initially, but it can become sensitizing.
  • As geraniol is so widely used in the fragrance and cosmetic industry, it has wide public exposure. It is possible that people can become sensitized to geraniol and thus react to oils like Lavender.

Previously I posted a photograph of a medical alert bracelet on my arm.  The words “Kombo Butter” are scrawled on the red plastic bracelet.  I am highly sensitized to this gorgeous African nut butter.  So sad.   And how do I know this?

Here are the sequence of events that led to my understanding of my own sensitization:

1. The first time I used Kombo Butter was in a butter blend with jojoba oil, cocoa butter, kombo butter and essential oils.  I used it under my arms in place of deodorant.  Within about 4 hours I started to itch slightly but didn’t give it much thought.

2. A few days later I used it again under my arms.  More itching, this time more severe;  and now read bumps appear. I was also getting itchy in places where I didn’t use the butter, like the inner crease of my elbow, groin, belly.  It looked something like this: 

Now I’m suspicious.  I knew it was something in the butter but I didn’t know what.

3. A month later I used this butter blend on a massage client’s feet.  That was it.  The only contact I had was on my hands and I washed them immediately afterward.  Within an hour I was itchy from my neck to my knees with red bumps everywhere.  Know I am SURE there is something in this butter than I have to avoid but I didn’t know which ingredient.

4. A full six months after my last use of my mystery butter,  I was given a gift of a bruise blend that contained jojoba and kombo butter in it.   I thought “dare I try it?”.   I gave it a little rub over my knee where I had a bruise.  VIOLA!  Within 30 minutes I was violently itchy, with red welts all over my body.  This reaction lasted one week!

Kombo Butter.  That was the ingredient I was reacting too.  I use Jojoba oil with no reaction at all.

I now know to avoid Kombo butter, which is a pity because it’s a beautiful, rich healing African nut butter.  Please don’t misunderstand the point of my story.  I’ve never heard of anyone having this reaction to Kombo so please don’t be afraid to use it.  I tell this story to illustrate what sensitization/allergic reaction/contact dermititis of any substance can look like.   And it can happen with anything, even our gorgeous aromatics.

Do A Patch Test

If you suspect sensitization on yourself or a client, please do a patch test!  Add a tiny bit of the substance to the inner elbow and cover it.  Wait an hour or two.  If there is itchiness, even slight, avoid the product!

Maybe one day I’ll try it again to make friends with Kombo butter again, but until then, it stays in the fridge at school for my students to use, far from my body.

 If you have any questions about an essential oil or aromatic sensitization reaction,

please don’t hesitate to ask below or contact me privately: liz@aromaticwisdom.com.

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