Lanolin allergy: facts and fiction
Lanolin is a well-tolerated emollient and probably one of the most marginal contact sensitisers in clinical medicine. Laboratories and clinics all over the world have studied its skin compatibility and conclude that it is not a significant allergen.
In fact, considering the widespread use of lanolin and lanolin derivatives in commercial and pharmaceutical skin-care products, the incidence of skin irritation has not increased in over a century.
Still, the myth of lanolin as an allergen persists, often in public discussion forums in which certain authorities mistakenly label it as a 'leading' sensitiser. Why is this and what is the source of this fallacy?
Roots of the myth
The answer is in the misinterpretation of a dermatological study published in 1953 by Marion Sulzberger of New York University Hospital. Sulzberger patch tested 1,048 patients suspected of contact allergy. He found that 12 individuals exhibited positive reactions to lanolin treatment, constituting a reaction rate of 1.15%.
That incidence of 1.15% was incorrectly translated to the general American population, ignoring the fact that Sulzberger's test patients, as he detailed in his study, belonged to a group "predisposed to acquire multiple specific sensitisations of the skin to eczematous allergens".
In other words, his test group was prone to skin allergies. In a control group of 120 healthy test subjects, none experienced any reaction to lanolin.
Applicable for hypoallergenic formulations
Most researchers conclude that the incidence of lanolin allergy within the general population is negligibly low, varying from approximately 10 to 1 per million. Incidence can be lowered practically to zero when the content of free lanolin alcohols is reduced to a share of 3% or less.
This purified lanolin causes still fewer reactions, even among patients known to be lanolin sensitive, and fulfils the requirements for use in hypoallergenic formulations. Scientists believe that components of the alcoholic fraction are responsible for the small number of sensitisations, although the exact component has not yet been identified.
Renowned skin researcher Albert M. Kligman, from the Philadelphia School of Medicine, says: "It is time to stop denigrating a wonderful natural substance, which has been used for thousands of years as a luscious emollient and an all-purpose vehicle for a great variety of skin-care products."