The factors which determine individual susceptibility to the development of
allergic contact dermatitis (ACD) are not well defined. Since it is known
that the presence of skin irritation is well-documented as a promoter of se
nsitization, the sensitivity to irritation of subjects with ACD has been co
mpared with a normal control group. Whilst 78% of those with a positive pat
ch test reaction to the contact allergen colophony (colophonium) responded
to a concentration of no higher than 2.5% sodium lauryl sulfate (SLS), only
44% of the matched control group reacted at this level of SLS. Thus, the r
esults are consistent with the hypothesis that individuals with enhanced su
sceptibility to skin irritation are also more liable to develop allergic sk
in reactivity.