Balsam of Peru, Peru-balsem, Myroxylon Pereirae

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Formula

CAS

 

 

 
CAS: Chemical Abstract Service Registry Number
 

Background

Myroxylon Pereirae (Balsam of Peru) is a dark brown, viscous, liquid mixture derived from the Central American tree Myroxylon pereirae or Toluifera pereirae. It has a pleasant aromatic odor due to cinnamein, an essential oil containing cinnamic acid and vanillin. Balsam of Peru contains 30 to 40% complex aromatic resins, many of unknown composition. The remaining chemicals include cinnamic acid, cinnamic alcohol, cinnamic aldehyde, vanillin, benzyl acetate, benzyl alcohol, eugenol, isoeugenol, benzyl benzoate, benzyl cinnamate, benzoic acid, coniferyl benzoate, methyl cinnamate, farnesol, styracine, and neroli oil.
Balsam of Peru is frequently used in standard screening patch-test series as an indicator of fragrance sensitivity since it detects up to 50% of fragrance allergies.
Many of the allergens found in fragrances are either ingredients of balsam of Peru or chemically related.
Balsam of Peru is used in pharmaceuticals, fragrances, and flavorings. It has antifungal, antibacterial, and scabicidal activity. Although the International Fragrance Association (IFRA) recommends that balsam of Peru not be used as a fragrance ingredient because of its sensitizing potential, it can still be found in eg. diaper products.
A positive patch-test to balsam of Peru is a marker for spice allergy. Flare-ups of dermatitis in balsam of Peru-sensitive patients (stomatitis, cheilitis, generalized or resistant anogenital or palmar and plantar dermatitis) have occurred after the ingestion of spices. The peelings of citric fruit contain essential oils that may cross-react with Balsam of Peru. Contact allergies may also be found in backers (vanille, cinnamon) and dentists (eugenol).

 

Synonyms

Balsam of Peru
Balsam Peru
Balsamum peruvianim
Black balsam
China oil
Honduras balsam
Indian balsam
Peruvian balsam
Surinam balsam

 

Uses

Baby products, diaper powders and ointments
Cosmetics, fragrances
Flavors, pastries, cakes, soft drinks, wines, and liquours
Pharmaceuticals
Spices
Topical medications

 

Cross-Reactions

Balsam Tolu
Benzoates
Colophony
Cinnamates
Styrax
Benzoin
Tiger balm
Beeswax
Benzaldehyde
Benzylsalicylate
Coniferyl alcohol
Coumarin
Eugenol
Isoeugenol
Farnesol
Propanidid
Propolis
Diethylstilbesterol

 

Unusual Reactions

Contact urticaria
Erythema multiforme-like
Photoallergy
Phototoxic

 

   

Productkenmerken (Summary in Dutch)

Perubalsem is een hars die wordt gewonnen uit de bast van de Myroxylon pereirae, een Zuid-Amerikaanse boom. De hars werd vroeger gebruikt in cosmetica en parfums. Het gebruik is sinds 2005 verboden voor cosmetica. Het mag wel in gezuiverde vorm gebruikt worden (maximaal 0.4%). Het gaat dan om een destillaat (perubalsemolie) of een extractie (perubalsem absolute). Perubalsem bestaat uit vele verschillende stoffen; de samenstelling kan wisselen. Belangrijke componenten zijn benzylbenzoaat, kaneelaldehyde en verschillende andere cinnamaten (kaneelachtige stoffen). Perubalsem veroorzaakt vaak contactallergie, bij circa 6% van de geteste mensen. De stof is opgenomen in de Europese standaardreeks en er is een patiëntenfolder over allergie voor perubalsem. Wie allergisch reageert op perubalsem, reageert vaak ook op één of meer parfumbestanddelen. Het wordt daarom gezien als een indicator voor een parfumallergie. Ook kan zo iemand allergisch zijn voor stoffen die voorkomen in de schil van citrusvruchten. Naast contactallergie komen ook niet-allergische reacties voor (roodheid, jeuk, zwelling).

 

Allergeen testsubstantie: Balsam of Peru 25% Van der Bend E0008 (Europese standaardreeks)

 

 

References

 1.

Rudzki E, Grzywa Z. Immediate reactions to balsam of Peru, cassia oil and ethyl vanillin. Contact Dermatitis 1976;2(6):360-361.

 2.

Forsbeck M, Skog E. Immediate reactions to patch tests with balsam of Peru. Contact Dermatitis 1977;3(4):201-205.

 3.

Temesvari E. et al. Contact urticaria provoked by balsam of Peru. Contact Dermatitis 1978;4(2):65-68.

 4.

Lynde CW, Mitchell JC, Patch testing with balsam of Peru and fragrance mix. Contact Dermatitis 1982;8(4):274-277.

 5.

Veien NK. et al., Oral challenge with balsam of Peru in patients with eczema: a preliminary study. Contact Dermatitis 1983;9(1):75-76.

 6.

Veien NK. et al. Reduction of intake of balsams in patients sensitive to balsam of Peru. Contact Dermatitis 1985;12(5):270-273.

 7.

Veien NK. et al. Oral challenge with balsam of Peru. Contact Dermatitis 1985;12(2):104-107.

 8.

Veien NK. et al. Diagnostic procedures for eczema patients. Contact Dermatitis 1987;17(1):35-40.

 9.

Veien NK. et al. Can oral challenge with balsam of peru predict possible benefit from a low balsam diet? Am J Contact Derm 1996;7:84-87.

10.

Niinimaki A. Delayed-type allergy to spices. Contact Dermatitis 1984;11(1):34-40.

11.

Matthies C. et al. Patch testing with fractionated balsam of Peru. Contact Dermatitis 1988;19(5):384-385.

12.

Larsen WG. How to instruct patients sensitive to fragrances. Journal of the American Academy of Dermatology 1989;21(4):880-884.

13.

van den Akker TW. et al. Contact allergy to spices. Contact Dermatitis 1990;22(5):267-272.

14.

Fisher AA. Perfume dermatitis in children sensitized to balsam of Peru in topical agents. Cutis 1990;45(1):21-23.

15.

Ford RA. The toxicology and safety of fragrances. In: Muller PM, Lamparsky D, editors. Perfumes: art, science, and technology. New York, Elsevier; 1991, p. 442-463

16.

Abifadel R. et al. Contact sensitivity to flavourings and perfumes in atopic dermatitis. Contact Dermatitis 1992;27(1):43-46.

 

 

 

 

 

Omhoog13-06-2011 (JRM) -  www.huidziekten.nl