The claim, in one sentence

MySkinIQ’s cross-reactivity database is constructed from three classes of public, dermatologist-authored evidence: the North American Contact Dermatitis Group’s biennial patch test surveillance series, the American Contact Dermatitis Society’s Allergen of the Year designations, and EU Regulation 1223/2009 Annex III. Where surveillance and regulatory data disagree, we record both. Where neither is available for a putative cross-reaction, we do not record one.

That sentence is the entire moat. The remainder of this page is the work behind it.

233
active contact allergens
70
family records
7
ACDS Allergen of the Year designations carried in family descriptions

The four source classes

Every family in our database is anchored to at least one of the following. Citations are recorded against the underlying allergen records (a research-grade Firestore collection internal to the app); families inherit traceability from their members.

NACDG — surveillance

The North American Contact Dermatitis Group publishes biennial patch-test surveillance reports in Dermatitis (the official journal of the American Contact Dermatitis Society). The most recent series we cite is DeKoven et al., Dermatitis 34(2):90–104 (2023), reporting the 2019–2020 patch-test cycle.

What we use it for: prevalence figures, screening series composition, and the population-level co-positivity patterns that justify family construction.

DeKoven 2023 on PubMed

ACDS — Allergen of the Year

The American Contact Dermatitis Society annually designates an Allergen of the Year. Seven of these designations are carried in our family descriptions verbatim, with their year of designation: Cocamidopropyl Betaine (2004), p-Phenylenediamine (2006), Neomycin (2010), Methylisothiazolinone (2013), Oxybenzone / Benzophenone-3 (2014), Alkyl Glucosides (2017), and Sodium Metabisulfite (2024).

What we use it for: confirming that a family is on the active clinical radar of the patch-testing community in the year of its designation.

ACDS Dermatitis Allergen of the Year committee · ACDS Allergens of the Year review · 2024 sulfites selection on PubMed

EU Regulation 1223/2009 Annex III

The EU Cosmetics Regulation requires individual fragrance-allergen labeling above 0.001% (leave-on) or 0.01% (rinse-off). The historical 26-allergen labeling set defines our core fragrance family taxonomy; Regulation (EU) 2023/1545 adds 56 additional fragrance allergens, which we treat as an expansion source rather than a reason to inflate family counts.

What we use it for: the boundary of the “Fragrance Components” family. If the EU has named a compound as a labeled fragrance allergen, our system flags it; if the compound is not on Annex III and not in our supplemental NACDG records, we do not invent a relationship.

Consolidated EU Regulation 1223/2009 · Regulation (EU) 2023/1545 fragrance-allergen amendment

SCCS opinions & European Baseline Series

The Scientific Committee on Consumer Safety issues opinions on cosmetic ingredients used by EU regulators. The European Baseline Series is the standard patch-test panel used across European clinics and is updated when consensus shifts — sodium metabisulfite was added in 2023, the year before its 2024 ACDS Allergen of the Year designation.

What we use it for: ratifying the inclusion of a compound when surveillance prevalence is rising but a NACDG report has not yet caught up.

SCCS at the European Commission

How a family becomes a family

A “family” in MySkinIQ is a set of contact allergens for which sensitization to one member predicts an elevated risk of reaction to other members of the set. The construction rule has four steps:

  1. Anchor compound. A single compound must be either (a) listed in EU Reg 1223/2009 Annex III, (b) on the NACDG screening series at prevalence ≥ 1.0% in the most recent reported cycle, or (c) carry an ACDS Allergen of the Year designation. If none of these hold, the compound enters the database as a standalone allergen, not a family.
  2. Cross-reactivity rationale. A peer-reviewed source must describe the mechanism — shared structural backbone, shared metabolite, shared sensitizing impurity, or population co-positivity above a published threshold. We record the rationale verbatim from the source. We do not paraphrase mechanisms.
  3. Member compounds. A compound is added to the family only if the cross-reactivity rationale names it explicitly or describes a structural rule it satisfies. Compounds added by structural rule are tagged for review at the next surveillance update.
  4. Limitation note. Each family records what its rationale does not claim. The Lanolin family, for example, notes that “highly purified lanolin may be better tolerated but is not guaranteed safe” — the source caveat travels with the family record so the app cannot misuse it.

Compounds and families that fail any of the four steps are not added. We do not have an “AI suggestion” ingestion path. The model that runs on user scans never writes to the family taxonomy.

Three worked examples

Three examples from different parts of the database. Each shows the same audit trail: anchor → rationale → members → limitation.

Fragrance Components (Terpenes and Aldehydes)

Family ID: fam_fragrance_components · 8 anchored members · regulatory-grounded

Anchor
EU Reg 1223/2009 Annex III — 26 listed fragrance allergens.
Rationale
From the family record: “Terpenes (limonene, linalool, geraniol, citronellol) oxidize to form hydroperoxides which are the actual sensitizers. Eugenol and isoeugenol cross-react. Cinnamal may cross-react with cinnamon-containing products.”
Members
Limonene, Linalool, Geraniol, Citronellol, Cinnamal, Eugenol, Isoeugenol, Coumarin.
Limitation
Hydroperoxide formation is time- and storage-dependent. A fresh-bottle sample may not reproduce a sensitization that occurred to oxidized product. Patch testing remains the only definitive route to a personal allergen profile.

Sunscreen Chemicals (UV Filters)

Family ID: fam_sunscreens · 9 anchored members · ACDS-anchored

Anchor
ACDS Allergen of the Year 2014 — Benzophenone-3 (Oxybenzone).
Rationale
From the family record: “Benzophenone-3 shows high cross-reactivity with octocrylene and ketoprofen. Avobenzone may cross-react with other dibenzoylmethane derivatives. Mineral alternatives (zinc oxide, titanium dioxide) do not cross-react.”
Members
Oxybenzone, Avobenzone, Octocrylene, Octinoxate, Homosalate, Octisalate, PABA, Padimate O, Benzophenone-4.
Limitation
Photoallergic vs. contact-allergic reactions to UV filters require different testing protocols. The family does not encode photoallergy specifically; users with confirmed photo-contact dermatitis should treat the family as a starting point, not a complete avoidance list.

Sulfite Preservatives & Antioxidants

Family ID: fam_sulfites · 1 anchored member · recently added

Anchor
ACDS Allergen of the Year 2024 — Sodium Metabisulfite. Added to the European Baseline Series in 2023.
Rationale
From the family record: “Sodium metabisulfite cross-reacts with sodium bisulfite, potassium metabisulfite, and sodium sulfite (related inorganic sulfite salts sharing the same sensitization mechanism). All sulfite preservatives should be avoided in confirmed sulfite-sensitive patients.”
Members
Sodium Metabisulfite (anchored). Cross-reactive salts named in the rationale are flagged when encountered but are not yet first-class members of the family pending the next NACDG report.
Limitation
This family was added in April 2026. Hair coloring and leave-on oxidative cosmetics are the primary exposure routes per the rationale; food-grade sulfite reactions follow a different (oral) sensitization pathway and are out of scope for this app.

About our cross-reaction families

Our database organizes cross-reactive allergens into families grouped by chemical class and sensitization mechanism. Each family record includes an anchor source (NACDG screening series, ACDS designation, EU Regulation 1223/2009 Annex III, or SCCS opinion), member compounds, and a limitation note. The three examples above represent the depth and transparency standard applied across the database. Family records are updated as surveillance data is published; the maintenance schedule is below.

What the data does not claim

How this page is maintained

This page is updated when (a) a new NACDG biennial surveillance report is published in Dermatitis, (b) a new ACDS Allergen of the Year designation is announced, (c) the EU Cosmetics Regulation Annex III is revised, or (d) we consolidate migration-era duplicate family records. Each update is recorded with the editorial date in the page footer below.

If you spot a factual error or want to point us to surveillance data we should be citing, write to [email protected]. We respond within 48 hours and source-correction reports take priority over feature requests.

Medical disclaimer

MySkinIQ is an educational tool, not a medical device. Nothing on this site or in the app constitutes medical advice, diagnosis, or treatment. Cross-reactivity is an active area of dermatology research; published evidence evolves. Always consult a board-certified dermatologist or allergist for concerns about contact dermatitis, patch testing, or allergen management.

Methodology page first published 2026-05-10. Allergen counts reflect the production Firestore allergens collection as queried on 2026-05-16: 237 total allergen records, 233 active contact allergens.