Cicatricial alopecia following allergic contact dermatitis from hair dyes: a rare clinical presentation

Contact-allergic reactions to cosmetics may be delayed-type reactions such as allergic and photo-allergic contact dermatitis, and more exceptionally also immediate-type reactions, that is, contact urticaria. Fragrances and preservative agents are the most important contact allergens, but reactions also occur to category-specific products such as hair dyes and other hair-care products, nail cosmetics, sunscreens, as well as to antioxidants, vehicles, emulsifiers, and, in fact, any possible cosmetic ingredient. Patch and prick testing to detect the respective culprits remains the golden standard for diagnosis, although additional tests might be useful as well. Once the specific allergens are identified, the patients should be informed of which products can be safely used in the future.

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Patch Testing in Suspected Allergic Contact Dermatitis to Cosmetics

Dermatology Research and Practice ◽

10.1155/2014/695387 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

Pramod Kumar ◽

Rekha Paulose

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Patch Testing ◽

Age Group ◽

Cosmetic Products ◽

Standard Series ◽

Hair Dyes ◽

Common Allergen ◽

Cosmetic Product ◽

Allergic Contact

Background. Increasing use of cosmetics has contributed to a rise in the incidence of allergic contact dermatitis (ACD) to cosmetics. It is estimated that 1–5.4% of the population is sensitized to a cosmetic ingredient. Patch testing helps to confirm the presence of an allergy and to identify the actual allergens which are chemical mixtures of various ingredients.Objectives. The aims of this study are to perform patch testing in suspected ACD to cosmetics and to identify the most common allergen and cosmetic product causing dermatitis.Methods. Fifty patients with suspected ACD to cosmetics were patch-tested with 38 antigens of the Indian Cosmetic Series and 12 antigens of the Indian Standard Series.Results. The majority (58%) of patients belonged to the 21–40 years age group. The presence of ACD to cosmetics was confirmed in 38 (76%) patients. Face creams (20%), hair dyes (14%), and soaps (12%) were the most commonly implicated. The most common allergens identified were gallate mix (40%), cetrimide (28%), and thiomersal (20%). Out of a total of 2531 patches applied, positive reactions were obtained in 3.75%.Conclusion. Incidence of ACD to cosmetics was greater in females. Face creams and hair dyes were the most common cosmetic products implicated. The principal allergens were gallate mix, cetrimide, and thiomersal.

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Allergic phytodermatitis due to Toxicodendron succedaneum in sub Himalayan region of North India: a clinical study

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20174168 ◽

2017 ◽

Vol 3 (4) ◽

pp. 465

Author(s):

Meena Chauhan ◽

Renu Rattan ◽

Geeta Ram Tegta ◽

Chander Shekhar ◽

Bhupender Dutt ◽

...

Keyword(s):

Clinical Study ◽

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Erythema Multiforme ◽

Clinical Presentation ◽

North India ◽

Irritant Contact Dermatitis ◽

Clinical Presentations ◽

Allergic Contact ◽

Variable Clinical Presentation

Background: Phytodermatitis refers to inflammation of the skin caused by a plant. The clinical patterns of dermatitis due to plants can present as allergic phytodermatitis, photophytodermatitis, irritant contact dermatitis or in the form of mechanical injury. The commonest plant causing allergic contact dermatitis in India is Parthenium hysterophorus, followed by other plants. Phytodermatitis due to Toxicodendron succedaneum is not uncommon in sub Himalayan range of North India and it has variable clinical presentation.The aim of the study was to study and evaluate the patients of allergic contact dermatitis due to T. succedaneum.Methods: All patients having allergic contact dermatitis due to T. succedaneum from August 2015 to July 2016 were enrolled for the study.Results: Our study included 13 (76.4%) males and 4 (23.5%) females with a mean age of 32 years. 76.4% patients developed lesions within 24-48 hours after contact with plant, 17.6% after 48 hours and 5.8% developed in less than 24 hours. Most of the (88.2%) patients presented with disseminated lesions and 11.7% had localised lesions involving only hands and forearms. Urticaria (41.1% ) was the commonest finding followed by papuloplaque lesions (in 29.4% patients), further followed by erythema multiforme like lesions (in 11.7% patients) and maculopapular, vesiculobullous lesions and angiodema (in 5.8% of each patients). Patch test was positive in 16 (94.1%) cases. Majority of patients required systemic steroids to settle the dermatitis. Conclusions: Allergic contact dermatitis due to T. succedaneum is very common in this region. Although it presents with widespread clinical presentations but adequate literature was not found on this plant. This plant further requires more study to know the dermatitis caused by it.

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An unusual clinical presentation of allergic contact dermatitis to common ivy

Contact Dermatitis ◽

10.1111/cod.13442 ◽

2020 ◽

Vol 82 (4) ◽

pp. 235-237

Author(s):

Nadia Raison‐Peyron ◽

Jean‐Luc Bourrain ◽

Céline Girard ◽

Candice Rancé ◽

Olivier Dereure

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Clinical Presentation ◽

Allergic Contact

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Severe immediate hypersensitivity and allergic contact dermatitis caused by hair dyes

Contact Dermatitis ◽

10.1111/j.1600-0536.2012.02076.x ◽

2012 ◽

Vol 67 (1) ◽

pp. 52-53 ◽

Cited By ~ 11

Author(s):

Audrey Nosbaum ◽

Catherine Dupin ◽

Jean-François Nicolas ◽

Frédéric Bérard

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Immediate Hypersensitivity ◽

Hair Dyes ◽

Allergic Contact

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Severe Hair Loss of the Scalp due to a Hair Dye Containing Para phenylenediamine

ISRN Dermatology ◽

10.5402/2011/947284 ◽

2011 ◽

Vol 2011 ◽

pp. 1-2 ◽

Cited By ~ 13

Author(s):

Waka Ishida ◽

Teruhiko Makino ◽

Tadamichi Shimizu

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Patch Test ◽

Hair Loss ◽

Skin Lesions ◽

Hair Dyes ◽

Hair Dye ◽

Systemic Corticosteroids ◽

Allergic Contact

We report the case of a 41-year-old female showing severe hair loss approximately 90% after the use of a hair dye. These symptoms developed six days after the use of a hair dye containing PPD. A patch test showed a (++) reaction at 48 h to 1% PPD in petrolatum, whereas all metals and white petrolatum were negative. She was therefore diagnosed with contact dermatitis due to PPD, resulting in hair loss. The skin lesions gradually improved after starting treatment with the systemic corticosteroids. The possibility that allergic contact dermatitis from hair dyes may be responsible for telogen effluvium should always be considered in a patient with increased hair loss.

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Allergic contact dermatitis to substitute hair dyes in a patient allergic to para-phenylenediamine: Pure henna, black tea and indigo powder

Australasian Journal of Dermatology ◽

10.1111/ajd.12454 ◽

2016 ◽

Vol 57 (3) ◽

pp. 219-221 ◽

Cited By ~ 6

Author(s):

Bonnie C Swan ◽

Mei M Tam ◽

Claire L Higgins ◽

Rosemary L Nixon

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Black Tea ◽

Hair Dyes ◽

Allergic Contact

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Unilateral Hand Dermatitis: A Distinctive Clinical Presentation of Allergic Contact Dermatitis

Dermatitis ◽

10.1097/01206501-200706000-00037 ◽

2007 ◽

Vol 18 (2) ◽

pp. 113 ◽

Cited By ~ 2

Author(s):

Bryan E. Anderson ◽

James G. Marks ◽

Shari B. Clarke

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Clinical Presentation ◽

Hand Dermatitis ◽

Allergic Contact

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A study on correlation between allergen and allergic contact dermatitis

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20175125 ◽

2017 ◽

Vol 3 (4) ◽

pp. 459

Author(s):

Ashok Kumar B. Nagure ◽

Guruprasad Kalyanrao Y.

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Patch Testing ◽

Allergic Sensitization ◽

Acute Stage ◽

Hair Dyes ◽

Hair Dye ◽

Nail Polish ◽

Systemic Examination ◽

Allergic Contact

Background: Agents which cause contact dermatitis are simple chemical compounds and by themselves these agents will not cause sensitization and are called haptens. These require another molecule usually a protein called the carrier molecule derived from the epidermis to cause allergic sensitization. The confirmation of contact dermatitis is done by the patch testing. There is no substitute for the patch test in the management of allergic contact dermatitis.Methods: After selecting the patient suspected to have allergic contact dermatitis the findings were recorded in the proforma which also includes the systemic examination of CVS, CNS, GIT and respiratory system to study systemic correlation if any. Investigation were done which included Hb%, TLC, DLC, urine routine and microscopic examination, patch testing and other special investigations if required. The patient was subjected to patch testing after the acute stage has subsided and the patient was on no therapy with topical or systemic steroids prior to patch testing.Results: The incidence of allergic contact dermatitis due to cosmetics was found in 7 (5.6%) cases. In that hair dye (PPD) inducing dermatitis was found in 4 (57.4%) and due to hair oil 1 (14.2%), kumkum 1 (14.2%) and Sunsilk shampoo 1 (14.2%). The incidence of PPD sensitivity in this series of 125 cases was 4 (3.2%). Conclusions: PPD is a well-known potent sensitizer, it is a chief constituent of the commonly used hair dyes and also some other cosmetics like nail polish.

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