Photo Developer Allergic Contact Dermatitis in a Photographer Following Paraphenylenediamine Sensitization from a Temporary Henna Tattoo

Background: Paraphenylenediamine (PPD) is a coloring agent and potent sensitizer commonly added to henna tattoos to darken tattoo color. Photographic developers contain compounds that cross-react with PPD. Allergic contact dermatitis (ACD) from photo developers has been documented in the literature. Objective: We describe the rare case of a photographer who presented with a 4-year history of recurrent ACD following exposure to photochemicals. History taking revealed that 10 years before presentation, he had received a temporary henna tattoo. Methods: The patient was patch-tested with 4-methylaminophenol sulfate (Metol), the North American Contact Dermatitis Group (NACDG) series, and select other allergens. Results: Patch testing results revealed strong positive reactions to 4-methylaminophenol sulfate and PPD. Conclusion: This is the first report to our knowledge of ACD from a photo developer occurring as a consequence of previous sensitization to PPD from a temporary henna tattoo. Due to the potential for long-term sequelae, an awareness of the risks associated with henna tattoos is warranted.

Download Full-text

Allergic Contact Dermatitis Secondary to Moisturizers

Journal of Cutaneous Medicine and Surgery ◽

10.1177/1203475420919396 ◽

2020 ◽

Vol 24 (4) ◽

pp. 350-359

Author(s):

Stephanie R. Cohen ◽

Jesús A. Cárdenas-de la Garza ◽

Paige Dekker ◽

Wasim Haidari ◽

Sarah S. Chisolm ◽

...

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Patch Testing ◽

Adverse Reactions ◽

Healthcare Providers ◽

Standard Series ◽

The North ◽

Allergenic Potential ◽

Skin Conditions ◽

Allergic Contact

Background: Moisturizers are cosmetic products used routinely to manage various skin conditions. Even though moisturizers are often thought to have minimal or no adverse reactions, allergic contact dermatitis (ACD) to these products can develop in some cases. Methods: We studied ingredients included in 3 of the most commonly used moisturizer brands, identified their presence in standard patch testing series, and evaluated their allergenic potential, categorizing the allergens as frequent or infrequent. The standard patch testing series used as reference were the Thin-layer Rapid Use Epicutaneous patch test (T.R.U.E. test), the North American Contact Dermatitis Group (NACDG) screening standard series, and the American Contact Dermatitis Society (ACDS) core allergen series. Results: Aveeno, Cetaphil, and Cerave products had a total of 12, 14, and 9 potential allergens, respectively, the majority of which were infrequent and not included in standard patch testing series. Conclusion: Being aware of the allergenic potential of commonly used moisturizers may help healthcare providers when evaluating patients with ACD. Further testing is recommended in a targeted manner when suspecting ACD with negative standard patch testing series or when ACD is refractory to treatment.

Download Full-text

Novel Use of Patch Testing in the First Report of Allergic Contact Dermatitis to Cyclobenzaprine

Dermatitis ◽

10.1097/der.0000000000000099 ◽

2015 ◽

Vol 26 (1) ◽

pp. 60-61 ◽

Cited By ~ 3

Author(s):

Jake E. Turrentine ◽

Gerardo Marrazzo ◽

Ponciano D. Cruz

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Patch Testing ◽

First Report ◽

Allergic Contact

Download Full-text

Comparative Study of IQ-Ultra and Finn Chambers Test Methodologies in Detecting 10 Common Standard Allergens that Cause Allergic Contact Dermatitis

Journal of Cutaneous Medicine and Surgery ◽

10.1177/120347541201600105 ◽

2012 ◽

Vol 16 (1) ◽

pp. 18-22 ◽

Cited By ~ 5

Author(s):

Joseph Doumit ◽

Melanie Pratt

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Patch Testing ◽

Potassium Dichromate ◽

Nickel Sulfate ◽

Formaldehyde Resin ◽

Perfect Agreement ◽

Patch Tests ◽

The North ◽

Allergic Contact

Background: Patch testing is routinely used in contact dermatitis clinics because it is the gold standard for the evaluation of potential allergic contact dermatitis. Objective: The study was undertaken to evaluate possible differences in reactivity between the Finn Chamber and IQ-Ultra patch-testing methodologies. Methods: Patients were patch-tested simultaneously with the Finn Chamber and IQ-Ultra patch tests. Ten standard allergens set by the North American Contact Dermatitis Group were used for both techniques. Results: Both patch tests had a significant agreement in detecting all of the allergens. An “almost perfect agreement” was noted for ethylenediamine dihydrochloride, quaternium-15, mercapto mix, black rubber mix, balsam of Peru, and nickel sulfate; “substantial agreement” for formaldehyde, bisphenol A epoxy resin, and 4-tert-butylphenol formaldehyde resin; and “moderate agreement” for potassium dichromate. Conclusion: The Finn Chamber and IQ-Ultra patch tests had a good agreement in the detection of the 10 standard allergens that were tested.

Download Full-text