Hand contact dermatitis in hairdressers: clinical and causative allergens, experience in Bangkok.

Abstract

BACKGROUND:

Hand dermatitis in hairdressers is a common occupational contact dermatitis. Irritant contact dermatitis is thought to be more common.

OBJECTIVES:

To investigate the causes of hand dermatitis, common allergens, clinical patterns, morphology and onset of lesions among hairdressers.

METHODS:

Forty four hairdressers who were diagnosed with hand dermatitis in a dermatological outpatient department were included and investigated by patch testing with standard and hairdressing related allergens and/or prick test.

RESULTS:

Allergic contact dermatitis was diagnosed with a positive patch test reaction in 33 cases (75%), irritant contact dermatitis was found in 11 cases (25%). The clinical manifestations were mostly scaly plaques (68.18%) or vesicles (50%). The most common site of involvement was the palms (38.63%). The common causative allergens were paraphenylenediamine (45.45%), nickel (31.18%), fragrance mix (20.45%), p-toluenediamine sulphate (18.18%), ammonium persulfate (13.63%), and p-aminophenol (13.63%).

CONCLUSION:

Allergic contact dermatitis is more common among hairdressers, PPD was the most common causative allergen in our study.

• Authors: Poohglin Tresukosol, Chanutta Swasdivanich
• Journal: Asian Pacific journal of allergy and immunology (Asian Pac J Allergy Immunol) Vol. 30 Issue 4 Pg. 306-12 (Dec 2012) ISSN: 0125-877X [Print] Thailand
• PMID: 23393911 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Allergens
• Coloring Agents
• Phenylenediamines
• 4-phenylenediamine

Topics

• Adolescent
• Adult
• Allergens (adverse effects, immunology)
• Coloring Agents (adverse effects)
• Dermatitis, Allergic Contact (diagnosis, etiology, immunology, pathology)
• Female
• Hand
• Humans
• Middle Aged
• Occupational Exposure (adverse effects)
• Phenylenediamines (adverse effects)
• Thailand