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Hair Dyes

Contact Dermatitis

Abstract

The desire to change the color of one’s own hair is probably about as old as mankind. Techniques used nowadays involve chemically active substances, mostly in terms of components of so-called oxidative or permanent hair dye cosmetic products. The reaction chemistry is briefly reviewed. Contact allergy to many of these compounds is well demonstrated experimentally and also common according to available clinical data. On a population level, contact allergy to p-phenylenediamine (PPD) affects around 1%, while with morbidity-driven selection, the prevalence of PPD contact allergy in consecutively patch-tested patients is around 4–6%. However, surveys of labelled ingredients indicate that in some European countries (in contrast to, e.g., the USA), PPD has largely been replaced by toluene-2,5-diamine (PTD), which only partially cross-reacts to PPD, and other derivatives. Evidence on the frequency of positive reactions to substances beyond PPD is available from several clinical studies which are presented here. In conclusion, patch test diagnosis has to rely on an adequate hair dye/hair cosmetics series, such as the one suggested recently and presented here. The components of non-oxidative hair dye products need further investigation.

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References

  1. Diepgen TL, Naldi L, Bruze M, Cazzaniga S, Schuttelaar ML, Elsner P et al (2016) Prevalence of contact allergy to p-phenylenediamine in the European general population. J Invest Dermatol 136(2):409–415

    Article  CAS  PubMed  Google Scholar 

  2. Lagrelius M, Wahlgren CF, Matura M, Bergström A, Kull I, Lidén C (2017) A population- based study of self-reported skin exposures and symptoms in relation to contact allergy in adolescents. Contact Dermatitis 77(4):242–249

    Article  PubMed  Google Scholar 

  3. Søsted H, Hesse U, Menné T, Andersen KE, Johansen JD (2005) Contact dermatitis to hair dyes in a Danish adult population: an interview-based study. Br J Dermatol 153(1):132–135

    Article  PubMed  Google Scholar 

  4. Folkhälsomyndigheten (2017) Miljöhälsorapport [Environmental health report, Sweden]. https://www.folkhalsomyndigheten.se/publicerat-material/publikationsarkiv/m/miljohalsorapport-2017/

  5. Kim JE, Jung HD, Kang H (2012) A survey of the awareness, knowledge and behavior of hair dye use in a korean population with gray hair. Ann Dermatol 24(3):274–279

    Article  PubMed  PubMed Central  Google Scholar 

  6. Council of Europe (2017) Hair dye products. http://ec.europa.eu/growth/sectors/cosmetics/products/hair-dye/

  7. Lewis D, Mama J, Hawkes JA (2013) Review of aspects of oxidative hair dye chemistry with special reference to N-nitrosamine formation. Materials (Basel) 6(2):517–534

    Article  CAS  Google Scholar 

  8. EPA D (2013) Survey and occurrence of PPD, PTD and other allergenic hair dye substances in hair dyes. https://www2.mst.dk/Udgiv/publications/2013/02/978-87-92903-92-1.pdf

  9. Hedberg YS, Uter M, Banerjee P, Lind ML, Steengaard SS, Teo Y et al (2018) Non-oxidative hair dye products on the European market: what do they contain? Contact Dermatitis 79(5):281–287

    Article  PubMed  Google Scholar 

  10. SCCP 2007 Memorandum on hair dye substances and their skin sensitising properties. Scientific Committee on Consumer Products (SCCP). http://ec.europa.eu/health/ph_risk/committees/04_sccp/docs/sccp_s_05.pdf

  11. SCCS (2013) Memorandum on hair dye Chemical Sensitisation. Scientific Committee on Consumer Safety (SCCS). http://ec.europa.eu/health/scientific_committees/consumer_safety/docs/sccs_s_007.pdf

  12. Lidén C, Yazar K, Johansen JD, Karlberg AT, Uter W, White IR (2016) Comparative sensitizing potencies of fragrances, preservatives, and hair dyes. Contact Dermatitis 75(5):265–275

    Article  PubMed  Google Scholar 

  13. Søsted H, Rustemeyer T, Gonҫalo M, Bruze M, Goossens A, Giménez-Arnau AM et al (2013) Contact allergy to common ingredients in hair dyes. Contact Dermatitis 69(1):32–39

    Article  PubMed  CAS  Google Scholar 

  14. Uter W, Bensefa-Colas L, Frosch P, Giménez-Arnau A, John SM, Lepoittevin JP et al (2015) Patch testing with hair cosmetic series in Europe: a critical review and recommendation. Contact Dermatitis 73(2):69–81

    Article  PubMed  Google Scholar 

  15. Yazar K (2014) Consumers, cosmetics and skin sensitizers. Karolinska Institutet, Stockholm

    Google Scholar 

  16. Thorén S, Yazar K (2016) Contact allergens in ‘natural’ hair dyes. Contact Dermatitis 74(5):302–304

    Article  PubMed  Google Scholar 

  17. Hansen HS, Johansen JD, Thyssen JP, Linneberg A, Søsted H (2010) Personal use of hair dyes and temporary black tattoos in Copenhagen hairdressers. Ann Occup Hyg 54(4):453–458

    CAS  PubMed  Google Scholar 

  18. Almeida PJ, Borrego L, Pulido-Melián E, González-Díaz O (2012) Quantification of p-phenylenediamine and 2-hydroxy-1,4-naphthoquinone in henna tattoos. Contact Dermatitis 66(1):33–37

    Article  CAS  PubMed  Google Scholar 

  19. Vogel TA, Coenraads PJ, Bijkersma LM, Vermeulen KM, Schuttelaar ML, Naldi L et al (2015) p-Phenylenediamine exposure in real life – a case-control study on sensitization rate, mode and elicitation reactions in the northern Netherlands. Contact Dermatitis 72(6):355–361

    Article  CAS  PubMed  Google Scholar 

  20. Rastogi SC, Søsted H, Johansen JD, Menné T, Bossi R (2006) Unconsumed precursors and couplers after formation of oxidative hair dyes. Contact Dermatitis 55(2):95–100

    Article  CAS  PubMed  Google Scholar 

  21. Lind ML, Boman A, Sollenberg J, Johnsson S, Hagelthorn G, Meding B (2005) Occupational dermal exposure to permanent hair dyes among hairdressers. Ann Occup Hyg 49(6):473–480

    CAS  PubMed  Google Scholar 

  22. Lind ML, Johnsson S, Lidén C, Meding B, Boman A (2017) Hairdressers’ skin exposure to hair dyes during different hair dyeing tasks. Contact Dermatitis 77(5):303–310

    Article  CAS  PubMed  Google Scholar 

  23. Nielsen NH, Linneberg A, Menné T, Madsen F, Frölund L, Dirksen A et al (2001) Allergic contact sensitization in an adult Danish population: two cross-sectional surveys eight years apart (the Copenhagen Allergy Study). Acta Derm Venereol 81(1):31–34

    Article  CAS  PubMed  Google Scholar 

  24. Gefeller O, Pfahlberg AB, Uter W (2013) What can be learnt from nothing? – a statistical perspective. Contact Dermatitis 69(6):350–354

    Article  PubMed  Google Scholar 

  25. Thyssen JP, Menné T, Nielsen NH, Linneberg A (2007) Is there a risk of active sensitization to PPD by patch testing the general population? Contact Dermatitis 57(2):133–134

    Article  PubMed  Google Scholar 

  26. Diepgen TL, Ofenloch R, Bruze M, Cazzaniga S, Coenraads PJ, Elsner P et al (2015) Prevalence of fragrance contact allergy in the general population of five European countries: a cross-sectional study. Br J Dermatol 173(6):1411–1419

    Article  CAS  PubMed  Google Scholar 

  27. Thyssen JP, Uter W, Schnuch A, Linneberg A, Johansen JD (2007) 10-year prevalence of contact allergy in the general population in Denmark estimated through the CE-DUR method. Contact Dermatitis 57(4):265–272

    Article  CAS  PubMed  Google Scholar 

  28. Schnuch A, Uter W, Geier J, Gefeller O (2002) Epidemiology of contact allergy: an estimation of morbidity employing the clinical epidemiology and drug-utilization research (CE-DUR) approach. Contact Dermatitis 47(1):32–39

    Article  CAS  PubMed  Google Scholar 

  29. Thyssen JP, Andersen KE, Bruze M, Diepgen T, Giménez-Arnau AM, Gonҫalo M et al (2009) p-Phenylenediamine sensitization is more prevalent in central and southern European patch test centres than in Scandinavian: results from a multicentre study. Contact Dermatitis 60(6):314–319

    Article  CAS  PubMed  Google Scholar 

  30. Katugampola RP, Statham BN, English JS, Wilkinson MM, Foulds IS, Green CM et al (2005) A multicentre review of the hairdressing allergens tested in the UK. Contact Dermatitis 53(3):130–132

    Article  CAS  PubMed  Google Scholar 

  31. Wang MZ, Farmer SA, Richardson DM, Davis MD (2011) Patch-testing with hairdressing chemicals. Dermatitis 22(1):16–26

    Article  PubMed  CAS  Google Scholar 

  32. Uter W, Lessmann H, Geier J, Schnuch A (2003) Contact allergy to ingredients of hair cosmetics in female hairdressers and clients–an 8-year analysis of IVDK data. Contact Dermatitis 49(5):236–240

    Article  CAS  PubMed  Google Scholar 

  33. Uter W, Gefeller O, John SM, Schnuch A, Geier J (2014) Contact allergy to ingredients of hair cosmetics – a comparison of female hairdressers and clients based on IVDK 2007–2012 data. Contact Dermatitis 71(1):13–20

    Article  CAS  PubMed  Google Scholar 

  34. van der Walle HB, Brunsveld VM (1994) Dermatitis in hairdressers. (I). The experience of the past 4 years. Contact Dermatitis 30(4):217–221

    Article  PubMed  Google Scholar 

  35. Guerra L, Bardazzi F, Tosti A (1992) Contact dermatitis in hairdressers’ clients. Contact Dermatitis 26(2):108–111

    Article  CAS  PubMed  Google Scholar 

  36. Schwensen JF, Johansen JD, Veien NK, Funding AT, Avnstorp C, Osterballe M et al (2014) Occupational contact dermatitis in hairdressers: an analysis of patch test data from the Danish contact dermatitis group, 2002–2011. Contact Dermatitis 70(4):233–237

    Article  PubMed  Google Scholar 

  37. Basketter DA, English J (2009) Cross-reactions among hair dye allergens. Cutan Ocul Toxicol 28(3):104–106

    Article  CAS  PubMed  Google Scholar 

  38. de Groot AC (2013) Side-effects of henna and semi-permanent ‘black henna’ tattoos: a full review. Contact Dermatitis 69(1):1–25

    Article  PubMed  Google Scholar 

  39. Swan BC, Tam MM, Higgins CL, Nixon RL (2016) Allergic contact dermatitis to substitute hair dyes in a patient allergic to para-phenylenediamine: pure henna, black tea and indigo powder. Australas J Dermatol 57(3):219–221

    Article  PubMed  Google Scholar 

  40. de Groot AC (2018) Patch testing. Test concentrations and vehicles for 4900 chemicals, 4th edn. Acdegroot Publishing, Wapserveen

    Google Scholar 

  41. Uter W, Goossens A, Gonҫalo M, Johansen JD (2017) Guidelines for the presentation of contact allergy case reports. Contact Dermatitis 76(2):107–113

    Article  PubMed  Google Scholar 

  42. Friis UF, Goossens A, Giménez-Arnau AM, Lidén C, Giménez-Arnau E, White IR et al (2018) Self-testing for contact allergy to hair dyes – a 5-year follow-up multicentre study. Contact Dermatitis 78(2):131–138

    Article  PubMed  Google Scholar 

  43. Basketter DA, Andersen KE, Lidҫn C, van Loveren H, Boman A, Kimber I et al (2005) Evaluation of the skin sensitizing potency of chemicals by using the existing methods and considerations of relevance for elicitation. Contact Dermatitis 52(1):39–43

    Article  CAS  PubMed  Google Scholar 

  44. Søsted H, Basketter DA, Estrada E, Johansen JD, Patlewicz GY (2004) Ranking of hair dye substances according to predicted sensitization potency: quantitative structure-activity relationships. Contact Dermatitis 51(5–6):241–254

    Article  PubMed  Google Scholar 

  45. ECHA (2017) Guidance to regulation (EC) no. 1272/2008 on classification, labelling and packaging (CLP) of substances and mixtures

    Google Scholar 

  46. Yazar K, Boman A, Lidén C (2009) Potent skin sensitizers in oxidative hair dye products on the Swedish market. Contact Dermatitis 61(5):269–275

    Article  CAS  PubMed  Google Scholar 

  47. Yazar K, Boman A, Lidén C (2012) p-Phenylenediamine and other hair dye sensitizers in Spain. Contact Dermatitis 66(1):27–32

    Article  CAS  PubMed  Google Scholar 

  48. Hamann D, Yazar K, Hamann CR, Thyssen JP, Lidén C (2014) p-Phenylenediamine and other allergens in hair dye products in the United States: a consumer exposure study. Contact Dermatitis 70(4):213–218

    Article  CAS  PubMed  Google Scholar 

  49. Kirchlechner S, Hübner A, Uter W (2016) Survey of sensitizing components of oxidative hair dyes (retail and professional products) in Germany. J Dtsch Dermatol Ges 14(7):707–715

    PubMed  Google Scholar 

  50. Ito A, Nishioka K, Kanto H, Yagami A, Yamada S, Sugiura M et al (2017) A multi-institutional joint study of contact dermatitis related to hair colouring and perming agents in Japan. Contact Dermatitis 77(1):42–48

    Article  CAS  PubMed  Google Scholar 

  51. Frosch PJ, Kügler K, Geier J (2011) Patch testing with hydroxyethyl-p-phenylenediamine sulfate – cross-reactivity with p-phenylenediamine. Contact Dermatitis 65(2):96–100

    Article  CAS  PubMed  Google Scholar 

  52. Ho SG, White IR, Rycroft RJ, McFadden JP (2004) A new approach to patch testing patients with para-phenylenediamine allergy secondary to temporary black henna tattoos. Contact Dermatitis 51(4):213–214

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Wolfgang Uter .

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Uter, W., Lepoittevin, JP., Lidén, C. (2019). Hair Dyes. In: Johansen, J., Mahler, V., Lepoittevin, JP., Frosch, P. (eds) Contact Dermatitis. Springer, Cham. https://doi.org/10.1007/978-3-319-72451-5_90-1

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  • DOI: https://doi.org/10.1007/978-3-319-72451-5_90-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72451-5

  • Online ISBN: 978-3-319-72451-5

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Chapter history

  1. Latest

    Contact Allergy to Hair Dyes
    Published:
    10 June 2020

    DOI: https://doi.org/10.1007/978-3-319-72451-5_90-2

  2. Original

    Hair Dyes
    Published:
    17 October 2019

    DOI: https://doi.org/10.1007/978-3-319-72451-5_90-1