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European Journal of Dermatology

, Volume 28, Issue 5, pp 644–648 | Cite as

Acquired diffuse slate-grey facial dyspigmentation due to henna: an unrecognized cause of pigment contact dermatitis in Korean patients

  • Yu Ri Woo
  • Jong Sic Kim
  • Ji Hong Lim
  • Jin Young Choi
  • Miri Kim
  • Dong Soo Yu
  • Young Min Park
  • Hyun Jeong ParkEmail author
Clinical report
  • 6 Downloads

Abstract

Background

Henna is a vegetable hair dye that can be used by individuals who are sensitized to oxidative dyes due to low allergenicity. The reported incidence of slate-grey facial dyspigmentation following the use of henna hair dye is extremely rare.

Objectives

This study aimed to identify the clinical, dermoscopic, and histopathological features of slate-grey facial dyspigmentation following the use of henna hair dye in Korean patients.

Materials & methods

We identified all patients who presented with slate-grey facial dyspigmentation following usage of henna hair dye. Patients were further evaluated for clinical, dermoscopic, and histopathological findings along with their patch test results.

Results

All 11 patients were females with Fitzpatrick’s skin phototype III or IV. Prominent slate-grey-coloured dyspigmentation on the lateral side of the face and neck was most common in eight (72%) patients. Under dermoscopic examination, a pseudo-network with grey dots was observed in all patients. Histopathological examination revealed liquefaction degeneration of the epidermal basal layer and pigmentary incontinence in the papillary dermis in all patients. The diagnosis of pigmented contact dermatitis following usage of henna was made based on the clinical, dermoscopic, and histopathological findings in all patients.

Conclusion

Pigmented contact dermatitis associated with henna occurs mostly in middle-aged women and requires long-term treatment. Therefore, careful attention should be paid when henna is used to dye hair in this age group.

Key words

pigmented contact dermatitis henna hair dye dermoscopy Riehl’s melanosis dyspigmentation 

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Copyright information

© John Libbey Eurotext 2018

Authors and Affiliations

  • Yu Ri Woo
    • 1
  • Jong Sic Kim
    • 1
  • Ji Hong Lim
    • 1
  • Jin Young Choi
    • 2
    • 3
  • Miri Kim
    • 1
  • Dong Soo Yu
    • 3
  • Young Min Park
    • 2
  • Hyun Jeong Park
    • 1
    Email author
  1. 1.Department of Dermatology, Yeouido St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaSeoulKorea
  2. 2.Department of Dermatology, Seoul St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaSeoulKorea
  3. 3.Department of Dermatology, Uijeongbu St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaSeoulKorea

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