A Al-Suwaidi, Hafiz Ahmed (2010) Determination of para-phenylenediamine (PPD) in Henna in the United Arab Emirates. Manage cookies/Do not sell my data we use in the preference centre. J Deuscht Dermatol Gesel.
Contact Dermat. Pichler WJ, Adam J, Daubner B, Gentinetta T, Keller M, Yerly D. Drug hypersensitivity reactions: pathomechanism and clinical symptoms. Pharm Intern.
The Bilcha KD et al. Henna is the Persian name of the plant Lawsonia inermis, Fam.
Copyright: 2018 El Amraoui M, et al. Health Care Women 2007;28:36080. Contact Dermat.
2007;56:2625. Raafat RM, Chater N, Frith C. Herding in humans. Further studies are needed to investigate the relationship between clinical and morphological aspects of PPD contact dermatitis and the T cell subsets predominance. Carroll J, Epstein R, Fiscella K, Volpe E, Diaz K, Omar S. Knowledge and beliefs about health promotion and preventive health care among somali women in the United States. The site is secure. The henna page. 1996;348:658. The authors declare that they have no competing interests. Padovan et al., in their studies on hypersensitivity to beta-lactams antibiotics, reported that Th1 profile, very common in contact allergy, may shift to a Th2 profile depending on the hapten concentration [72]. Int Immunol. Clin Mol Allergy 15, 8 (2017). Annales 127: 1083. Hypersensitivity reactions due to black henna tattoos and their components: are the clinical pictures related to the immune pathomechanism? Moreover, henna has great significance in all Eastern wedding traditions, and no wedding is complete without drawing floral motifs or geometric decorations on the brides hands and feet. As a cosmetic, henna has been used as a hair thickener, as a nail colorant and conditioner and as a decorative stain for the body. Mavrolein G, Begishvili B, Frew AJ. 2008;26:515e34. and skin complaints [4]. Am J Forensic Med Pathol. Liquid modernity. It is not uncommon for a male member of this community to apply henna on their hair, scalp, mustache and beard to mask the gray hair associated with old age. The Royal Australian College of General Practitioners, 100 Wellington Parade, East Melbourne, Victoria 3002, Australia. Figure 1: Lesions superinfected on admission. Interventions to reduce Staphylococcus aureus in the management of atopic eczema. Pediatr Dermatol. 2006;58:5835. A 30-year-old woman was admitted to our outpatient clinic because of erythema and edema on her leg that had appeared approximately Traditionally, it is used by Muslims, Hindus and Jews as a decorative dye at weddings and other social events. Actually, henna has a Because high concentrations of PPD are present in henna tattoo paintings [16, 67], it is possible that PPD contact dermatitis is mediated by specific Th2 cell clones, secreting interleukin (IL)-4 and IL-5. The dermatological manifestations of contact dermatitis with PPD are of variable severity, similarly, cases of psoriasis on tattoo sites have been reported [3], noting finally, the relative gravity in patients with a deficit glucose-6-phosphate dehydrogenase (G6PD) [4]. Oral or topical antibiotics can be used for secondary infection and a case of allergic dermatitis with staphylococcal super-infection has been reported.18 Benefits from the use of prophylactic anti-staphyloccocal antibiotic has not shown any clear evidence.19 Post-inflammatory hyperpigmentation tends to occur in greater frequency among darker skin groups and can cause a psychological, emotional distress and is associated with a negative impact on the quality of life.20 The treatment of post-inflammatory hyperpigmentation should then begin early on to help in its resolution. Actually, as reported above, the pure henna is a weak sensitizer, but the addition of PPD to make tattoos darker and long-lasting, thus obtaining black henna, using mixtures that are often extemporaneously prepared with a variety of materials and sources and very variables concentrations of PPD resulted in a recent exploit of contact sensitization to PPD. Enjoyed a stay in the other city of Marrakech to make two tattoos at the two front arms (a scorpion and a dragon) with black henna. We reviewed the available literature concerning the clinical presentations, the morphological pictures associated to allergy to black henna and the immunological mechanisms underlying the allergic reactions. Reactions were read at 48 and 72 hours. 
Walking difficulties due to an allergic reaction to a temporary tattoo. PubMedGoogle Scholar. Henna (Lawsonia inermis) is part of the family Lythraceae, best known as a source of natural dyes. Paley K, Geskin LJ, Zirwas MJ. 2011;31:13. Article Jung P, Seszttak-Greinecker G, Wantke F, Gotz M, Jarisch R, Hemmer W. A painful experience: black henna tattoo causing severe bullous contact dermatitis. Barrientos N, Abajo P, de Vega MM, Dominguez J. Erythema multiforme-like eruption following allergic contact dermatitis in response to para-phenylenediamine in a temporary henna tattoo. The literature underlines that different clinical manifestations are related to black henna containing PPD, and its derivative products may cause delayed-type as well as immediate-type reactions. Contact Dermat. Goldenberg A, Matiz C, Eichenfield LF. Am J Emerg Med. Intermittent exposure to low concentration paraphenylenediamine can be equivalent to single higher-dose exposure. Br J Dermatol 2008;159:37086. The views expressed by the authors of articles in Australian Family Physician are their own and not necessarily those of the publisher or the editorial staff, and must not be quoted as such. Identification and quantification of para-phenylenediamine in a temporary black henna tattoo. 2010;130:16174. We present a case of allergic contact dermatitis to pure henna used for the relief of rheumatological joint pain. J Dermatol Surg Oncol. 1987;294:155. Cite this article. Books about skin diseasesBooks about the skin Jappe U, Hausen BM, Petzoldt D. Erythema-multiforme-like eruption and depigmentation following allergic contact dermatitis from a paint-on henna tattoo, due to para-phenylenediamine contact hypersensitivity. Topics AZ In this article, The healthcare practitioner should educate patients whenever opportunity lends itself and partner with community leaders to highlight the issue and to educate en masse. 2002;109:100311. Systemic medications such as diuretics (hydrochlorothiazide, furosamide), antibiotics (tetracyclines, fluorquinolones, sulfonamides), chlorpromazine and nonsteroidal anti-inflammatory drugs may induce similar reaction.9 However, in this case, skin reaction will involve all sun exposed areas. The erythema and blisters were raised about 2 mm high and were excoriated. Cases have been reported where the initial sensitisation occurred with a hair dye and a rapid and severe reaction then developed to the paint-on tattoo. 2), probably due to delayed hypersensitivity, and a stronger reaction to natural Contact Dermatitis 2006;54:21920. The patients demography is East African and the majority had henna applied from early childhood and throughout their lifespan. The concentration of PPD in black henna has been found to exceed the regulated levels in most countries. Acknowledgement: We would like to thank MD Prof Meltem nder (Gazi University School of Medicine, Dermatology Department) for her elegant
Contact Dermatitis 2013;69:125. 2001;56:10134.
Contact Dermatitis 2006;54:8791. Hashim M, Hamza YO, Yahia B. Th2 cytokines, IgE and mast cells play a crucial role in the induction of paraphenylenediamine induced contact hypersensitivity in mice. By using this website, you agree to our Black henna tattoo reactions CI participated in coordination and helped to draft the manuscript. Thus, beyond the aforementioned urticaria and angioedema or contact anaphylaxis related to black henna tattoo painting and the classical eczematous contact dermatitis [38, 39], have been described lichenoid eruptions [11, 40, 41], lymphomatoid reactions [42, 43], vesicular-bullous lesions [44], which may be very painful and invalidating [45, 46], and erythema multiforme like eruptions [29, 47]. government site. 1987;7:3840. Sieben S, Kawakubo Y, Al Masaoudi T, Merk HF, Blomeke B. White J, Basketter D, Pease C, Sanders D, McFadden J. Para-phenylenediamine-induced lichenoid eruptions. Side-effects of henna and semi-permanent black henna tattoos: a full review. Ethno-cultural diversity has increased in North America, Australia and the European continent due to global migration and population shift. Different patterns of sensitization with various clinical aspects are described in literature due to PPD associated to henna tattoo and these manifestations are likely correlated with the immunological and dermatological pathomechanisms involved.
Contact dermatitis: a practice parameter. and transmitted securely. and the dyeing of hair; it is also used to relieve pain and pruritus and to treat infections. It is traditionally used in Islamic and Hindu
Sahoo B, Handa S, Penchalla K, Kumab H. Contact anaphylaxis due to hair dye. An official website of the United States government. https://doi.org/10.1186/s12948-017-0063-6, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. 2002;12:624. Natural henna gives a brownish-orange pigment to the skin when applied (red henna), but the colour will darken to brown. Eustachio Nettis. White mark 2 weeks' later 2001;15:912. Neri I, Giacomini F, Raone B, Patrizi A. Generalized erythema multiforme after localized allergic dermatitis from dark henna tattoo. Arch Dermatol 2000; 136: 15157. Wolkenstein P, Charue D, Laurent P, Revuz J, Roujeau JC, Bagot M. Metabolic predisposition to cutaneous adverse drug reactions. A retrospective review of the Pitchbook Database, Milia en plaque manifesting as a post-herpetic isotopic response. Contact Dermat. Characterization of para-phenylenediamine-albumin binding sites and T-cell responses to hapten modified protein. 2008;25:2014. DermNet provides Google Translate, a free machine translation service. Turkey is an Islamic country where many people traditionally use henna for different purposes such as hand and nail decoration Safe alternative to permanent tattoos carries risk. 2010;110:73242. PPD is also present in hair dyes and dark clothing dyes and is used in the rubber industry. Jenkinson C, Jenkins R, Aleksic M, Pirmoahamed M, Naisbit D, Park BK. 1982;3:2178. The most notorious agent is PPD. Safe alternative to permanent tattoos carries risk. Grimes PE. EN was the co-contributor in creating and drafting the manuscript. Postepy Dermatol Allergol. A 42-year-old, HIV-positive woman presented with an itchy, erythematous swelling of her forearms and hands 1 day after black henna application.
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