engleski

Severe facial swelling after using hair dye

Coloring of hair can cause severe allergic contact dermatitis. The most frequently reported hair dye allergens are p‐phenylenediamine (PPD) and toluene‐2, 5‐diamine. We present a 20‐year old men, who came to emergency room with head and face oedema. His head and neck skin was diffusely erythematous, oozing with blisters and crusts. Some of the crusts on the back of his neck were complicated by bacterial super infection. Submandibular and nuchal lymph nodes were swollen and painful. Three days before he used for the first time in his life hair dye on his hair. He was treated with local corticosteroid creams. Second day, due to severe bacterial superinfection, oral antibiotics were administrated. He was advices to wash his hair frequently with mild shampoos, and if it is possible to have hair cut. Two months after skin changes resolved, we perform patch test to European baseline and the hairdressers series and to the hairdye that he was using to dye his hair. He had positive reaction to PPD, anestesin‐ benzocaine, thiuram mix, coal tar and his own hair dye. Hairdye allergy is one of the commonest causes of cosmetic dermatitis in men and women. Hair color products require patch test before application to determine if the individual is allergic to the product.

allergic contact dermatitis ; hair dye allergens ; hairdye allergy

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