University of Minnesota Medical School, Minneapolis, MN, USA.
Dermatitis. 2011 Jan-Feb;22(1):16-26.
Hairdressing chemicals may be associated with allergic contact dermatitis.
To review our experience of patch-testing with hairdressing chemicals.
We reviewed results from patients who underwent patch testing with our standard allergen series (including 15 hairdressing chemicals) and a supplementary "hairdresser series" (18 additional hairdressing chemicals) at Mayo Clinic (Rochester, MN; Scottsdale, AZ; and Jacksonville, FL) from January 1, 2000, through December 31, 2008.
Two hundred ten patients (mean age, 53.8 years [SD, 16.9 yr]; female, 94.8%) were patch-tested. The most common sites of dermatitis were the scalp, face, and hands. Patients had widely varying occupations. The most common occupations were cosmetologist (10.5%), housewife (9.5%), and beautician (5.2%); 14.3% were retired. The hairdresser series detected 13 additional patients with allergies (6.4%; 204 patients tested with both series) who would not have been detected with the standard allergen series alone. The highest allergic patch-test rates in the supplemental hairdresser series were with ammonium persulfate (14.4%), 4-aminoazobenzene (13.4%), and pyrogallol (9.1%).
Patch-testing with hairdressing-specific chemicals (standard series plus supplemental hairdresser series) was appropriate for numerous clinical situations and was not limited to patients in hair care occupations. The supplemental hairdresser series helped identify more patients than would have been identified with the standard series alone.
美发化学品可能与过敏性接触性皮炎有关。
回顾我们使用美发化学品进行斑贴试验的经验。
我们回顾了 2000 年 1 月 1 日至 2008 年 12 月 31 日期间在梅奥诊所(明尼苏达州罗切斯特、亚利桑那州斯科茨代尔和佛罗里达州杰克逊维尔)进行的标准变应原系列(包括 15 种美发化学品)和补充“美发师系列”(18 种其他美发化学品)斑贴试验的患者结果。
210 名患者(平均年龄 53.8 岁[标准差,16.9 岁];女性占 94.8%)接受了斑贴试验。皮炎最常见的部位是头皮、面部和手部。患者的职业多种多样。最常见的职业是美容师(10.5%)、家庭主妇(9.5%)和美容师(5.2%);14.3%的人退休。美发师系列检测到 13 名对过敏反应的额外患者(6.4%;204 名患者同时接受了两种系列检测),仅使用标准变应原系列将无法检测到这些患者。补充美发师系列中铵过硫酸盐(14.4%)、4-氨基偶氮苯(13.4%)和焦儿茶酚(9.1%)的过敏斑贴试验率最高。
针对美发专用化学品(标准系列加补充美发师系列)进行斑贴试验适用于许多临床情况,不仅限于从事头发护理工作的患者。补充美发师系列有助于识别出比仅使用标准系列更多的患者。