Elicitation of the immune response to p‐phenylenediamine in allergic patients: the role of dose and exposure time (2024)

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Volume 163 Issue 6 1 December 2010
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C. Goebel

The Procter & Gamble Company, Central Product Safety, Darmstadt, Germany and Cincinnati, OH, U.S.A.

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P.‐J. Coenraads

Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands

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H. Rothe

The Procter & Gamble Company, Central Product Safety, Darmstadt, Germany and Cincinnati, OH, U.S.A.

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G. Kunze

The Procter & Gamble Company, Central Product Safety, Darmstadt, Germany and Cincinnati, OH, U.S.A.

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M. Kock

The Procter & Gamble Company, Central Product Safety, Darmstadt, Germany and Cincinnati, OH, U.S.A.

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G.F. Gerberick

The Procter & Gamble Company, Central Product Safety, Darmstadt, Germany and Cincinnati, OH, U.S.A.

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B. Blömeke

Department of Environmental Toxicology, Trier University, Am Wissenschaftspark 25–27, 54296 Trier, Germany

Correspondence: Brunhilde Blömeke. E‐mail: bloemeke@uni‐trier.de

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British Journal of Dermatology, Volume 163, Issue 6, 1 December 2010, Pages 1205–1211, https://doi.org/10.1111/j.1365-2133.2010.10009.x

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01 December 2010

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    C. Goebel, P.‐J. Coenraads, H. Rothe, G. Kunze, M. Kock, H. Schlatter, G.F. Gerberick, B. Blömeke, Elicitation of the immune response to p‐phenylenediamine in allergic patients: the role of dose and exposure time, British Journal of Dermatology, Volume 163, Issue 6, 1 December 2010, Pages 1205–1211, https://doi.org/10.1111/j.1365-2133.2010.10009.x

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Summary

Background Usage of hair dye products containing p‐phenylenediamine (PPD) is a concern for PPD‐allergic individuals.

Objectives The present study investigates the role of dose and exposure time on elicitation of allergic contact dermatitis under conditions of permanent hair dyeing.

Methods Elicitation responses after application of a typical hair dye product containing 2% PPD for 30 min followed by rinsing were analysed in 38 PPD‐allergic individuals with a documented history of hair dye‐related allergy. Skin binding experiments in vitro were performed to distinguish the dose available for elicitation from the dose applied.

Results A positive reaction was elicited in 20 of 20 patients with grades ++ to +++ and 12 of 18 with grade + according to the classification of the International Contact Dermatitis Research Group. Under conditions of diagnostic patch testing (48 h exposure), the dose available for elicitation is more than 10‐fold higher compared with the dose available for hair dyeing (30‐min exposure, rinsing of product).

Conclusions This investigation demonstrates that under simulated hair dye use conditions the actual exposure to PPD is more than an order of magnitude lower than under diagnostic patch testing, although sufficient to elicit a clearly noticeable reaction in 84% of PPD patch test‐positive individuals.

allergic contact dermatitis, exposure‐dependent elicitation, measured exposure level, permanent hair dyeing, p‐phenylenediamine

© 2010 British Association of Dermatologists

This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

Issue Section:

Original Articles > Contact dermatitis and allergy

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