Reacción a un tatuaje de henna negra tratado con furoato de mometasona y gel de silicona: Caso clínico / Reaction to a black henna tattoo treated with mometasone furoate and silicone gel: case report

Black henna tattoos have paraphenylenediamine (PPD), which contains a product of herbal origin, which due to its molecular characteristics is capable of inducing, in susceptible individuals, a type IV hypersensitivity reaction. It clinically manifests as a contact dermatitis that usually when it disappears, scarring and hypopigmentation are left in the injured area. Objective: To describe the case of a patient with hypersensitivity to henna tattoo and to present the most relevant phenomena associated with this condition. Case report: The case of a 6 year-old patient with a black henna tattoo on his right leg, who was diagnosed with contact dermatitis probably attributed to PPD, is presented. Mometasone furoate and topical silicone gel treatment was started with good response. Conclusion: Mometasone furoate and silicone gel are a good possible therapeutic option for treating contact dermatitis caused by PPD as the dermatosis was resolved without residual lesions.

Los tatuajes de henna negra son aquellos que contienen parafenilendiamina (PPD), que contienen un producto de origen herbal, que por sus características moleculares es capaz de inducir, en individuos susceptibles, una reacción de hipersensibilidad tipo IV. Se manifiesta clínicamente como una dermatitis de contacto, que generalmente al desaparecer, persiste de manera residual una cicatriz hipertrófica e hipopigmentación en la zona lesionada. Objetivo: Describir el caso de un paciente con hipersensibilidad al tatuaje de henna, y presentar los fenómenos más relevantes asociados a esta patología. Caso clínico: Paciente de 6 años de edad, que se realizó un tatuaje con henna negra en la pierna derecha, en quien se diagnosticó posteriormente una dermatitis de contacto atribuida probablemente a la PPD. Se comenzó tratamiento con furoato de mometasona y gel de silicona con buena respuesta por vía tópica. Conclusión: El furoato de mometasona y gel de silicona son una posible opción terapéutica de utilidad para tratar la dermatitis de contacto causada por el PPD, debido a que la dermatosis se resolvió sin lesiones residuales.

Tatuajes de henna negra: revisión de la literatura a partir de un caso clínico / Black henna tattoos: case report and review of the literature

En la actualidad los tatuajes de henna negra se utilizan en forma muy frecuente, por lo que el número de reportes sobre reacciones adversas asociadas a su uso se ha incrementado. La Parafenilendiamina o PPD es el químico que más se adiciona a la henna para intensificar y prolongar la duración del color del tatuaje. Posee un gran poder sensibilizante y se le atribuyen la mayoría de las reacciones, desde dermatitis leve hasta reacciones generalizadas tipo eritema multiforme-like. Se presenta el caso de un paciente de 7 años con lesiones cutáneas frente a segunda exposición a tatuaje de henna. Con diagnóstico de dermatitis de contacto se maneja con corticoidestópicos con excelente respuesta clínica. Como prevención primaria planteamos la necesidad de programas que permitan educar a la comunidad en relación a los riesgos asociados a la exposición a PPD, recomendando el NO uso de tatuajes de henna negra.

Today, black henna tattoos are very commonly used, so the number of reports on adverse reactions associated with its use has increased. The paraphenylenediamine or PPD is the chemical that is most commonly added to henna to intensify and prolong the duration of the color tattoo. PPD act as sensitizer of most of the reactions, from mild dermatitis to generalized reactions erythema multiforme-like. We show a case of a 7 year old patient with skin lesions that appears during the second exposure to henna tattoos. We made the diagnosis of a contact dermatitis and we manage it with topical corticosteroids with excellent clinical response. As primary prevention we suggest the need of educational programs for the community regarding the risks associated with the exposure of PPD, and avoiding the use of black henna tattoos.

Knowledge and practices of, and attitudes towards, the use of hair dyes among females visiting a teaching hospital in Riyadh, Saudi Arabia

Use of hair dye is extremely common worldwide. However, our literature search failed to find studies concerning the knowledge and attitudes of the public with regard to hair dyes. We sought to explore the knowledge and practices of, and attitudes towards, the use of hair dye among females. A cross-sectional survey conducted on females who attended various outpatient clinics at King Khalid University Hospital in Riyadh, Saudi Arabia, a tertiary referral hospital open to the general public. A self-administered questionnaire about the use of hair dyes was distributed randomly among females attending the outpatient clinics at a university hospital in 2008. The response rate was 87.2%, with completion of 567 of the 650 distributed questionnaires. The mean [SD] age of respondents was 32.0 [10.2] years. Among respondents, 82.6% [464/562] had at some point dyed their hair. Furthermore, 69.3% [334/482] had dyed their hair in the past 12 months. The mean [SD] age of the participants when they first dyed their hair was 22.2 [7.1] years [range, 7-50]. Of the participants, 76.8% [354/461] used permanent dyes, and about the same percentage of participants believed such dyes were the safest hair dye type. However, 52.4% [278/531] of the participants believed that hair dyes are harmful, and 36% [191/531] believed that hair dyes could cause cancer. Younger females tend to dye their hair less frequently [P<001l], whereas those with less education tend to dye their hair more frequently [P=.013]. Use of hair dye is very common among females. Because the practice starts at a very young age, we conclude that hair dyes are overused and misused. The public should be informed about the risks associated with excessive hair dye use

Contact dermatitis with henna tattoo.

Allergic and irritant reactions to henna are rare. Para-phenylenediamine, which is sometimes added to obtain a dark, blackish henna, causes the majority of contact dermatitis reported related with tattoos. Allergic contact dermatitis due to temporary paint-on tattoo with black henna is described in two adolescents.

Paraphenylene diamine ingestion: an uncommon cause of acute renal failure.

Paraphenylene diamine (PPD) is a major component of hair dyes. The aim is to study the renal manifestations and outcome of PPD consumption. During a four-year period from 2002 to February 2006, 10 persons were admitted to our Institute after consuming a hair dye in a suicidal bid. The percentage of ARF due to PPD at our Institute was 0.95%. Seven patients out of 10 (70%) who consumed PPD developed ARF. All 10 patients, including the patients who had normal renal function had features of rhabdomyolysis. Two patients required ventilator support for respiratory distress and two more required tracheostomy due to upper airway tract edema. One patient has expired after two sessions of dialysis. Renal biopsy in two patients (one, postmortem) showed acute tubular necrosis along with presence of casts in tubules due to myoglobin.

Reacción alérgica con hipopigmentación debido a tatuajes temporales con henna en un niño de dos años de edad / Allergic reaction with hypopigmentation due to temporary tattoing with henna in 2 year-old chidren

Los tatuajes temporales realizados con henna se han vuelto muy populares en los últimos años, por ser económicos, indoloros y transitorios. El agregado de para-fenilendiamina (PPDA) a la mezcla ayuda al proceso de secado, oscurecimiento de la tintura, pero es un gran sensibilizante. Existe en la literatura la descripción de varias formas de presentación clínica de dermatitis de contacto por tatuajes temporales con henna, siendo la hipopigmentación una manifestación posible de hallar. Presentamos el caso de un niño de dos años que desarrollo hipopigmentación en el sitio del tatuaje realizado con henna, pero cuyas pruebas epicutáneas con batería estándar negativas para PPDA.