Prevalence of contact allergy to p-phenylenediamine in the European general population

Population-based studies on contact allergy to <i>p</i>-phenylenediamine (PPD) are scarce. A cross-sectional study was performed to assess the prevalence of contact allergy to PPD and its risk factors in the general population of 5 European countries. A total of 10,425 subjects were inte...

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Hauptverfasser: Diepgen, Thomas L. (VerfasserIn) , Naldi, Luigi (VerfasserIn) , Bruze, Magnus (VerfasserIn) , Cazzaniga, Simone (VerfasserIn) , Schuttelaar, Marie-Louise (VerfasserIn) , Elsner, Peter (VerfasserIn) , Goncalo, Margarida (VerfasserIn) , Ofenloch, Robert (VerfasserIn) , Svensson, Åke (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2016
In: The journal of investigative dermatology
Year: 2015, Jahrgang: 136, Heft: 2, Pages: 409-415
ISSN:1523-1747
DOI:10.1016/j.jid.2015.10.064
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jid.2015.10.064
Verlag, lizenzpflichtig, Volltext: https://www.jidonline.org/article/S0022-202X(15)00065-2/abstract
Volltext
Verfasserangaben:Thomas L. Diepgen, Luigi Naldi, Magnus Bruze, Simone Cazzaniga, Marie-Louise Schuttelaar, Peter Elsner, Margarida Goncalo, Robert Ofenloch and Åke Svensson

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520 |a Population-based studies on contact allergy to <i>p</i>-phenylenediamine (PPD) are scarce. A cross-sectional study was performed to assess the prevalence of contact allergy to PPD and its risk factors in the general population of 5 European countries. A total of 10,425 subjects were interviewed, and a random sample (n = 2,739) was patch tested to PPD. Overall, 5,286 individuals (50.9%) reported having used hair colorants at least once in their lifetime (78% female, 20% male), and 35% had used hair colorants during the last 12 months. Hair colorant avoidance because of any skin problem during the lifetime was reported by 6%. Black henna tattoos had been used by 5.5% during their lifetime. The prevalence of PPD contact allergy was 0.8% (95% confidence interval 0.6-1.0%), with no statistically significant association with gender or hair dye use. The prevalence of PPD in black henna tattoo users was 3.2% versus 0.6% in nonusers (<i>P</i> < 0.001). A clinically relevant positive patch test reaction to PPD related to hair coloring products was found in 0.1% (95% confidence interval 0.0-0.2%). A significant association with PPD contact allergy was observed for subjects who had black henna tattoos in their lifetime, with an age- and gender-adjusted odds ratio of 9.33 (95% confidence interval 3.45-25.26, <i>P</i> < 0.001). Black henna tattoos are an important risk factor for PPD contact allergy. 
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