TY - JOUR
T1 - Occupational contact dermatitis in hairdressers/ cosmetologists
T2 - Retrospective analysis of North American contact dermatitis group data, 1994 to 2010
AU - Warshaw, Erin M.
AU - Wang, Michael Z.
AU - Mathias, Toby
AU - Maibach, Howard I.
AU - Belsito, Donald V.
AU - Zug, Kathryn A.
AU - Taylor, James S.
AU - Zirwas, Matthew J.
AU - Fransway, Anthony F.
AU - DeLeo, Vincent A.
AU - Marks, James G.
AU - Pratt, Melanie D.
AU - Storrs, Frances J.
AU - Rietschel, Robert L.
AU - Fowler, Joseph F.
AU - Sasseville, Denis
PY - 2012
Y1 - 2012
N2 - Background: European studies document that occupational contact dermatitis (CD) is common in hairdressers, but studies from North America are lacking. Objectives: The objectives of this study were to estimate the prevalence of occupational CD among North American hairdressers/cosmetologists (HD/CS) and to characterize responsible allergens and irritants as well as their sources. Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1994 and 2010 was conducted. Results: Of 35,842 patients, 432 (1.2%) were HD/CS. Significantly, most of the HD/CS were female (89.8%) and younger than 40 years (55.6%) as compared with nonYhairdressers (P G 0.0001). The rates for allergic and irritant CD in HD/CS were 72.7% and 37.0%, respectively. The most common body site of involvement was the hand, and this was significantly more common than in non-HD/CS (P G 0.0001). The most frequent currently relevant and occupationally related allergens were glyceryl thioglycolate, p-phenylenediamine, nickel sulfate, 2-hydroxyethyl methacrylate, and quaternium-15. Hair dyes, permanent wave solutions, and other hair products were common sources of allergens. The North American Contact Dermatitis Group allergen series missed at least 1 occupationally-related allergen in 26.2% of patients. Conclusions: Contact dermatitis in North American HD/CS is common, and occupationally related allergens are those found in HD/CS products. Supplemental hairdressing/ cosmetology antigen series are important in detecting all occupationally related allergens in this population.
AB - Background: European studies document that occupational contact dermatitis (CD) is common in hairdressers, but studies from North America are lacking. Objectives: The objectives of this study were to estimate the prevalence of occupational CD among North American hairdressers/cosmetologists (HD/CS) and to characterize responsible allergens and irritants as well as their sources. Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1994 and 2010 was conducted. Results: Of 35,842 patients, 432 (1.2%) were HD/CS. Significantly, most of the HD/CS were female (89.8%) and younger than 40 years (55.6%) as compared with nonYhairdressers (P G 0.0001). The rates for allergic and irritant CD in HD/CS were 72.7% and 37.0%, respectively. The most common body site of involvement was the hand, and this was significantly more common than in non-HD/CS (P G 0.0001). The most frequent currently relevant and occupationally related allergens were glyceryl thioglycolate, p-phenylenediamine, nickel sulfate, 2-hydroxyethyl methacrylate, and quaternium-15. Hair dyes, permanent wave solutions, and other hair products were common sources of allergens. The North American Contact Dermatitis Group allergen series missed at least 1 occupationally-related allergen in 26.2% of patients. Conclusions: Contact dermatitis in North American HD/CS is common, and occupationally related allergens are those found in HD/CS products. Supplemental hairdressing/ cosmetology antigen series are important in detecting all occupationally related allergens in this population.
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U2 - 10.1097/DER.0b013e318273a3b8
DO - 10.1097/DER.0b013e318273a3b8
M3 - Article
C2 - 23169207
AN - SCOPUS:84871301889
SN - 1710-3568
VL - 23
SP - 258
EP - 268
JO - Dermatitis
JF - Dermatitis
IS - 6
ER -