Elicitation of the immune response to p-phenylenediamine in allergic patients: the role of dose and exposure time

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...

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Veröffentlicht in:British journal of dermatology (1951) 2010-12, Vol.163 (6), p.1205-1211
Hauptverfasser: Goebel, C., Coenraads, P.-J., Rothe, H., Kunze, G., Kock, M., Schlatter, H., Gerberick, G.F., Blömeke, B.
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container_end_page 1211
container_issue 6
container_start_page 1205
container_title British journal of dermatology (1951)
container_volume 163
creator Goebel, C.
Coenraads, P.-J.
Rothe, H.
Kunze, G.
Kock, M.
Schlatter, H.
Gerberick, G.F.
Blömeke, B.
description 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.
doi_str_mv 10.1111/j.1365-2133.2010.10009.x
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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.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.2010.10009.x</identifier><identifier>PMID: 20795999</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Allergens - administration &amp; dosage ; Allergens - adverse effects ; Allergens - pharmacology ; allergic contact dermatitis ; Classification ; Contact dermatitis ; Dermatitis, Allergic Contact - immunology ; Dose-Response Relationship, Drug ; exposure-dependent elicitation ; Female ; Hair ; Hair Dyes - adverse effects ; Hair Dyes - pharmacology ; Humans ; Hypersensitivity ; Immune response ; Male ; measured exposure level ; p-phenylenediamine ; Patch Tests ; permanent hair dyeing ; Phenylenediamines - administration &amp; dosage ; Phenylenediamines - adverse effects ; Phenylenediamines - pharmacology ; Skin ; Skin - immunology ; Time Factors</subject><ispartof>British journal of dermatology (1951), 2010-12, Vol.163 (6), p.1205-1211</ispartof><rights>2010 The Authors. 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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.</description><subject>Adult</subject><subject>Allergens - administration &amp; dosage</subject><subject>Allergens - adverse effects</subject><subject>Allergens - pharmacology</subject><subject>allergic contact dermatitis</subject><subject>Classification</subject><subject>Contact dermatitis</subject><subject>Dermatitis, Allergic Contact - immunology</subject><subject>Dose-Response Relationship, Drug</subject><subject>exposure-dependent elicitation</subject><subject>Female</subject><subject>Hair</subject><subject>Hair Dyes - adverse effects</subject><subject>Hair Dyes - pharmacology</subject><subject>Humans</subject><subject>Hypersensitivity</subject><subject>Immune response</subject><subject>Male</subject><subject>measured exposure level</subject><subject>p-phenylenediamine</subject><subject>Patch Tests</subject><subject>permanent hair dyeing</subject><subject>Phenylenediamines - administration &amp; 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dosage</topic><topic>Phenylenediamines - adverse effects</topic><topic>Phenylenediamines - pharmacology</topic><topic>Skin</topic><topic>Skin - immunology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goebel, C.</creatorcontrib><creatorcontrib>Coenraads, P.-J.</creatorcontrib><creatorcontrib>Rothe, H.</creatorcontrib><creatorcontrib>Kunze, G.</creatorcontrib><creatorcontrib>Kock, M.</creatorcontrib><creatorcontrib>Schlatter, H.</creatorcontrib><creatorcontrib>Gerberick, G.F.</creatorcontrib><creatorcontrib>Blömeke, B.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goebel, C.</au><au>Coenraads, P.-J.</au><au>Rothe, H.</au><au>Kunze, G.</au><au>Kock, M.</au><au>Schlatter, H.</au><au>Gerberick, G.F.</au><au>Blömeke, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elicitation of the immune response to p-phenylenediamine in allergic patients: the role of dose and exposure time</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2010-12</date><risdate>2010</risdate><volume>163</volume><issue>6</issue><spage>1205</spage><epage>1211</epage><pages>1205-1211</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20795999</pmid><doi>10.1111/j.1365-2133.2010.10009.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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ispartof British journal of dermatology (1951), 2010-12, Vol.163 (6), p.1205-1211
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source MEDLINE; Access via Wiley Online Library; Oxford University Press Journals All Titles (1996-Current)
subjects Adult
Allergens - administration & dosage
Allergens - adverse effects
Allergens - pharmacology
allergic contact dermatitis
Classification
Contact dermatitis
Dermatitis, Allergic Contact - immunology
Dose-Response Relationship, Drug
exposure-dependent elicitation
Female
Hair
Hair Dyes - adverse effects
Hair Dyes - pharmacology
Humans
Hypersensitivity
Immune response
Male
measured exposure level
p-phenylenediamine
Patch Tests
permanent hair dyeing
Phenylenediamines - administration & dosage
Phenylenediamines - adverse effects
Phenylenediamines - pharmacology
Skin
Skin - immunology
Time Factors
title Elicitation of the immune response to p-phenylenediamine in allergic patients: the role of dose and exposure time
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