Paraphenylenediamine (PPD) Flashcards

1
Q

What is PPD?

A

A chemical substance that is widely used as a permanent hair dye

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2
Q

Where is PPD found?

A
  • Hair dye
  • Textile dyes and fur dyes
  • Dark coloured cosmetics
  • Dark coloured temporary henna tattoos
  • Photographic developer and lithography plates
  • Photocopying and printing inks
  • Black rubber
  • Oils, greases and gasoline
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3
Q

Who is most likely to develop a PPD allergy?

A

May occur in anyone

Hairdressers — who often apply hair dye to their clients several times each day

Hairdressing clients — especially those using darker shades of dye, so allergy is more common in people with skin of colour than in light-skinned individuals.

Photographers that develop film

People who have black temporary tattoos.

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4
Q

How might PPD allergy present?

A

A mild reaction:
* eyelid dermatitis
* ear dermatits
* hand dermatitis

Moderate reaction:
* reddening, blistering and swelling of the eyelids, scalp, face and neck.

Severe reaction:
* intense blistering reactions
* a lichenoid eruption may arise 1–2 weeks later.

autoeczematisation causing a widespread reaction is possible

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5
Q

What substances are related to PPD that may also cause an allergic reaction?

A

Azo dyes:
* used in semi-permanent and temporary hair dyes, textiles, ballpoint pen inks, gasoline and diesel oil; and as a colouring agent in foods and medications

Para-aminobenzoic acid (PABA):
* used in sunscreens and some cosmetics that are available over-the-counter.

Benzocaine and procaine:
* ester PABA-containing local anaesthetics used by doctors and dentists

Medications:
* sulfonamides/sulfa drugs, sulfones, and para-aminosalicylic acid

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6
Q

How do you patch test?

A

ABS – > 1% petrollium jelly
or if high suspcisoin 0.3%

Hair-dressor series

Self Testing
-> behind the ears / inner upper arm
-> uncovered (leave for 48 - 72 hrs)
- reaction

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7
Q

What do you do if you a client has an allergy?

A

2% hydrogen peroxide
Potassium permangenate 1:1000 dilution

oxidises the PPD

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