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BMJ 2007;334:220 (3 February), doi:10.1136/bmj.39042.643206.BE
Its incidence is rising, as more and younger people dye their hair
| The first 150 words of the full text of this article appear below. |
For more than 100 years para-phenylenediamine (PPD) and other related members of the aromatic amine family have been the main agents used in permanent hair dyes, and more than two thirds of hair dyes currently contain PPD. This compound is an effective hair dye owing to its low molecular weight, its ability to penetrate the hair shaft and follicle, its strong protein binding capacity, and its rapid polymerisation in the presence of a coupler (a kind of catalyst) and an oxidising agent. However these properties also make PPD an ideal contact allergen and, indeed, it is among the most potent.1
During the 20th century allergic reactions to PPD became such a serious problem that it was banned from hair dyes in Germany, France, and Sweden.2 Current European Union legislation allows PPD to comprise up to 6% of the constituents of hair dyes on the consumer market (3% when added to
John P McFadden, senior lecturer1, Ian R White, consultant dermatologist1, Peter J Frosch, director2, Heidi Sosted, senior researcher3, Jenne D Johansen, director3, Torkil Menne, professor3
1 St John's Institute of Dermatology, St Thomas' Hospital, London SE1 7EH, 2 Department of Dermatology, Hautklinik Stadtische Kliniken, University of Witten/Herdecke, D-44137 Dortmund, Germany, 3 National Allergy Research Centre, Department of Dermatology, Gentofte Hospital, DK-2900 Hellerup, Denmark
john.mcfadden@kcl.ac.uk
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