Allergic cutaneous diseases in hairdressers.
BACKGROUND
Hairdressers are commonly exposed to water, irritants, sensitizers, and are at risk of occupational skin diseases. Several cases of allergic contact dermatitis and contact urticaria in hairdressers have been described over the last few years.


OBJECTIVE
The paper aims to report occupational agents which can induce allergic cutaneous diseases in hairdressers; moreover an analysis of the literature was carried out to review data concerning epidemiology, clinical evaluation, management and prevention.


CONCLUSIONS
Hairdressing carries a high risk of skin damage, especially for the hands. Allergic contact dermatitis is the most common disorder. Training represents a risk factor, while the role of atopy and nickel sensitivity as etiological agents is controversial. A great number of chemicals may induce allergic cutaneous diseases in hairdressers, such as nickel, thioglycolate, p-phenylendiamine (and other dye-related substances), persulphates, quaternary ammonium compounds, protein hydrolysates, surfactants, cyanoacrylates, latex, rubber haptens and others. Avoidance of further contact with the identified causal sensitizer(s) is the most important measure for management and prevention; to this end, a number of specific preventive strategies should be implemented.
Ferrari
M
M
Unità Operativa di Medicina Ambientale e Medicina Occupazionale, Fondazione Salvatore Maugeri, IRCCS, Via Ferrata 4, 27100 Pavia, Italy. mferrari@fsm.it
Moscato
G
G
Imbriani
M
M
D001461:Barbering; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000276:immunology / Q000517:prevention & control; D017575:Gloves, Protective / Q000009:adverse effects; D006203:Hair Preparations / Q000009:adverse effects*; D006235:Hand Disinfection; D006241:Haptens / Q000276:immunology; D006266:Health Education; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000276:immunology / Q000517:prevention & control; D007509:Irritants / Q000009:adverse effects; D020315:Latex Hypersensitivity / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000276:immunology / Q000517:prevention & control; D009532:Nickel / Q000009:adverse effects; D009784:Occupational Diseases / Q000453:epidemiology* / Q000276:immunology; D012307:Risk Factors; D012915:Soaps / Q000009:adverse effects; D016176:T-Lymphocyte Subsets / Q000276:immunology; D014867:Water / Q000009:adverse effects
D006203:Hair Preparations; D006241:Haptens; D007509:Irritants; D012915:Soaps; D014867:Water; D009532:Nickel