title: [Necrotizing toxic contact dermatitis of the scalp from hydrogen peroxide].
abstract: Skin reactions to chemicals used by hair dressers are usually reported as irritative or allergic contact dermatitis of the hands. We describe a 15-year old girl who suffered an unusually severe injury to her scalp with necrosis of the galea aponeurotica as a result of highlighting her hair. Injury resulted in a scaring alopecia, which can only be treated by plastic reconstructive surgery. The cause for this injury might have been a higher than usual concentration of hydrogen peroxide used for highlighting the hair.
authors.affiliation: Dermatologisches Zentrum, Berufsgenossenschaftliches Unfallkrankenhaus, Bergedorfer Strasse 10, 21033, Hamburg. c.schroeder@buk-hamburg.de
authors.forename: C M
authors.initials: CM
authors.lastname: Schröder
authors.forename: D
authors.initials: D
authors.lastname: Höller Obrigkeit
authors.forename: H F
authors.initials: HF
authors.lastname: Merk
authors.forename: F
authors.initials: F
authors.lastname: Abuzahra
mesh_terms: D000293:Adolescent; D003877:Dermatitis, Contact / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006203:Hair Preparations / Q000506:poisoning*; D006801:Humans; D006861:Hydrogen Peroxide / Q000506:poisoning*; D009336:Necrosis / Q000139:chemically induced / Q000175:diagnosis; D012536:Scalp Dermatoses / Q000139:chemically induced* / Q000175:diagnosis*