Complications of chronic use of skin lightening cosmetics.
Skin lightening (bleaching) cosmetics and toiletries are widely used in most African countries. The active ingredients in these cosmetic products are hydroquinone, mercury and corticosteroids. Several additives (conconctions) are used to enhance the bleaching effect. Since these products are used for long duration, on a large body surface area, and under hot humid conditions, percutaneous absorption is enhanced. The complications of these products are very serious and are sometimes fatal. Some of these complications are exogenous ochronosis, impaired wound healing and wound dehiscence, the fish odor syndrome, nephropathy, steroid addiction syndrome, predisposition to infections, a broad spectrum of cutaneous and endocrinologic complications of corticosteroids, including suppression of hypothalamic-pituitary-adrenal axis. In this era of easy travels and migration, African patients with these complications can present to physicians anywhere in the world. It is therefore critical for every practicing physician to be aware of these complications.
Olumide
Yetunde M
YM
Dermatology Unit, Department of Medicine, College of Medicine, Lagos, Nigeria. mercyolumide2004@yahoo.co.uk
Akinkugbe
Ayesha O
AO
Altraide
Dan
D
Mohammed
Tahir
T
Ahamefule
Ngozi
N
Ayanlowo
Shola
S
Onyekonwu
Chinwe
C
Essen
Nyomudim
N
D044383:Black People; D003358:Cosmetics / Q000009:adverse effects* / Q000737:chemistry; D003480:Cushing Syndrome / Q000139:chemically induced / Q000473:pathology; D003879:Dermatologic Agents / Q000009:adverse effects* / Q000737:chemistry; D005260:Female; D005938:Glucocorticoids / Q000009:adverse effects; D006801:Humans; D006873:Hydroquinones / Q000009:adverse effects; D008297:Male; D008628:Mercury / Q000009:adverse effects; D009549:Nigeria; D009794:Ochronosis / Q000139:chemically induced* / Q000473:pathology; D012867:Skin / Q000473:pathology*; D012871:Skin Diseases / Q000139:chemically induced* / Q000473:pathology; D012880:Skin Pigmentation / Q000187:drug effects*
D003358:Cosmetics; D003879:Dermatologic Agents; D005938:Glucocorticoids; D006873:Hydroquinones; D008628:Mercury; C031927:hydroquinone