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Johnson W, Bergfeld WF, Belsito DV, Hill RA, Klaassen CD, Liebler DC, Marks JG, Shank RC, Slaga TJ, Snyder PW, Heldreth B. Amended Safety Assessment of Persulfates as Used in Cosmetics. Int J Toxicol 2022; 41:5-21. [PMID: 36165404 DOI: 10.1177/10915818221124299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The Expert Panel for Cosmetic Ingredient Safety (Panel) reassessed the safety of 3 persulfate ingredients, which function as oxidizing agents in cosmetic products. The Panel reviewed relevant data relating to the safety of these ingredients and concluded that Ammonium, Potassium, and Sodium Persulfate are safe as used as oxidizing agents in hair colorants and hair lighteners designed for brief discontinuous use followed by thorough rinsing from the hair and skin. The Panel also concluded that the available data are insufficient for determining the safety of these persulfates in leave-on products and dentifrices.
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Affiliation(s)
- Wilbur Johnson
- Former Cosmetic Ingredient Review Senior Scientific Analyst/Writer
| | | | | | - Ronald A Hill
- Former Expert Panel for Cosmetic Ingredient Safety Member
| | | | | | - James G Marks
- Former Expert Panel for Cosmetic Ingredient Safety Member
| | - Ronald C Shank
- Former Expert Panel for Cosmetic Ingredient Safety Member
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2
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Macan J, Babić Ž, Hallmann S, Havmose MS, Johansen JD, John SM, Macan M, Symanzik C, Uter W, Weinert P, van der Molen HF, Kezic S, Turk R. Respiratory toxicity of persulphate salts and their adverse effects on airways in hairdressers: a systematic review. Int Arch Occup Environ Health 2022; 95:1679-1702. [PMID: 35316371 PMCID: PMC9489562 DOI: 10.1007/s00420-022-01852-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 03/01/2022] [Indexed: 02/04/2023]
Abstract
Objective To review the literature on respiratory effects of persulfate salts (PS) or hair bleaches in hairdressers and animal models exploring mechanisms behind PS-induced asthma. Methods A systematic review according to the PRISMA guidelines was performed. Studies published from 2000 to July 2021 that fulfilled predefined eligibility criteria were retrieved. Data were not quantitatively synthesized due to the heterogeneity of study designs, outcomes and methods. Results Forty-two articles were included. PS are indicated as the main cause of occupational rhinitis and asthma in hairdressers, and one of the leading causes of occupational asthma in some European countries. Bleaching products are indicated as the most important factor for development of respiratory symptoms, lung function decline, and leaving the hairdressing profession. Risk estimates from a good quality prospective study showed up to 3.9 times higher risk for wheezing and breathlessness in hairdressers aged ≥ 40 years than in matched controls, and 20 times higher risk in hairdressers to develop respiratory symptoms from exposure to bleaching powder than controls. Pathophysiological mechanisms of the respiratory response to PS are not yet fully elucidated, but may include non-specific and specific immune responses. Conclusions Hairdressing is associated with a wide spectrum of respiratory adverse effects, of which bleaching products were indicated as the most hazardous. Preventive measures for reducing inhalatory exposure to PS in hair salons should be re-evaluated, including adopting occupational exposure limits at EU level, and encouraging use of safer bleach formulations. PROSPERO registration number CRD42021238118. Supplementary Information The online version contains supplementary material available at 10.1007/s00420-022-01852-w.
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Affiliation(s)
- Jelena Macan
- Institute for Medical Research and Occupational Health, Ksaverska cesta 2, 10000, Zagreb, Croatia.
| | - Željka Babić
- Institute for Medical Research and Occupational Health, Ksaverska cesta 2, 10000, Zagreb, Croatia
| | - Sarah Hallmann
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen, Erlangen, Germany
| | - Martin S Havmose
- National Allergy Research Centre, Department of Skin and Allergy, University of Copenhagen, Gentofte Hospital, Copenhagen, Denmark
| | - Jeanne D Johansen
- National Allergy Research Centre, Department of Skin and Allergy, University of Copenhagen, Gentofte Hospital, Copenhagen, Denmark
| | - Swen M John
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, Osnabrück, Germany
| | - Marija Macan
- Institute for Medical Research and Occupational Health, Ksaverska cesta 2, 10000, Zagreb, Croatia
| | - Cara Symanzik
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, Osnabrück, Germany
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen, Erlangen, Germany
| | - Patricia Weinert
- Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, Osnabrück, Germany
| | - Henk F van der Molen
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Sanja Kezic
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Rajka Turk
- Institute for Medical Research and Occupational Health, Ksaverska cesta 2, 10000, Zagreb, Croatia
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3
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Dean OR, Somers KE. Persulfate-containing consumer products in the United States market. Contact Dermatitis 2021; 86:295-299. [PMID: 34921563 DOI: 10.1111/cod.14028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 11/19/2021] [Accepted: 12/14/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Persulfate compounds are reactive oxidative agents increasingly recognized as contact allergens. OBJECTIVE The aim of this study was to identify common consumer products containing persulfate compounds in the United States market. METHODS Five publicly accessible online ingredient repositories and searches of two large online retailers were used to identify persulfate-containing consumer products. RESULTS We identified persulfates in 23 hair coloring products, 11 denture cleansers, 8 pool/hot-tub products, 3 paints, and 3 cleaning products. CONCLUSIONS Clinicians assessing contact dermatitis should be aware of three primary categories of consumer products that contain persulfates: denture cleansers, hair coloring products, and non-chlorine hot-tub and pool shock. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Owen R Dean
- University of Rochester School of Medicine and Dentistry, Rochester, New York
| | - Kathryn E Somers
- Department of Dermatology, University of Rochester Medical Center, Rochester, New York
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Warshaw EM, Ruggiero JL, DeKoven JG, Pratt MD, Silverberg JI, Maibach HI, Zug KA, Atwater AR, Taylor JS, Reeder MJ, Sasseville D, Fowler JF, Fransway AF, Belsito DV, DeLeo VA, Houle MC, Dunnick CA. Patch Testing with Ammonium Persulfate: The North American Contact Dermatitis Group Experience, 2015-2018. J Am Acad Dermatol 2021; 87:1014-1023. [PMID: 34390784 DOI: 10.1016/j.jaad.2021.08.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 07/28/2021] [Accepted: 08/02/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Ammonium persulfate (APS), an oxidizing agent used in hair products, manufacturing, and pool/spa water, can cause skin reactions including allergic contact dermatitis. OBJECTIVE To characterize positive patch test reactions to APS (2.5% pet). METHODS Retrospective analysis of patients tested to the North American Contact Dermatitis Group (NACDG) screening series from 2015-2018. RESULTS Of 10,526 patients, 193 (1.8%) had positive patch test reactions to APS. Compared to negative patients, APS-positive patients were significantly more likely to be male (43.2% vs. 28.0%, p<0.0001), have primary hand (30.2% vs. 22.0%, p=0.0064), scattered generalized (25.5% vs. 17.9%, p=0.0064), or trunk dermatitis (8.9% vs. 4.9%, p=0.0123), and occupationally-related dermatitis (22.2% vs. 10.9%, p<0.0001). Over half of the APS-positive reactions were currently relevant (57.0%); 19 (9.8%) were related to occupation, especially (68.4%) hairdressers. Swimming pools/spas (23.3%) and hair care products (19.2%) were the most common APS sources. LIMITATIONS Immediate reactions and follow-up testing not captured. CONCLUSIONS The proportion of patients positive to APS was 1.8%. APS positivity was significantly associated with male sex and hand dermatitis. Swimming pool/spa chemicals are important sources of APS exposure.
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Affiliation(s)
- Erin M Warshaw
- Department of Dermatology, Park Nicollet Health Services, Minneapolis, MN; Department of Dermatology, University of Minnesota, Minneapolis, MN; Department of Dermatology, Minneapolis Veterans Affairs Medical Center
| | - Jenna L Ruggiero
- Department of Dermatology, Park Nicollet Health Services, Minneapolis, MN; Department of Dermatology, Minneapolis Veterans Affairs Medical Center; University of Minnesota Medical School, Minneapolis, MN.
| | - Joel G DeKoven
- Division of Dermatology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada
| | - Melanie D Pratt
- Division of Dermatology, University of Ottawa, Ontario, Canada
| | - Jonathan I Silverberg
- Department of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, DC
| | - Howard I Maibach
- Department of Dermatology, University of California San Francisco
| | - Kathryn A Zug
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Amber R Atwater
- Department of Dermatology, Duke University Medical Center, Durham, NC
| | | | - Margo J Reeder
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, WI
| | - Denis Sasseville
- Division of Dermatology, Montreal General Hospital, McGill University, Montreal, Quebec, Canada
| | | | | | - Donald V Belsito
- Department of Dermatology, Columbia University Irving Medical School, New York, NY
| | - Vincent A DeLeo
- Department of Dermatology, Keck School of Medicine, Los Angeles, CA
| | - Marie-Claude Houle
- Division of Dermatology, CHU de Quebec, Laval University, Quebec City, Quebec, Canada
| | - Cory A Dunnick
- Department of Dermatology, University of Colorado, Boulder, Colorado, USA
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Verhulst L, Goossens A. Cosmetic components causing contact urticaria: a review and update. Contact Dermatitis 2016; 75:333-344. [DOI: 10.1111/cod.12679] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2016] [Revised: 07/24/2016] [Accepted: 07/27/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Lien Verhulst
- Department of Dermatology; University Hospitals KU Leuven; Leuven 3000 Belgium
| | - An Goossens
- Department of Dermatology; University Hospitals KU Leuven; Leuven 3000 Belgium
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Foss-Skiftesvik MH, Winther L, Mosbech HF, Skov PS, Opstrup MS, Søsted H, Zachariae C, Johansen JD, Johnsen CR. Optimizing diagnostic tests for persulphate-induced respiratory diseases. Clin Transl Allergy 2016; 6:26. [PMID: 27446529 PMCID: PMC4955245 DOI: 10.1186/s13601-016-0118-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Accepted: 06/21/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Persulphates from hair bleaching products are considered the major cause of occupational-rhinitis and asthma in hairdressers. The specific inhalation challenge (SIC) is considered 'reference standard' for diagnosing persulphate-induced asthma and rhinitis; however, the currently validated method of performing SIC with persulphate powder is time consuming with a duration of up to 4 days. The value of skin prick tests (SPTs) and histamine release tests (HRTs) with persulphates is unknown. The aim of this study was to establish a novel rapid SIC with persulphate powder to test for both rhinitis and asthma simultaneously in 1 day. In addition, we assessed the suitability of SPTs and HRTs for detecting persulphate-induced respiratory diseases. METHODS The study population included 19 hairdressers with a history of work-related rhinitis and/or asthma symptoms, 12 symptomatic controls (10 with concurrent allergic asthma and rhinitis and two with non-allergic asthma), and 40 healthy controls. A previous severe asthmatic reaction and/or anaphylactic reaction to persulphates was considered an exclusion criterion for hairdressers. The 19 hairdressers and 12 symptomatic controls had SIC performed with 3 × 5 min exposures to potassium persulphate powder in a provocation chamber. All participants, including the 40 healthy controls, were subjected also to SPTs and HRTs with three persulphate salts at concentrations of 2-20 % and 0.03-1 %, respectively. RESULTS None of the symptomatic controls had a nasal or bronchial response to SIC with potassium persulphate. Six hairdressers presented a nasal and two a bronchial response. No severe reactions occurred. No positive SPTs were recorded, neither among hairdressers, symptomatic controls, nor healthy controls. All three groups showed nonspecific non-IgE mediated histamine release to persulphates in HRT. CONCLUSIONS The proposed method for performing SIC showed a high specificity for detecting persulphate-induced asthma and rhinitis. The rapid SIC was able to produce positive nasal and bronchial responses in symptomatic hairdressers without any severe reactions occurring. SPTs and HRTs cannot predict asthma or rhinitis caused by persulphates.
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Affiliation(s)
- M H Foss-Skiftesvik
- Department of Dermato-Allergology, National Allergy Research Centre, Copenhagen University Hospital Gentofte, Kildegårdsvej 28, 2900 Hellerup, Denmark ; Department of Dermato-Allergology, Research Centre for Hairdressers and Beauticians, Copenhagen University Hospital Gentofte, Hellerup, Denmark
| | - L Winther
- Allergy Clinic, Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, Hellerup, Denmark
| | - H F Mosbech
- Allergy Clinic, Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, Hellerup, Denmark
| | | | - M S Opstrup
- Department of Dermato-Allergology, National Allergy Research Centre, Copenhagen University Hospital Gentofte, Kildegårdsvej 28, 2900 Hellerup, Denmark ; Allergy Clinic, Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, Hellerup, Denmark
| | - H Søsted
- Department of Dermato-Allergology, Research Centre for Hairdressers and Beauticians, Copenhagen University Hospital Gentofte, Hellerup, Denmark
| | - C Zachariae
- Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, Hellerup, Denmark
| | - J D Johansen
- Department of Dermato-Allergology, Research Centre for Hairdressers and Beauticians, Copenhagen University Hospital Gentofte, Hellerup, Denmark
| | - C R Johnsen
- Allergy Clinic, Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, Hellerup, Denmark
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7
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Uter W, Bensefa-Colas L, Frosch P, Giménez-Arnau A, John SM, Lepoittevin JP, Lidén C, White IR, Duus Johansen J. Patch testing with hair cosmetic series in Europe: a critical review and recommendation. Contact Dermatitis 2015; 73:69-81. [DOI: 10.1111/cod.12424] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2015] [Revised: 04/27/2015] [Accepted: 04/27/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology; Friedrich-Alexander University Erlangen-Nürnberg; D-91054 Erlangen Germany
| | - Lynda Bensefa-Colas
- Occupational Diseases Department; University Hospital of Centre of Paris COCHIN, AP-HP; 75014 Paris France
- Laboratoire Santé Publique et Environnement, EA 4064; Paris Descartes University; Sorbonne Paris Cité 75014 Paris France
| | - Peter Frosch
- Department of Dermatology; University of Witten/Herdecke and Klinikum Dortmund (formerly); 44137 Dortmund Germany
| | - Ana Giménez-Arnau
- Department of Dermatology, Hospital del Mar; Institut Mar d'Ínvestigacions Mediques Universitat Autònoma; 08003 Barcelona Spain
| | - Swen M. John
- Department of Dermatology, Environmental Medicine and Health Theory; University of Osnabrueck; 49076 Osnabrueck Germany
| | | | - Carola Lidén
- Institute of Environmental Medicine, Karolinska Institutet; SE-17177 Stockholm Sweden
| | - Ian R. White
- St John's Institute of Dermatology, St Thomas' Hospital; London SE1 7EH UK
| | - Jeanne Duus Johansen
- Department of Dermato-Allergology, National Allergy Research Centre, Gentofte Hospital; University of Copenhagen; 2900 Hellerup Denmark
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8
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Lysdal SH, Mosbech H, Johansen JD, Søsted H. Asthma and respiratory symptoms among hairdressers in Denmark: results from a register based questionnaire study. Am J Ind Med 2014; 57:1368-76. [PMID: 25351556 DOI: 10.1002/ajim.22390] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/18/2014] [Indexed: 11/07/2022]
Abstract
BACKGROUND Hairdressers are at risk of developing occupational respiratory disorders due to persulfates and other hairdressing chemicals. METHODS A register based questionnaire study comprising 7,840 graduates from hairdressing vocational schools was conducted. The postal questionnaire concerned self-reported asthma, airway symptoms, occupation, smoking, and atopic dermatitis. RESULTS A response rate of 67.9% was obtained. The hairdressers reported asthma (11.2%), cough (25.3%), nasal congestion (24.0%), and rhinitis (18.2%). Less than 1/3 of all hairdressers with suspected occupational asthma reported their asthma as an occupational disease to the authorities. In total, 27.3% were daily smokers; the smoking pattern was similar between hairdressers with and without asthma. Local exhaust ventilation was only used consistently by 63.8% for permanent waving and hair coloring procedures. CONCLUSIONS Asthma and especially respiratory symptoms were commonly reported by hairdressers, but rarely reported as an occupational disease. Local exhaust ventilation was inconsistently used. Our results underline the need for improved measures to ascertain and prevent occupational asthma in hairdressers.
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Affiliation(s)
- Susan Hovmand Lysdal
- Research Centre for Hairdressers and Beauticians; Department of Dermato-Allergology; Copenhagen University Hospital Gentofte; Hellerup Denmark
| | - Holger Mosbech
- Allergy Clinic; Department of Dermato-Allergology; Copenhagen University Hospital Gentofte; Hellerup Denmark
| | - Jeanne Duus Johansen
- National Allergy Research Centre; Department of Dermato-Allergology; Copenhagen University Hospital Gentofte; Hellerup Denmark
| | - Heidi Søsted
- Research Centre for Hairdressers and Beauticians; Department of Dermato-Allergology; Copenhagen University Hospital Gentofte; Hellerup Denmark
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9
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Occupational eczema and asthma in a hairdresser caused by hair-bleaching products. Dermatitis 2013; 23:284-7. [PMID: 23169211 DOI: 10.1097/der.0b013e318275968c] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Occupational allergic contact eczema and asthma caused by bleaching agents is seen in hairdressers. Bleaching agents contain persulfate salts, which are known to induce immediate reactions such as rhinitis, asthma, contact urticaria, and anaphylaxis. The immunologic mechanism is not, however, fully understood. The specific inhalation challenge test is considered to be the gold standard for diagnosing occupational asthma and rhinitis. However, this test is not always accessible. Therefore, the diagnosis of occupational allergic asthma caused by persulfate salts is made by combining a clinical history, a diagnosis of asthma, and a positive skin prick test (SPT). Standardized methods for performing SPT with persulfate salts are warranted. A case of a young hairdresser with occupational asthma and hand eczema caused by persulfate salts is presented, and the procedure for performing the SPT with ammonium persulfate and potassium persulfate is described in detail.
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