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Dermatoses due to Indian cultural practices.

Gupta D, Thappa DM - Indian J Dermatol (2015 Jan-Feb)

Bottom Line: Mild irritant reactions and contact sensitization occur secondary to balm and hair oil use. 'Mudichood' represents the comedogenic effect of hair oils combined with occlusion and humidity.Heavy metal and steroid toxicity along with severe cutaneous adverse effects like erythroderma can occur as a consequent to the use of alternative medicines.With increasing globalization and migration, the practice of indigenous customs and traditions is no longer limited to regional territories, making it imperative for the dermatologists to be acquainted with the cutaneous side effects they can cause.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology and Sexually Transmitted Diseases (STD), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.

ABSTRACT
A wide prevalence of socio-religious and cultural practices in the Asian subcontinent often leads to multitude of skin diseases which may be missed by the dermatologists because of a lack of awareness. 'Henna' use causes IgE-mediated hypersensitivity reactions and contact dermatitis. 'Kumkum' application can result in pigmented contact dermatitis and lichen planus pigmentosus. Sticker 'bindis' and 'alta' induce contact leukoderma. Irritant and allergic contact dermatitis occurs after playing with 'Holi' colors. Threading and drawstring dermatitis lead to koebnerization of pre-existing dermatoses, infections and even squamous cell carcinoma of skin. Mild irritant reactions and contact sensitization occur secondary to balm and hair oil use. 'Mudichood' represents the comedogenic effect of hair oils combined with occlusion and humidity. Aromatherapy oils can cause contact dermatitis and photosensitive reactions. Heavy metal and steroid toxicity along with severe cutaneous adverse effects like erythroderma can occur as a consequent to the use of alternative medicines. Squamous cell carcinoma due to chronic heat exposure from the heating device "kangri" is seen in Kashmiris. Prayer nodules in Muslims and traction alopecia in Sikhs illustrate how religious practices can negatively affect the skin. With increasing globalization and migration, the practice of indigenous customs and traditions is no longer limited to regional territories, making it imperative for the dermatologists to be acquainted with the cutaneous side effects they can cause.

No MeSH data available.


Related in: MedlinePlus

Allergic contact dermatitis extending up to glabella and hair parting. Note that patient continues to wear the bindi in spite of active dermatitis
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Figure 3: Allergic contact dermatitis extending up to glabella and hair parting. Note that patient continues to wear the bindi in spite of active dermatitis

Mentions: Nath and Thappa[23] found pigmented contact dermatitis [Figure 2] in 76% of the patients and allergic contact dermatitis in 24% of the patients using kumkum. Forehead was the most common site, followed by the glabellar area, hair parting, abdomen, and neck [Figure 3]. The surrounding skin may be involved if the kumkum trickles down the skin in sweat.[25] Other presentations include only brown or slate gray hyperpigmentation without clinically overt dermatitis[2526] and lichen planus pigmentosus.[25] ’Chandan’ or sandalwood paste in kumkum can also cause photoallergic reactions, and these patients must also undergo a photo patch test.[24]


Dermatoses due to Indian cultural practices.

Gupta D, Thappa DM - Indian J Dermatol (2015 Jan-Feb)

Allergic contact dermatitis extending up to glabella and hair parting. Note that patient continues to wear the bindi in spite of active dermatitis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4318059&req=5

Figure 3: Allergic contact dermatitis extending up to glabella and hair parting. Note that patient continues to wear the bindi in spite of active dermatitis
Mentions: Nath and Thappa[23] found pigmented contact dermatitis [Figure 2] in 76% of the patients and allergic contact dermatitis in 24% of the patients using kumkum. Forehead was the most common site, followed by the glabellar area, hair parting, abdomen, and neck [Figure 3]. The surrounding skin may be involved if the kumkum trickles down the skin in sweat.[25] Other presentations include only brown or slate gray hyperpigmentation without clinically overt dermatitis[2526] and lichen planus pigmentosus.[25] ’Chandan’ or sandalwood paste in kumkum can also cause photoallergic reactions, and these patients must also undergo a photo patch test.[24]

Bottom Line: Mild irritant reactions and contact sensitization occur secondary to balm and hair oil use. 'Mudichood' represents the comedogenic effect of hair oils combined with occlusion and humidity.Heavy metal and steroid toxicity along with severe cutaneous adverse effects like erythroderma can occur as a consequent to the use of alternative medicines.With increasing globalization and migration, the practice of indigenous customs and traditions is no longer limited to regional territories, making it imperative for the dermatologists to be acquainted with the cutaneous side effects they can cause.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology and Sexually Transmitted Diseases (STD), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.

ABSTRACT
A wide prevalence of socio-religious and cultural practices in the Asian subcontinent often leads to multitude of skin diseases which may be missed by the dermatologists because of a lack of awareness. 'Henna' use causes IgE-mediated hypersensitivity reactions and contact dermatitis. 'Kumkum' application can result in pigmented contact dermatitis and lichen planus pigmentosus. Sticker 'bindis' and 'alta' induce contact leukoderma. Irritant and allergic contact dermatitis occurs after playing with 'Holi' colors. Threading and drawstring dermatitis lead to koebnerization of pre-existing dermatoses, infections and even squamous cell carcinoma of skin. Mild irritant reactions and contact sensitization occur secondary to balm and hair oil use. 'Mudichood' represents the comedogenic effect of hair oils combined with occlusion and humidity. Aromatherapy oils can cause contact dermatitis and photosensitive reactions. Heavy metal and steroid toxicity along with severe cutaneous adverse effects like erythroderma can occur as a consequent to the use of alternative medicines. Squamous cell carcinoma due to chronic heat exposure from the heating device "kangri" is seen in Kashmiris. Prayer nodules in Muslims and traction alopecia in Sikhs illustrate how religious practices can negatively affect the skin. With increasing globalization and migration, the practice of indigenous customs and traditions is no longer limited to regional territories, making it imperative for the dermatologists to be acquainted with the cutaneous side effects they can cause.

No MeSH data available.


Related in: MedlinePlus