Abstract
Para-phenylenediamine (PPD) is a known strong sensitizer and allergen. It has been directly associatedwith severe allergic contact dermatitis reactions and systemic toxicities. While PPD is permitted inhair-dye with restriction, it is prohibited for direct use on skin. Unfortunately, skin application continuesthrough temporary tattoos with black henna dyes, because these products are unregulated by the US Foodand Drug Administration. Policy change, and parent and child-oriented educational campaigns are necessaryto build knowledge of this serious issue.
Highlights
The unregulated use of p-phenylenediamine (PPD) in temporary tattoos endangers children worldwide
Temporary black henna tattoos are frequently applied on children and young adults at holiday and vacation venues with harmful consequences [1]
Temporary black henna tattoos are readily available from a number of sources including, and not limited to, resorts, beaches, cruise ships, ethnic marketplaces, beauty parlors, kiosks in shopping malls, festivals, street fairs, amusement parks, and cultural celebrations
Summary
The unregulated use of p-phenylenediamine (PPD) in temporary tattoos endangers children worldwide. Temporary black henna tattoos are frequently applied on children and young adults at holiday and vacation venues with harmful consequences [1]. Systemic toxicity and reports of fatality after black henna use have been reported in several African countries where PPD is widely used in traditional ceremonies and familial celebrations, and is not regulated [5,6].
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