Temporary holiday “tattoos” may cause lifelong allergic contact dermatitis when henna is mixed with PPD

  title={Temporary holiday “tattoos” may cause lifelong allergic contact dermatitis when henna is mixed with PPD},
  author={Meltem Onder},
  journal={Journal of Cosmetic Dermatology},
  • M. Onder
  • Published 1 July 2003
  • Medicine
  • Journal of Cosmetic Dermatology
Temporary tattoos are becoming more popular especially among teenagers. For this purpose henna tattoos are usually used. Although pure henna is relatively safe, combining it with other colouring agents such as para‐phenylenediamine (PPD), may cause skin sensitisation. Several cases of contact allergy from temporary tattoos have been reported, each with positive reactions to PPD. 
Henna tattoo contact dermatitis — a report of four cases and brief review of the selected literature
The agent responsible for contact allergy was proven to be PPD in 3 patients, and in one patch testing revealed positive reactions to PPD and benzocaine, as well as to wool alcohols, nickel sulphate and potassium dichromate, to previously used hair dye—all being of clinical relevance.
Allergic Contact Dermatitis Due to Temporary Henna Tattoo: Case Report
A 9-year-old boy with allergic contact dermatitis following application of temporary “black henna” tattoo which patch test was positive for Paraphenylendiamine and N-Isopropyl-N-phenyl-4- phenylenediamine (IPPD) is reported.
Temporary Henna Tattooing: a Case of Contact Dermatitis
A case of a temporary henna tattoo is presented in which red henna containing p-phenylenediamine (PPD) caused a severe adverse reaction and patient experienced itching and mild pain at the tattoo site along with an erythematous, papular lesion.
An itchy erythematous temporary holiday tattoo
Type Iv Hypersensitivity Reaction to a Temporary Tattoo
A 6-year-old boy developed a skin eruption 10 days after application of a temporary tattoo advertised as a “natural black henna tattoo.” The eruption was a delayed hypersensitivity reaction to the
Temporary henna tattoos and hypertrichosis: a case report and review of the literature.
A case of hypertrichosis and eczematous reaction to temporary henna tattoo is reported and the mechanism by which black henna induces hair growth remains unclear.
P-Phenylenediamine in Black Henna Temporary Tattoos: A Pediatric Problem Despite Prohibition
Para-phenylenediamine (PPD) is a known strong sensitizer and allergen. It has been directly as- sociated with severe allergic contact dermatitis reactions and systemic toxicities. While PPD is
Katzenpfoten bei Typ IV-Allergie auf P-Phenylendiamin nach Henna-Tattoo
A young female patient with allergic contact dermatitis bearing traces of a cat beginning 3 to 5 days after the application of a henna-tattoo is reported on, finding a type IV-allergy to p-phenylendiamin that was responsible for the reaction.
Efficient removal of black henna tattoos
The objective was to develop a method for rapid and complete removal of para‐phenylenediamine‐containing black henna tattoos from the skin, an important problem many physicians are confronted with, but for which no simple method exists.
Contact dermatitis after temporary tattoo at Sharm El Sheik.
A 9‐year‐old child who had a strongly pruritic papulovesicular reaction in his right upper arm 10 days after a street vendor in Sharm El Sheik, Egypt, applied a temporary tattoo at this zone is presented.


Allergic contact dermatitis to temporary tattoo by p-phenylenediamine.
A new case of temporary tattoo with black henna with an extensive reaction is added, in which a 12-year-old white boy showed contact dermatitis from PPD, followed by cutaneous eruption after corticosteroid topical treatment.
Sensitization to Para‐Phenylenediamine from a Streetside Temporary Tattoo
“Temporary” henna tattoos (skin painting or pseudotattooing) are in vogue among American and European youngsters, particularly when vacationing, but this short‐lived fad can have longer‐term sequelae then expected, ranging from postinflammatory hyperpigmentation of the tattoo site to permanent sensitization to PPD and related compounds.
Temporary henna tattoo reactions in children.
Allergic contact dermatitis caused by skin painting (pseudotattooing) with black henna, a mixture of henna and p-phenylenediamine and its derivatives.
The mixtures used by the artists possibly contained natural henna, a rare and weak skin sensitizer, and likely contained chemical coloring agents, diaminobenzenes or diaminotoluenes, such as p-phenylenediamine and/or diaminosodium, which are prohibited for direct skin application.
Prolonged lichenoid reaction and cross‐sensitivity to para‐substituted amino‐compounds due to temporary henna tattoo
In both patients, the skin lesions were localized to the paintings which had already faded, leaving a dragon‐shaped papular skin eruption and an infiltrated Chinese sign, respectively.
Temporary henna tattoo with permanent scarification.
  • P. Lewin
  • Medicine
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
  • 1999
Pruritic eruption at the site of a temporary tattoo.
  • R. Sidbury, F. Storrs
  • Medicine
    American journal of contact dermatitis : official journal of the American Contact Dermatitis Society
  • 2000
Contact allergy to henna