{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:48:35Z","timestamp":1788742115622,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T00:00:00Z","timestamp":1618099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We present a case series of 10, atopic, African women who developed irritant contact dermatitis (ICD) from synthetic hair extensions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten consecutive African female patients who presented with a pruritic cutaneous eruption on the neck over a period of 2\u2009years are described. Patients underwent skin patch testing using both standard and hair commercial patch test panels and samples of their own hair extensions. Hair care products were not tested.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 10 patients used synthetic hair extensions. A strong history of atopy was documented for all the patients and examination was significant for eczematous, lichenified plaques at the location of contact with the free end of the hair extension. Patch test results yielded no relevant reactivity and a diagnosis of ICD was made for all patients. The lesions resolved completely on removal of the hair extensions and the use of topical steroids and emollients, dependent on eczema severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Artificial hair extensions should be considered as a potential irritant, resulting in ICD. Patients with a history of atopy are at risk of developing ICD from synthetic hair extensions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.13825","type":"journal-article","created":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T09:20:25Z","timestamp":1614504025000},"page":"141-145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Synthetic hair extensions causing irritant contact dermatitis in patients with a history of atopy: A report of 10 cases"],"prefix":"10.1111","volume":"85","author":[{"given":"Ncoza C.","family":"Dlova","sequence":"first","affiliation":[{"name":"Department of Dermatology, Nelson R Mandela School of Medicine University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nkanyezi N.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Iowa  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0922-3684","authenticated-orcid":false,"given":"Jennifer N.","family":"Rorex","sequence":"additional","affiliation":[{"name":"Department of Dermatology Wright State University Boonshoft School of Medicine  Dayton Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Todd","sequence":"additional","affiliation":[{"name":"Department of Medicine Groote Schuur Hospital, University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/abd1806-4841.20152845"},{"issue":"4","key":"e_1_2_9_3_1","article-title":"Hair care practices in African American women","volume":"72","author":"Quinn CR","year":"2003","journal-title":"Cutis"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sder.2009.04.007"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.02.016"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.02.1162"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000456"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2002.4653_10.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7753.114712"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2007.01212.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-27099-5_3"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8635(05)70217-5"},{"issue":"1","key":"e_1_2_9_13_1","first-page":"51","article-title":"Hair extensions: novel \"source\" of a well\u2010known contact allergen","volume":"11","author":"Darlenski R","year":"2013","journal-title":"Skinmed"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.08924.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijt.ijt_48_18"},{"key":"e_1_2_9_16_1","unstructured":"WhitehurstL. Polytails and Urban Tumble Weaves: The Chemistry of Synthetic Hair Fibers.Yale National Initiative Yale University 2020.https:\/\/teachers.yale.edu\/curriculum\/viewer\/initiative_11.05.10_u. 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