| | I have seen countless patients over the years that experience a facial rash within a few days after coloring their hair. There are a number of different reasons for this – the most common of which is the hair dye itself. Despite this fact, nearly every patient that I encounter seems to be surprised that coloring their hair would result in a facial rash – especially because they have used the same hair coloring for years (sometimes even decade) without any problems. | | 4 Reasons You Have a Facial Rash After Coloring Your Hair The reason that a rash first occurs on the face after coloring the hair is because the skin on the face is much thinner – and far more reactive – than the skin on the scalp. In fact, the scalp skin is so thick, that reactions to hair dye only rarely cause rashes on the scalp. In addition, a person may have used a particular hair dye for many years without problems – until the immune system becomes sensitized to the chemical through an unnoticed cut, scrape or other disruption on the skin – after which the immune system reacts to the chemical present on the hair and skin.
| Evaluation of Contact Dermatitis Contact dermatitis is an itchy, blistering skin rash typically caused by the direct contact of a substance with the skin. There are 2 types of contact dermatitis: irritant and allergic. This difference is often difficult to tell apart, and is not usually an important distinction to make. Contact dermatitis results in 5.7 million doctor visits each year in the United States, and all ages are affected. Females are slightly more commonly affected than males, and teenagers and middle-aged adults seems to be the most common age groups affected.
| Patch Testing for Contact Dermatitis Patch testing is used to identify causes of contact dermatitis . Contact dermatitis is an immunologic reaction to a particular substance; poison-oak (and poison-ivy and poison-sumac) is an example of such a reaction. Contact dermatitis is not a true allergy ; therefore patch testing is performed in a very different way than allergy skin testing. There are no allergic antibodies involved in contact dermatitis; rather, various white blood cells entering into the skin cause the reaction.
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