FDA T.R.U.E. Test for PPD allergies

If you have a problem with hair color allergies, especially PPD, you should begin with this link. PPD stands for Para-PhenyleneDiamine. It is the actual dye in about 90% of the hair color available on the market today. The reaction can be as severe as anaphylactic shock, or as mild as itching when you get your hair colored. HAIR COLOR DOES NOT ITCH! If you go to your doctor, and they don't know what you are talking about, you can at least have the satisfaction of handing them this information when you leave. (Or, educate them, and brave through it)



http://www.fda.gov/BiologicsBloodVaccines/Allergenics/ucm294328.htm

The above link is for the T.R.U.E. test. It is the sub-cutaneous tissue test that allergists and dermatologists give to see if you are allergic to PPD. If you have trouble finding a doctor who has any idea what you are talking about, you can print this out and bring it with you.


Remember, tell your friends. If your head itches when you get it colored, chances are, you have an allergy. 

Safely Patch Test if You are Allergic to PPD or Other Hair Color

Patch testing is very difficult, and most hairdressers don't do it. There IS a reason, but I've never met one who knows why. It's because it doesn't work. All the patch test's that are currently in use do, is protect the color company with one more cushion from being able to be sued. Here's why:

 If you have a client who has never had hair color, then a patch test introduces them to PPD, PTD, or TDS. Then the second exposure, 24 hours after the test, when you color them, THEN they can react. Our system NOW has made up anti-bodies. If you hadn't done a patch test, the client would not have anti-bodies yet. If the client HAS had color before, then the allergy can turn up the second time, or the thousandth. Scientists, chemists, and doctors have tried, but there really is no way to know when a person will react. Well, of course, there is one way to know, because COLOR DOESN'T ITCH.

There are often cases where the clients get dry flaky eyes, but this is not spoken about, or listed in the warnings. Nor is the itching, or the fact that you can go into anaphylactic shock and dye. I believe this is what we should concentrate on changing.

If you get your hair colored, and it itches, you are becoming allergic to it, it will get worse, no matter what. If you know someone who colors their hair, ask them if it itches. If it does, guess what? It's going to get worse, each time they color. This is the one thing that we do know. Once you start becoming allergic, each exposure is cumulative. Your body will react worse with each exposure. We also know that if we were to live long enough, EVERYONE WOULD EVENTUALLY BECOME ALLERGIC TO HAIR COLOR.

Here is how to try a color with a new base diamine:

You are going to do three tests, 2 days apart. 2 on your arm, and one behind your ear. I have adjusted this, and it's still a working development. Sometimes, I alter this for certain clients if they have a different reaction. Do what works best for you. Make sure you gently wipe the area clean, so that there isn't any perfume, or lotion in the area.

1. Inner Forearm, just below the elbow. Apply the color, mixed properly, for half of the normal processing time. Then wash the area with mild shampoo. There should not be any redness, welts, scabs, hives, lumps, bumps, white areas, or abnormal skin in any way. You should not experience any
 scaling or flaking on your eyelids, drooping eye lids or facial features, abnormal breathing, shortness of breath, mouth itching, tongue swelling, throat swelling, or any skin abnormalities on your neck, shoulders, or trunk. NO ALLERGIC REACTIONS OF ANY KIND. This needs to be watched for 2 full days.

2. Repeat the above directions in the same manner, but increase the time to the full processing time. The same rules apply as to 1.

3. Repeat the above directions, but behind the ear. Change the processing time back to half of the processing time. The same rules apply as to 1. And 2.

If you have any problems, please call 911 FIRST. You should not apply the color when you are alone, as you may not be able to speak if your airway is constricted. If you can not breath, do not drive to the hospital! If you are having any kind of allergic reaction, please call 911, or your doctor. Do not risk your life.

Paid consults are available by email at request. Ginamarietaro@gmail.com prices starting at $120us

Hair Loss from PPD

I have been getting requests about hair loss from PPD. I did some research, and I was able to find very little information on this subject. There was one article on PubMed stating that hair loss can happen from a severe PPD allergy. (Severe Hair Loss of the Scalp due to a Hair Dye Containing Para phenylenediamine.
Ishida W, Makino T, Shimizu T.) For me to explain what I learned from this, and one other article I found, I will explain how hair grows in three cycles.

There are three cycles of hair growth, anagen, or growing, cantogen, or resting, and telogen, or falling out. At any given time, 30% of your hair should be in one of these phases, or moving into one of them. In the article noted above, the patient is diagnosed with severe allergic contact dermatitis, including skin lesions, and this resulted in telogen effluvium. (severe hair loss) This was determined to be from a reaction to PPD. The lesions were severe enough, or the allergy alone caused trauma to the scalp, which has forced the anagen and cantogen cycles to move to telogen. The skin lesions gradually improved after starting treatment with the systemic, or oral, corticosteroids. "The possibility that allergic contact dermatitis from hair dyes may be responsible for telogen effluvium should always be considered in a patient with increased hair loss." This was the end of the article.  I had noted that the skin improvement was mentioned, but the hair loss was not addressed. I don't know why it was not said if it had improved, stayed the same, or worsened. So, we have proof that hair loss from PPD exists.

There was one other article from Germany that I found on EuroPubMed "Idiopathic chronic telegon effluvium in the woman", but I am not sure that it has much more information from what was reported above. One of the most interesting points in the article was that they used information from  based on observation from the sheep wool industry and clinical experience. Sheep?! The treatment had and extra note "They include the use of L-cystine-containing oral preparations and of corticosteroids." Again, no notations on how the results were.

It is very disturbing to me that I have more than 6 requests right now from across the country, one from England, and I do not know what the results are. I can write what I suspect the results are, but I am not a doctor, just a hairdresser. I am just guessing. My GUESS is that the hair grows back, as the articles do not suggest that the problem is permanent. They also do not say that treatment is hopeless, or permanent, or anything dramatic. If you are the one who is losing the hair, that is dramatic enough.

One more note, if you are facing losing some hair and are looking at extensions, look at halo extensions. Anything that will apply traction or pulling on your hair can be detrimental. If you need to, you can always contact me.

Congress, the FDA, and the GAO on PPD

I have been doing some questioning lately, and I have actually been getting some answers. According to Ms. Beth Meyers, of the FDA, the FDA has no authority over PPD in hair color  This has to do with a law passed by Congress, "The Federal Food Drug and Cosmetic Act of 1938", which was enacted in part from 107 people dying after taking the Elixir Sulfanilamide, a that was sold as a "healing  tonic". This toxic chemical is now used for chemotherapy. Congress was also moved by Mrs. Franklin Roosevelt's "Chamber of Horrors", which had been a publicized failure of the FDA's ability to remove Lash Lure from the shelves in spite of the fact that several women had been blinded, and there was one fatality. Once the law was passed, they were finally able to remove Lash Lure from the shelves.

Apparently, because of this ruling, which I have not been able to find copies of, hair dye is exempt from FDA approval. In the 1938 law, there was a law passed that you can not dye eye lashes, or eye brows. The rest of the hair is exempt. Ms. Meyers was lovely enough to give me some information to look for, so I went searching, to the Government Accountability Office. I had not heard of this branch before, but the information I found was very interesting. Basically, they had said that they felt that the law should be reviewed again, and that the FDA should have some amount of control over coal tar hair dyes. (or Para-Phenylene Diamine, PPD) They also mentioned several studies that were done, and that they felt that the PPD and cancer situation needed to be studied more. They also said that hair color is definitely absorbed through the scalp, so that it should give the FDA a reason to go to Congress for a repeal of 601 (a) and 601 (e) of the Federal Food Drug and Cosmetics Act. The GAO also recommended that the Secretary of Health, Education, and Welfare should direct the commissioner of the FDA to evaluate the safety of coal tar hair dye and require, where applicable, cancer AND OTHER  appropriate warnings on the labeling.  This information is from December of 1977.

http://www.gao.gov/assets/130/120763.pdf

Most people are still un-aware that hair dye can cause cancer. Most people are still un-aware that allergic reactions can send you to the emergency room, and can be life threatening. This includes hairdressers. In fact, it includes most doctors. How to get the word out? I was just reading on the SBA.gov link about educational grants. Maybe of someone was a much better writer than I was, they could apply for a research education grant. A grant to educate the public, the hairdressers, and doctors about this. If the word was out, maybe Congress would listen. That's what happened with Toxic Shock Syndrome and Tampons. They got the word out. They said, I don't want my daughter to die from anaphylactic shock from a tampon. Now, in every box of tampons, there is a note, about this. Even though it's rare, and it might not happen to you, it's in the box. Is it a lot to hope for? Probably.

But a girl can dream.

Another PPD death

April 18th, 2013. A woman who was a daughter, a wife, a mother, gave up her fight for her life after falling into a coma last October. She died not from breast cancer, not from heart disease, or a car accident. She died from coloring her hair. You did not read this wrong, SHE DIED FROM COLORING HER HAIR. She lived in the United Kingdom.

http://www.thesun.co.uk/sol/homepage/news/4663539/Tragic-mother-dies-after-year-long-coma-caused-by-hair-dye.html

Many people don't read the tiny note inside the box of hair color where it says, "WARNING, This product contains a chemical that might cause skin irritation. Do not use on eyelashes or eyebrows, to do so may cause blindness"  If you did read that, would you think it could take your life? Would you assume that the skin irritation was an allergic reaction, and that along with that, could come anaphylactic shock, which in turn, can block your airway? You can't call 911, because you can't speak. You can't drive yourself to the emergency room, because without air, well, you most likely won't make it there. If you had proper warning, maybe you could take some benadryl, but it may not be strong enough. Basically, there needs to be a choice. We at least should be allowed to KNOW that this can happen. Yet, the warning label is still just a rash.

PPD, or PARA PHENYLENE DIAMINE has been the number one allergen in Europe since 2006. It is in the top 20 in the United States, yet I continue to get e-mails week after week  from people that they are finding their own diagnosis, and can not find a doctor who has ever heard of it. How is it that a doctor can offer patch testing for allergies, yet not offer the FDA's most current list? I believe that in the U.S. the number of people that are allergic to hair color is sadly under reported. If doctors had the proper information, and hairdressers had the proper information, we would have a fighting chance.

Right now, the warning was put into effect in 1938 by Congress. We would have to fight congress to have this changed, and it would be a tough fight. We may be able to get the allergies on the label, but it might not make any difference. The FDA does not have ANY ruling over this, as I have been in contact with them. I am working with the state on how to educate, it's not looking good. I think the best solution might be through the truth in advertising, and the FCC.

So, that is going to be my next adventure. I am working with the FDA to collect more information. I am going to see how much "truth" there actually is in all of this. If I can prove that these companies know that there is more than a skin irritation, that will help. If I can prove that the TDS colors that claim to be "PPD FREE", are known to have higher cross allergies, and they know it, then we just might have a fight.

Wish me luck! - Gina xx

The allergy had to happen to me?! ...and about that TV

Well, I finally had an allergic reaction to Wella Koleston hair color. This is a Toluene-Diamine Sulfate based color. The industry claimed it should have reduced my chances of developing an allergy. Apparently this is just as I had expected. The whole purpose of the industry wide move to TDS was because it was safer, and there were going to be less reactions. There were going to be less cross reactions. I found information that said 3%, up to 30% would cross react with TDS. I now know it is closer to 60 to 90%, in my experience, depending on the severity of the allergy.

I colored my hair on a Wednesday afternoon, in between clients. I took Benadryl that night because I could not sleep. Late morning, the next day my forehead and the sides of my face itched. (None of my clients said a WORD!) After a few hours more, I finally looked closer in the mirror, and I noticed I had small blisters all over! When I went home for the evening, I took Zyrtec, Benadryl, and smeared it with a drying cream. Friday it seemed less itchy. Saturday morning, BLISTERS! Back on the Zyrtec and Benadryl! I am still taking the Zyrtec, and it seems fine now, but I am going to take it for a few weeks to be sure. I am also drinking lemon water to cleanse my system.  I was very lucky to have a friend of mine remind me that I was having a PTD reaction, and to take some allergy meds, or I would have been even MORE blistered. Sometimes, I am so busy giving out advice, I forget to take it myself! (Thanks Kristi!!)

-and about that television. The Doctors, a TV show that often has information in quick small bits that people actually remember, finally had a PPD bit on a teen and his mom who is a hairdresser. The teen wanted his hair colored, and didn't do a patch test. He took photos of his reaction, and they showed them. The clip was a bit misleading, as it did not explain that you have to be exposed to PPD once before you can react, and did not explain that you can react the second time or the thousandth time. It mentioned to go to the FDA web sight to fill out the form if you have had a reaction.  It did not mention anything about the miss-diagnosis problems, or the lack of doctors who know about this, or can treat this problem. It did not mention that there are multiple ways that you can react, or that there is a T.R.U.E. test that is safe, and can help.  If you have had a problem finding a hairdresser who can help, contact me. If you have had a problem finding a doctor who can help, contact me. I will do my best to get you information that can help.

Gina xx

EDIT - The photo journal of the teen that was on The Doctors is on this blog. Just look for PPD and Teen. That's him. :)

Spring bling...or not to bling. Tattoo information from the FDA

I was just reading my FDA update e-mail that I get once a week, and the education section caught my eye. It said something about the warm weather coming up, and with more skin being visible, here was an update on tattoos. 1 in 8 adults regret getting a tattoo done. I was surprised at this number, as it seems am always hearing about someone getting a new tattoo. I get asked about ink problems with getting a tattoo if you have PPD allergies. I usually reply that a good tattoo artist will be able to give you the M.S.D.S. information on each ink s/he is going to use, so you can read what is in it. The colors to be watchful of are the oranges and yellows. Read on.

The information in this article completely floored me. The FDA considers tattoo ink to be cosmetic, and NONE of them are approved for injection. NONE of them are approved for CONTACT within skin. Some, are even closer to printers ink, or automobile paint?! With spring coming, you might just want to look a little more carefully into what kind of ink is actually going into your skin before you get one. Not everyone will need to worry...

 If you have never had any color allergies, you may not have to worry, there are a lot of people who have had tattoos with no problems. Allergic to diamines, PPD, PTD, AZO's, nitro's, any type of dye at all?  You should take heed. You can never be too careful, or read the backs of too many bottles, or too many FDA articles. If you are one of the sufferers, this information might help.

• FDA considers tattoo ink to be a cosmetic. Although a number of color additives are approved for use in cosmetics, none are approved for injection into the skin. In fact, many pigments used in tattoo inks are not approved for skin contact at all. Some are industrial grade colors that are suitable for printers' ink or automobile paint.
• FDA takes action on ink safety issues. Because of other public health priorities and a previous lack of evidence of safety concerns, FDA has not traditionally regulated tattoo inks or the pigments used in them. However, FDA takes action to prevent consumer illness or injury when safety issues arise related to the inks. The actual practice of tattooing is regulated by state and local authorities
  
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The FDA, and More On Bleach Allergies

Happy St. Valentine's Day! I just got off of the phone with the FDA, and I finally was able to speak with a real person. The phone chain put me through to a guy in partnerships who is going to actually get back to me today about the PPD allergies. Cross your finger, but don't hold your breath...

On a second note, I was doing some reading about the hair bleach, and thanks to the availability of industrial hazards and reporting, I found that there actually is a problem with two of the main ingredients in hair bleach. These are: Ammonium Persulfate, and Potassium Persulfate. They are known allergens, I found the information by way of another channel, and now it will come up easily by google search. It works the same way that the PPD does, once you are sensitized, you can not use it. It is also used in pool chemicals, and in stronger concentrations, spas and hot tubs.


To anyone who lives near the Cicero area, look for the ad in the Cicero Life Magazine, we are running this half page for one year. If you go to the Syracuse Basketball games, look for the Salon Taro ad on the monitor when you go in at the front gates, that's where the ticket booths are. ;)

I hope that you are keeping warm where you are, we had a high of 37 degrees yesterday, woo hoo! Happy Friday, everyone!

Gina xx

Colorist Education, New Cosmetologist Education

Happy New Year! I have been reading more and more e-mails lately that tell me I have to find a way to get more education out there. New students have NO idea what PPD, PTD, or TDS is, let alone a seasoned colorist. (Okay, most DOCTORS don't know what it is, so why would hairdressers?) It is very overwhelming for me to even begin to think about how to address this situation. I have the information and knowledge to help train others to save a lot of people from being hurt, but how do I begin? I think this is more of a rant than an actual blog today. I have received 2 e-mails from people who said they were allergic to PPD but the colorist still used color with PPD because they were not properly educated. I hear this ALL the time. "No, you aren't allergic to that, it's the ammonia. let's try this." Before you know it, the client is in the emergency room with her eyes swollen shut, and she can't breath. Okay, I am not going to complain any more, I hope everyone is having a great new year!

Bleach Allergy, or Persulfate Allergy, Metal Allergies, and The MELISA test

While the majority of my clients are enjoying getting some holiday hilights, and happily going to their parties without any swollen eyes, or blisters. It has just been brought to my attention that there actually might be a reason that some of the people I have been in contact with over the years have allergy issues with bleach. I have read the ingredients of several containers of bleach, and I assumed that there must be some PPD in some of the bleaches that have a little bit of blue added to the normal color. This is not true with the bleach that I use, and there is nothing in the bleach that I use that is a major allergen. I know this because I have researched each chemical myself. I had just done the same for a patron of a board I often reply on, when she had posted that one of her past bleaches had contained "Titanium Dioxide"

Titanium Dioxide - also known as titanium oxide or titania, is the naturally occurring oxide of titanium, chemical formula TiO2. When used as a pigment, it is called titanium white, Pigment White 6, or CI 77891. Generally it is sourced from ilminite, rutile and anatase. It has a wide range of applications, from paint to sunscreen to food coloring. When used as a food coloring, it has E numberE171. (from Wikipedia)

I Googled hair bleach, and titanium dioxide, and the first one that came up was Redkin, Up  to 7 . Here are the ingredients:
Potassium Persulfate, Sodium Silicate, Sodium Persulfate, Corn Starch/Zea Mays, Sodium Lauryl Sulfate, Ammonium Chloride, Xanthan Gum, PPG-2-Ceteareth-9, Sodium Metasilicate, Sodium Stearate, Amorphous Silica, Mica, Ammonium Sulfate, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Poloxamer 182, Titanium Dioxide/CI 77891, Polyquaternium-22, EDTA, Sodium Sulfate (D5572/3)

Normally, you would not be allergic to bleach. If you were, you would know long before you were old enough to bleach your hair. You drink chlorinated water, swim in chlorinated pools, and have bleach added to your laundry. I checked this with an allergist to be sure. However, I have said that there are buffers and such that can be specific to manufacturers that you can be allergic to. Titanium Dioxide is used as a whitener, or to enhance pigment, and as a thickener. It is also used in the old surfer movies, on the noses of the dudes on the top of the tower, in the small, red swim suit. It is still being added to sunscreen today. It used to be added to desitin baby balm, and might be in some of the tubes, but not all of the mixes. It is used in styptic powder, and some tattoo inks. It seems to be lurking around when you least expect it.

The client who had alerted me to this quandary, has been having a difficult time because her only visible allergy has been to nickle and cobolt. Now it seems as if she might have to so new testing, as her T.R.U.E. test did not help her as much as it could have. Now she will have to re-test with the MELISA test.

http://www.melisa.org/faq.php

This is a special metals test done with a blood test, that you might need of you are not showing that you are allergic to any thing on the T.R.U.E. test.

Hope you get to spend some time this year with loved ones,
Gina