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Skin Problems Related To Cosmetics

Oumeish Youssef Oumeish, MD, FRCP (Glasgow) Jordan Private Physicians Association Visiting Professor Tulane Medical School NewNew- Orleans - Louisiana USA

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Skin Problems Related To Cosmetics

Introduction

Cosmetics and skin care products are part of most peoples daily habits. The average women use - at least seven different products daily. The majority of people experience few problems, early or late time of application. Two types of reactions occur. Irritant contact dermatitis. dermatitis. Allergic contact dermatitis.

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Skin Problems Related To Cosmetics

Introduction Irritant contact dermatitis. - Skin acts as a barrier to most substances in cosmetics. - It becomes less protective if it becomes dry or injured. - Causing burning, itching and redness. - Irritants include: soaps, detergents, antiperspirants, eye cosmetics, moisturizers, hair-waving solutions and shampoos.
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Allergic contact dermatitis. Some people are allergic to specific cosmetics ingredients. Causes redness, swelling, itching, and blisters. Common allergens: Fragrances, Preservatives and ingredients Commonly found in skin care products and cosmetics.

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Cosmetics causing allergic reactions Fragrances - 5.000 fragrances used in cosmetics and skin care products. - A safe product must be marked fragrance free. Preservatives - Second most common cause of skin reactions. - They include paraben, urea, hydantoin and formaldehyde.

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Skin Care Products
- Designed to maintain healthy skin. and include: A. Astringents. B. Moisturizers. C. Sunscreens A. Astringents. - Remove oils and soap residue from the skin. - Contain water, alcohol, propylene glycol, witch hazel, or salicylic acid. - May cause itching, burning, or tingling. B. Moisturizers - Prevent water loss by drying of the skin. - Cause cracks and wrinkles. Loses its role as a barrier, - Causes itching and pain. - Substances that stop water loss: petrolatum, mineral oil, lanolin, silicone. - Substances that attract water to skin: glycerin, propylene glycol, proteins.
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Skin Care Products C. Sunscreens - Contain chemicals that absorb light and include: PABA esters, and cinnamates, which might cause allergic reactions. - They contain chemicals that reflect or scatter light. - Those are usually contain fine zinc oxide powder or titanium dioxide.

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Skin Problems Related To Cosmetics

Personal care products 1. Skin Cleansers: - Soaps, shower gels, and bubble bath. - They remove dirt, body oils, and bacteria. Prevent odor and infection. But heavy use causes dry skin, itching, and irritation. 2. Shampoos: - Remove dirt and oils from scalp. Leave the hair soft and shiny. - Allergic reactions are rare. - But can dry the skin when rinsed over the body. 3. Conditioners: - Applied after shampoo, makes hair shiny, easy to comb and style. - They do not cause reactions.

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Personal Care Products
4. Deodorants and Antiperspirants: - Kill bacteria and leave a pleasant smell, and prevent sweating. - Contain aluminum salts: some cause reactions, eczema, pigmentation. 5. Colored cosmetics: A. Facial - (Make-up). Used to color the face. (Make- Should be hypoallergenic, as it remains on skin for a long time. B. Eye Cosmetics. Used on (the most sensitive part): Cosmetics. - Eye shadow, eyeliner, and mascara. - Some are powdered, some water based. - They may cause irritation, and should never be shared. C. Lip Cosmetics (Lipsticks and Lip balms). - They moisturize dry lips, and provide sun protection. - Saliva is a common cause of contact dermatitis.
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Hair Cosmetics 1. Dyes: - Temporary: wash out after one shampoo.
- Gradual: produce a color change over 2-3 weeks. - Usually do not cause allergy. - Permanent and Semipermanent can cause reaction. (better tested on small area behind the ear before using).

2. Permanent Waving:
- Make straight hair curly. - A perm solution breaks the chemical bonds in straight hair so become curled. Can damage the hair. - So hair should not be permed more once every 3 months.

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Nail Cosmetics
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Polishes:

- Can cause allergic contact dermatitis. - Rash develop on fingers, eyelids, face, and neck. - Formaldehyde is a common cause of allergy. - Red polishes cause yellow nail discoloration. - Cuticles prevent infections and should not be cut or removed.

2. Artifical Nails:
- It is illusion of women to create plastic nails. - They are attached with glue that contain methacrylate,

3. Sculptured Nails:
- Long nails permanently tilted over natural nails. - Cause sever pain, infection, dermatitis around and loss of nail. - Should be taken off every 3 months to allow natural nails to rest.
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Cosmeceuticals
Skin care products designed to prevent premature aging.
- AHA: glycolic and salicylic acids, increase skin AHA: exfoliation, making skin smooth and soft. - Vitamin A, makes skin function better, but drying. A, - Dermatologists can advise their patients about the suitable products and how to deal with the side effects. - They can also advise about ways to slow aging.

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