Dye Induced Reaction in geriatric patient with comorbid conditions at a Tertiary Care Teaching Hospital
Abstract
Any medication used for diagnosis, prophylaxis or treatment of the patient is capable of producing an adverse reaction. Allergy is the most common unexpected adverse reaction; encountered with antibiotics, salicylates, ACE (angiotensin converting enzyme) inhibitors and dye agents. Paraphenylenediamine (PPD) is a chemical substance that is widely used as a permanent hair dye. PPD is used in hair dye because it is a permanent dye that gives a natural look, and the dyed hair can also be shampooed or permed without losing its colour. Fully oxidized PPD is not a sensitiser, but the intermediate, partially oxidised form of PPD may cause contact allergic dermatitis in sensitive individuals. In this case report we discuss about the PPD allergy in the older person who are having diabetes, hypertension and heart diseases. The case is being reported to bring attention of the medical fraternity towards importance of sound pharmacovigilance and prepare them to with efficient preventive measures before using of these dyes. This case can also provide a vital data regarding anaphylactic reaction to a dye.
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