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This East African girl developed a severe contact dermatitis with itching at the site of an elaborate skin decoration with henna. It resolved well with oral antihistimines and topical steroid cream application. Similar contact dermatitis has been reported to a variety of forms of henna coloring. However, some patints with contact dermatitis who have subsequently had patch tests with lawsone, the active ingredient in henna, have not shown a reaction. This suggests that there are other unetermined ingredients in henna powders which are allergens.
Go to Photo 35: Coining in a Child