@article{ref1,
title="Scalp burns induced by hair bleaching",
journal="Annales de Dermatologie et de Venereologie",
year="2018",
author="Bouschon, P. and Bursztejn, A-c and Waton, J. and Brault, F. and Schmutz, J-l",
volume="145",
number="5",
pages="359-364",
abstract="BACKGROUND: Hair bleaching is increasingly being carried out in hairdressing salons. The products used are a mixture of hydrogen peroxide and persulfates, both active chemical agents. Scalp burns secondary to hair bleaching are a traumatic adverse effect rarely discussed in publications that continue to be little known among healthcare professionals. <br><br>PATIENTS AND METHODS: We report the case of a 15-year-old girl with a plaque of scarring alopecia on the vertex. This lesion resulted from a deep burn following a hair-bleaching procedure. Healing took around 4 months, resulting in discomfort for our patient. <br><br>DISCUSSION: This is a rare case of scarring alopecia following a basic chemical burn to the scalp. The oxidation reaction induced by the mixture of hydrogen peroxide and persulfates, prepared in a basic medium, causes bleaching of the melanin pigments in hair. The clinical presentation of a single, well limited, painful, oozing ulceration located at the vertex was similar to the other cases published in the literature. Although a chemical burning mechanism is most often incriminated, the procedure is always coupled with use of a heat source and associated thermal burn may occur. The delayed appearance of the lesion appears to be caused by the forming of surfactants by the hydrogen peroxide/persulfate mixture, resulting in slow dissolution of the oxidizing compounds within the stratum corneum.<br><br>Copyright © 2018 Elsevier Masson SAS. All rights reserved.<p /> <p>Language: fr</p>",
language="fr",
issn="0151-9638",
doi="10.1016/j.annder.2018.02.004",
url="http://dx.doi.org/10.1016/j.annder.2018.02.004"
}