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. 2024 Apr 11;16(4):e58054. doi: 10.7759/cureus.58054

Table 1. Recommendation to minimize risk of contact dermatitis in hairdressers.

PPD: Para-phenylenediamine

Steps       Measures           
1.   Substitute allergens with safe alternatives  Allergens          Alternatives  
PPD containing hair dye                Use PPD-free alternative hair dye such as monoethanolamine based hair dye, Para-toluenediamine (PTD) containing hair dye  or 2-methoxymethyl (ME)-PPD hair dye      
Persulfates in bleaching powders   Use persulfate-free bleaching creams
Ammonium thioglycolate in hair perm products Use cysteamine containing hair perm products 
2.     Engineering measures to limit exposure such as ensuring a well-ventilated room for mixing hair products.
3. Administrative measures and policies to minimize exposure to allergens such as distributing the wet work evenly among employees to reduce the individual’s exposure to wet work. 
4. Use of personal protective equipment such as wearing gloves at work.