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Updated: Jul 11, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
[Necrotizing toxic contact dermatitis of the scalp from hydrogen peroxide]
C M Schröder1, D Höller Obrigkeit, H F Merk
1Dermatologisches Zentrum, Berufsgenossenschaftliches Unfallkrankenhaus, Bergedorfer Strasse 10, 21033, Hamburg. c.schroeder@buk-hamburg.de
Abstract:
Skin reactions to chemicals used by hair dressers are usually reported as irritative or allergic contact dermatitis of the hands. We describe a 15-year old girl who suffered an unusually severe injury to her scalp with necrosis of the galea aponeurotica as a result of highlighting her hair. Injury resulted in a scaring alopecia, which can only be treated by plastic reconstructive surgery. The cause for this injury might have been a higher than usual concentration of hydrogen peroxide used for highlighting the hair.
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