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Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...
Hypersensitivity Reactions: Delayed Hypersensitivity Reactions01:29

Hypersensitivity Reactions: Delayed Hypersensitivity Reactions

Delayed-Type Hypersensitivity (DTH), or Type IV hypersensitivity, is a cell-mediated immune response. It occurs when T cells, rather than antibodies, mediate a reaction to specific antigens. It is characterized by a delayed onset (1-2 days) and involves the recruitment of macrophages to the inflammation site.The initiation of a DTH response begins with the sensitization of T cells. During this phase, which lasts at least 1-2 weeks, antigen-specific T cells are activated, clonally expanded, and...
Allergic Reactions: Anaphylaxis01:30

Allergic Reactions: Anaphylaxis

Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin, heparin),...
Hypersensitivity Reactions: Immune-Complex Reactions01:19

Hypersensitivity Reactions: Immune-Complex Reactions

Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum sickness, a systemic...
Hypersensitivities01:30

Hypersensitivities

Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Allergic Reactions02:06

Allergic Reactions

Overview

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Related Experiment Video

Updated: Jun 25, 2026

Contact Hypersensitivity as a Murine Model of Allergic Contact Dermatitis
08:25

Contact Hypersensitivity as a Murine Model of Allergic Contact Dermatitis

Published on: September 26, 2022

Allergic contact dermatitis from temporary henna tattoo.

Dragan L Jovanovic1, Maja R Slavkovic-Jovanovic

  • 1Department of Dermatovenereology, Medical Faculty Nis, Clinic of Dermatology and Venereology, Nis, Serbia. bukid@eunet.rs

The Journal of Dermatology
|February 12, 2009
PubMed
Summary

Temporary henna tattoos can cause allergic reactions. Para-phenylenediamine (PPD) in black henna triggers allergic contact dermatitis, as seen in a child treated successfully with medication.

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Area of Science:

  • Dermatology
  • Allergology
  • Toxicology

Background:

  • Temporary henna tattooing is a popular cosmetic practice.
  • Henna dye, derived from Lawsonia inermis, is often mixed with para-phenylenediamine (PPD) to achieve a black color and faster dyeing.
  • Para-phenylenediamine (PPD) is a known potent contact sensitizer.

Observation:

  • A case study involving a 9-year-old boy who developed allergic contact dermatitis.
  • The allergic reaction was linked to a temporary henna tattoo.
  • Patch testing confirmed a positive reaction specifically to PPD.

Findings:

  • The patient presented with symptoms of allergic contact dermatitis.
  • Diagnosis was confirmed via patch testing, identifying PPD as the allergen.
  • Treatment involved topical corticosteroids and oral antihistamines.

Implications:

  • Highlights the potential risks associated with PPD in temporary henna tattoos.
  • Underscores the importance of accurate allergen identification in pediatric dermatology.
  • Suggests that while effective treatments exist, residual hypopigmentation may occur.