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Published on: March 6, 2019
Toxic effects of skin-lightening products in Canadian immigrants
Nisha Mistry1, Jonathan Shapero, Roopal V Kundu
1Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC. nmistry@interchange.ubc.ca
Background:
The cultural practice of skin bleaching is highly prevalent in Africa. Most reported cases of toxic effects of skin-lightening products occur in this region.
Objective:
To describe cases of misuse of over-the-counter (OTC) cosmetic skin-lightening products occurring in Canadian immigrants.
Methods:
Two cases of Canadian immigrants with severe complications from OTC skin-bleaching agents were identified in a community-based dermatology practice in Toronto. The case histories were reviewed and analyzed.
Results:
A 28-year-old African-Canadian woman developed extensive striae from long-term use of a topical cream containing clobetasol that she had purchased in a Caribbean health food store. A 55-year-old African-Canadian woman developed exogenous ochronosis from the use of a topical bleaching agent she had purchased in Ghana.
Conclusion:
Cosmetic skin lightening with unregulated topical products occurs in Canada. Dermatologists working in Canada need to be aware of this practice to provide appropriate directive care.
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