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Related Experiment Videos

Exogenous ochronosis: an epidemiological study.

N Hardwick1, L W Van Gelder, C A Van der Merwe

  • 1Department of Dermatology, University of Pretoria, South Africa.

The British Journal of Dermatology
|February 1, 1989
PubMed
Summary
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Skin lightening products are strongly linked to exogenous ochronosis in South African black individuals. Even low-concentration hydroquinone with sunscreen can cause this condition, highlighting significant public health concerns.

Area of Science:

  • Dermatology
  • Public Health
  • Toxicology

Background:

  • Exogenous ochronosis is a skin condition linked to topical agent use.
  • Skin lightening preparations are widely used in certain populations.
  • The association between these preparations and exogenous ochronosis requires investigation.

Purpose of the Study:

  • To investigate the relationship between exogenous ochronosis and skin lightening product use.
  • To determine the prevalence of exogenous ochronosis in black individuals in South Africa.
  • To identify demographic and behavioral factors associated with exogenous ochronosis.

Main Methods:

  • A survey was conducted among black individuals attending general outpatient departments.
  • Data collected included the use of skin lightening preparations and the presence of exogenous ochronosis.

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  • Demographic, clinical, and behavioral aspects were also recorded.
  • Main Results:

    • Exogenous ochronosis was found in 15% of males and 42% of females.
    • The prevalence of exogenous ochronosis was 69% among users of skin lighteners.
    • Inverse relationship to education and female predominance were associated with ochronosis.
    • Products with 2% hydroquinone or less, even with sunscreen, were found to cause ochronosis.

    Conclusions:

    • Skin lightening preparations are a significant cause of exogenous ochronosis in the studied population.
    • The prevalence is high among users, indicating a public health issue.
    • Even low-concentration hydroquinone and sunscreen combinations can induce ochronosis.