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Traditional threads tied on children in india trigger dermatitis and may contain carcinogens
Palaniappan Vijayasankar1, Hima Gopinath2, Kaliaperumal Karthikeyan1
1Department of Dermatology, Venereology and Leprosy, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.
Insights
Common Indian cultural threads tied on children can cause dermatitis due to banned azo dyes. These dyes pose health risks, necessitating strict regulation for child welfare and environmental safety.
Area of Science:
- Dermatology
- Toxicology
- Pediatrics
Background:
- A common Indian custom involves tying threads on infants and children's hips, necks, or wrists.
- This practice is deeply rooted in cultural traditions.
Purpose of the Study:
- To investigate the potential causes of dermatitis in children associated with cultural threads.
- To analyze the composition of these threads, focusing on potentially harmful substances.
Main Methods:
- Retrospective review of 23 children (5-18 months) presenting with dermatitis.
- Analysis of thread samples for chemical composition, including banned dyes.
Main Results:
- Dermatitis was observed in children with threads tied around the hip, neck, or forearm.
- Analysis revealed three banned azo dyes and disperse yellow 3 (a possible carcinogen) in one thread sample.
Conclusions:
- Thread dermatitis is a distinct cultural dermatosis with multifactorial causes.
- Banned dyes in threads may contribute to dermatitis and pose health/environmental risks.
- Strict regulation of thread manufacturing is crucial for child health and welfare.
Background/Objectives:
It is a common Indian custom to tie threads on the hip, neck, or wrist of infants and children.
Methods/Results:
A retrospective registry review was performed for 23 children (age range 5-18 months) with threads tied around the hip/neck/forearm who presented with dermatitis. Analysis of one of the threads revealed the presence of three banned azo dyes and disperse yellow 3 (category 2B possible carcinogens).
Conclusion:
Thread dermatitis is a unique cultural dermatosis. Dermatitis caused by threads may have multifactorial causes including friction, maceration, and contact dermatitis (allergic and/ or irritant) to the thread contents. Use of banned dyes still used to color these threads may be contributory to dermatitis, but there is also concern for health and environmental hazards to children. Strict regulation is needed in the manufacture of these threads to protect the health and welfare of young children.
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