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  11. An Attempt To Explore Alternative Options For Bindi And Kumkum In Patients Allergic To Bindi And Kumkum

An Attempt to Explore Alternative Options for Bindi and Kumkum in Patients Allergic to Bindi and Kumkum

Veena Ganiger1, B C Ravikumar2

  • 1Department of Dermatology, Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.

Indian Dermatology Online Journal
|December 19, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Indigenously prepared kumkum, bindi stickers, and annatto seed powder are safe and effective alternatives for patients with kumkum and bindi dermatitis. These alternatives were cosmetically acceptable and did not cause significant reactions in most patients.

Area of Science:

  • Dermatology
  • Allergology
  • Cosmetic Science

Background:

  • Kumkum and bindi are traditional forehead decorations causing allergic contact dermatitis in some individuals.
  • Discontinuation of allergens is challenging due to social and religious customs.

Purpose of the Study:

  • To evaluate and compare the safety and efficacy of indigenously prepared kumkum, bindi stickers, and annatto seed powder.
  • To identify suitable alternatives for patients with kumkum and bindi dermatitis.

Main Methods:

  • A comparative study involved 45 adult patients diagnosed with kumkum or bindi dermatitis.
  • Participants were randomized into three groups, receiving either prepared kumkum, craft paper bindi, or annatto seed powder.
  • Follow-up assessments were conducted at two and four weeks to monitor for adverse reactions.

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Main Results:

  • Out of 45 patients, 42 showed no adverse reactions to the tested alternatives.
  • Mild reactions were observed in one patient using annatto and two using kumkum.
  • Statistical analysis revealed no significant difference in reaction development (P=0.18) or patient satisfaction (P=0.31) among the groups.

Conclusions:

  • Indigenously prepared kumkum, bindi stickers, and annatto seed powder are promising, safe, and cost-effective alternatives.
  • These alternatives are cosmetically acceptable and well-tolerated by most patients.
  • Longer follow-up periods are recommended to fully assess sensitization, and product acceptability needs further development.