Can People with Atopic Dermatitis Get Their Hair Permed Safely? - Dermatology

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Can individuals with atopic dermatitis get their hair permed?


Hello Dr.
Jiang, I would like to ask a question.
I have atopic dermatitis, but I want to get a perm.
However, I am concerned about potential allergic reactions to the chemicals used.
Can hair absorb these chemicals, or could simply smelling the chemicals cause an allergic reaction?

Sheng, 20~29 year old female. Ask Date: 2005/11/03

Dr. Jiang Zheen reply Dermatology


Hair does not absorb chemicals; the scalp absorbs substances.
Patients with atopic dermatitis may not necessarily be allergic to perm solutions, and the likelihood of being allergic to the smell of the chemicals is low.
Jesus loves you, wishing you peace.

Reply Date: 2005/11/03

More Info


When considering whether individuals with atopic dermatitis can safely perm their hair, several factors must be taken into account. Atopic dermatitis, also known as eczema, is a chronic inflammatory skin condition characterized by dry, itchy, and inflamed skin. People with this condition often have heightened sensitivity to various substances, including chemicals found in hair treatments like perming solutions.

Firstly, it’s important to clarify that hair itself is composed of keratin, a protein that does not absorb chemicals. Instead, it is the scalp that is at risk of absorbing these substances. The scalp is a sensitive area, especially for individuals with atopic dermatitis, as the skin barrier may already be compromised. This can lead to increased absorption of chemicals and a higher likelihood of irritation or allergic reactions.

Regarding the concern about allergic reactions, it is indeed possible for individuals with atopic dermatitis to experience allergic responses to hair perming solutions. These reactions can manifest as redness, itching, swelling, or even blistering on the scalp. The risk of such reactions can be exacerbated if the scalp is already inflamed or damaged due to the dermatitis.
Moreover, simply inhaling the fumes from perming solutions is unlikely to cause an allergic reaction, but it can still lead to respiratory irritation in sensitive individuals. Therefore, it is crucial to ensure that the area is well-ventilated during the procedure.

Before proceeding with a perm, it is advisable for individuals with atopic dermatitis to take the following precautions:
1. Consult a Dermatologist: Before undergoing any chemical treatment, it is essential to consult with a dermatologist who understands your skin condition. They can provide personalized advice and may recommend patch testing.

2. Patch Test: Conduct a patch test with the perm solution on a small area of skin, ideally on the inner arm or behind the ear, at least 48 hours before the actual perm. This will help identify any potential allergic reactions.

3. Choose a Professional Stylist: Opt for a stylist who is experienced in working with clients who have sensitive skin or specific skin conditions. They can use gentler products or techniques that minimize irritation.

4. Consider Alternatives: If there is significant concern about the potential for irritation or allergic reactions, consider alternative styling options that do not involve harsh chemicals, such as heat styling or non-permanent waves.

5. Monitor Scalp Condition: If you decide to proceed with the perm, closely monitor your scalp for any signs of irritation or worsening of your atopic dermatitis. If any adverse reactions occur, seek medical advice promptly.

In summary, while it is possible for individuals with atopic dermatitis to perm their hair, it requires careful consideration and precautions to minimize the risk of adverse reactions. Consulting with healthcare professionals and conducting patch tests are essential steps to ensure safety and comfort during the process.

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