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When beauty is more than skin deep

Tseng et al discuss the case study of a 63-year-old White male patient who was referred to an ambulatory hepatology clinic with elevated liver enzyme levels noted on routine laboratory monitoring results in January 2018. He was otherwise asymptomatic and all other laboratory test results were normal...

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Bibliographic Details
Published in:Canadian family physician 2023-06, Vol.69 (6), p.403
Main Authors: Tseng, Alice, Kovacs, Colin, Wong, David KH
Format: Article
Language:English
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Summary:Tseng et al discuss the case study of a 63-year-old White male patient who was referred to an ambulatory hepatology clinic with elevated liver enzyme levels noted on routine laboratory monitoring results in January 2018. He was otherwise asymptomatic and all other laboratory test results were normal. His medical history included HIV infection. In May 2018 the patient mentioned that he had started using a new shampoo in December 2017 to darken his hair. Despite experiencing a severe skin reaction on his legs and left forearm, he had not initially reported this to his physician and had continued to use the shampoo in place of his regular shampoo. After the hair-darkening shampoo was discovered to contain para-phenylenediamine, he was advised to discontinue the product and his ALT and AST levels dropped by 3-fold in 2 months.
ISSN:0008-350X
1715-5258
DOI:10.46747/cfp.6906403