The aquatic of PPD is 0.028 mg/L. One review of 31 English-language articles published between January 1992 and February 2005 that investigated the association between personal hair dye use and cancer as identified through the PubMed search engine found "at least one well-designed study with detailed exposure assessment" that observed associations between personal hair dye use and non-Hodgkin's lymphoma, multiple myeloma, acute leukemia, and bladder cancer, but those associations were not consistently observed across studies. A formal meta-analysis was not possible due to the heterogeneity of the exposure assessment across the studies. In 2005–06, it was the tenth-most-prevalent
allergen in
patch tests (5.0%). The
CDC lists PPD as being a contact
allergen. Exposure routes are through inhalation, skin absorption, ingestion, and skin and/or eye contact. Symptoms of exposure to PPD include throat irritation (
pharynx and
larynx), bronchial
asthma, and sensitization
dermatitis. Sensitization is a lifelong issue, which may lead to active sensitization to products, including but not limited to black clothing, various inks, hair dye, dyed fur, dyed leather, and certain photographic products. It was voted
Allergen of the Year in 2006 by the American Contact Dermatitis Society. Poisoning by PPD is rare in Western countries. In contrast, poisoning by PPD has occurred in Eastern countries, such as Pakistan, where people have committed suicide by consuming it. ==See also==