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We present a case series of 10, atopic, African women who developed irritant contact dermatitis (ICD) from synthetic hair extensions. Ten consecutive African female patients who presented with a pruritic cutaneous eruption on the neck over a period of 2 years are described. Patients underwent skin patch testing using both standard and hair commercial patch test panels and samples of their own hair extensions. Hair care products were not tested. All 10 patients used synthetic hair extensions. A strong history of atopy was documented for
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