Artificial Nails and Long-lasting Nail Polish in Danish Hairdressers: Self-use, Occupational Exposure and Related Eczema

Abstract

Artificial nail modelling systems (ANMS), encompassing artificial nails and long-lasting nail polish, are sources of acrylate exposure in beauticians and users of ANMS. Hairdressers’ exposure to ANMS from self-use and occupational exposure is currently unknown. In 2020 a questionnaire was sent to all hairdressers graduating during 2008 to 2018 in Denmark (n = 4,830). Self-use of ANMS was reported by 87.6% of respondents (1,251/1,428), and application of ANMS to others was reported by 22.1% (316/1,428). Of these, application to others was performed in a salon by 37.1% (109/294), privately by 51.0% (150/294) and in both settings by 11.9% (35/294). Compliance with glove use was seen in 23.0% (67/291) among those applying ANMS to others. Among hairdressers exposed to ANMS, 4.3% (52/1,218) reported ANMS-related hand eczema. Being a trained beautician (adjusted odds ratio 3.26, 95% confidence interval 1.06–9.99) and having had a positive patch-test to acrylates (adjusted odds ratio 7.70, 95% confidence interval 1.44–41.13) were associated with ANMS-related hand dermatitis. In conclusion, hairdressers have a high prevalence of exposure to ANMS and ANMS-related hand dermatitis. Compliance with glove use when applying ANMS to others is poor. Patch-testing with acrylates is valuable in the diagnostic work-up of hand eczema in hairdressers.

Artificial nail modelling systems in healthcare workers: An emerging risk of contact sensitization to a well‐known occupational allergen in an alternative way

“…ANMS are mainly applied in nail studios by professionals. In some European countries, ANMS are indicated as a part of the training curriculum of hairdresser apprentices 27 and hairdressers also perform ANMS to their customers in hairdresser salons 28,29 similar to the hairdresser applying ANMS in our series (Table 2). Indeed, in a recent systematic review, the risk of sensitization to 2‐hydroxyethyl methacrylate (HEMA) was found to be increased ninefold in hairdressers and beauticians who were in charge of ANMS compared with controls 27 …”

Salud ocupacional: rol del personal de enfermería en la evaluación y prevención de riesgos

“…Los sistemas de modelado de uñas artificiales y esmaltes de larga duración, son fuentes de exposición al acrilato en esteticistas, una elevada exposición se ha relacionado con eccema de manos (Havmose et al, 2022), además es un agente neurotóxico que causa neuropatía periférica con deterioro en brazos y piernas (Park, 2021). Los cosméticos y productos para tinturar el cabello producen irritaciones en la piel, alergias y deterioro de la función pulmonar (Macan et al, 2022).…”