HomeAnswersDermatologyhivesI developed hives and itchiness after applying a henna-based dye. Please help.

How is an allergic reaction to a henna-based dye treated?

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Published At November 5, 2022
Reviewed AtNovember 5, 2022

Patient's Query

Hi doctor,

I am a 25-year-old female who developed hives with itching after applying henna that started ten days ago. I took the tablet Chlorpheniramine, IV steroids, and Cortisone cream, but they were ineffective. The itching has worsened now, especially at night. I have never had this condition before, and this is the first time I have applied henna-based dye. I am not allergic to any medication or food. Also, I have no history of asthma or eczema. What should I do to overcome this?

Please give your suggestions.

Hi,

Welcome to icliniq.com.

I went through your query and understood your concern.

You have developed allergic contact dermatitis to henna. However, I have a few questions,

1. Which steroid did you take via IV? Is it hydrocortisone (steroid) or Dexamethasone (glucocorticoid)?

2. Did you have swelling in your lips or eyelids?

3. Did you have difficulty in breathing?

4. Did you develop angioedema?

5. Are the hives limited to the areas where you applied henna?

Also, it would be best if you had a short-course oral corticosteroid. And, Methylprednisolone will be the right corticosteroid for you. So, I suggest you to follow the instructions mentioned below,

1. Take the tablet Methylprednisolone (corticosteroid) 8 mg. Take two tablets in the morning for three days after breakfast. Then take one tablet for the next three days after breakfast. And taper the dose to half a tablet in the morning for the next two days after breakfast. So the total duration of treatment will be eight days. Corticosteroids should always be tapered and should never be stopped abruptly once it is started. Cortisone belongs to the group hydrocortisone, which is a mild steroid, and you need a moderately potent corticosteroid.

2. Apply Mometasone Furoate (steroid) 0.1 % cream to the affected areas at night.

3. Use moisturizers that contain ceramide, like Eucerin, in the morning.

4. Take a tablet of Levocetirizine (antihistamine) 5 mg at night for itching. It is a non-sedating medication.

5. Use any mild soap for taking bath.

Kindly consult a specialist, talk with them, and take the medications with their consent.

You will be fine in a week, and you should stop applying henna in the future. But unfortunately, allergic contact dermatitis will recur with each episode of contact with the allergen.

I hope this has helped you out.

I wish you all the best in your career.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashwini. V. Swamy
Dr. Ashwini. V. Swamy

Venereology

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