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      Exposure to Nail and False Eyelash Glue: A Case Series Study

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          Abstract

          The use of artificial nail tips in professional manicure services and the application of false eyelashes are a growing trend among young women. Often, this “beauty routine” is performed at home without the supervision of an expert beautician, raising health problems due to either the spillage of these products or to accidental exposure to children. The aim of this study is to review the Pavia Poison Control Centre clinical records to identify the frequency, the most common route of exposure, and the possible risks associated to these events to support the decision-making process in emergency departments. The Pavia Poison Control Centre database was retrospectively searched for records reporting nail or false eyelash glue exposure from January 2007 to April 2020, and 42 patients were identified. Among the patients, 76% presented symptoms from mild to severe, while 24% were asymptomatic. The most common route of exposure was dermal, through cutaneous contact, as determined for 19 patients involved. Among these, seven patients presented with second-degree chemical burns, cutaneous erythema, and ocular symptoms. The most dangerous glue component was cyanoacrylate, leading to symptoms in 16 out of 22 patients, while three cases remained asymptomatic. Even if this exposure is relatively rare, nail and false eyelash glue can be seriously harmful, especially when exposure occurs via dermal or ocular routes. In the case of emergency, it is important to treat the patient as fast as possible to limit the damage caused by a burn. Moreover, even though these products are often perceived as harmless, safety precautions should be taken to prevent children from accidental contact.

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          Most cited references20

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          The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development

          Background: A case report is a narrative that describes, for medical, scientific, or educational purposes, a medical problem experienced by one or more patients. Case reports written without guidance from reporting standards are insufficiently rigorous to guide clinical practice or to inform clinical study design. Primary Objective: Develop, disseminate, and implement systematic reporting guidelines for case reports. Methods: We used a three-phase consensus process consisting of (1) premeeting literature review and interviews to generate items for the reporting guidelines, (2) a face-to-face consensus meeting to draft the reporting guidelines, and (3) postmeeting feedback, review, and pilot testing, followed by finalization of the case report guidelines. Results: This consensus process involved 27 participants and resulted in a 13-item checklist—a reporting guideline for case reports. The primary items of the checklist are title, key words, abstract, introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes, discussion, patient perspective, and informed consent. Conclusions: We believe the implementation of the CARE (CAse REport) guidelines by medical journals will improve the completeness and transparency of published case reports and that the systematic aggregation of information from case reports will inform clinical study design, provide early signals of effectiveness and harms, and improve healthcare delivery.
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            Metals in cosmetics: implications for human health

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              Sensitization to acrylates is a common adverse reaction to artificial fingernails.

              A Lazarov (2007)
              Although precise figures for adverse reactions to nail-care products are not available, it is thought that one of the main risks from artificial nails (ANs) is contact allergy.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                15 June 2020
                June 2020
                : 17
                : 12
                : 4283
                Affiliations
                [1 ]Pavia Poison Centre, National Toxicology Information Centre, Laboratory of Clinical & Experimental Toxicology, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, 27100 Pavia, Italy; marta.crevani@ 123456icsmaugeri.it (M.C.); valeria.petrolini@ 123456icsmaugeri.it (V.M.P.); giulia.scaravaggi@ 123456icsmaugeri.it (G.S.); maria.diprimo@ 123456icsmaugeri.it (M.D.P.); elisa.roda@ 123456icsmaugeri.it (E.R.); carlo.locatelli@ 123456icsmaugeri.it (C.A.L.)
                [2 ]Department of Biology and Biotechnology “L. Spallanzani”, Laboratory of Cell Biology and Neurobiology, University of Pavia, 27100 Pavia, Italy
                Author notes
                [* ]Correspondence: elena.brambilla@ 123456icsmaugeri.it ; Tel.: +39-0382-26261
                Author information
                https://orcid.org/0000-0003-2644-0947
                https://orcid.org/0000-0003-2154-5897
                Article
                ijerph-17-04283
                10.3390/ijerph17124283
                7345203
                32549349
                25370ba1-263c-48ba-8fe8-086178e039d5
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 18 May 2020
                : 12 June 2020
                Categories
                Article

                Public health
                nail glue,false eyelash glue,dermal/ocular,cyanoacrylate,chemical burns,accidental injury,epidemiology

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