Abstract
BACKGROUND: Kumkum and bindi are applied on the forehead as a custom. Allergic reactions develop in some due to the allergens present in kumkum and bindi adhesive. It is unlikely to subside unless the exposure to the allergens is completely discontinued, which is difficult for women, due to social and religious obligations in certain communities. AIM: To evaluate and compare the safety and efficacy of indigenously prepared kumkum, bindi stickers, and annatto seed powder when used as alternatives in patients with bindi and kumkum dermatitis. PATIENTS AND METHODS: A comparative study was conducted on adult patients of both sexes with kumkum and bindi dermatitis. Fifteen patients in each group were allotted based on simple random sampling. Group kumkum patients were given kumkum prepared by boiled, dried turmeric powder mixed with sodium bicarbonate and fresh lime juice to obtain a scarlet red mixture. Group stick bindi patients were given bindi prepared with red-colored craft paper cut into circular discs with adhesive paste. Group annatto patients were given annatto seed powder. Follow-up was performed in the second and fourth weeks to observe for the development of the reaction. RESULTS: Among 45 patients, 42 did not develop any reaction to the given compounds. One patient in group annatto and two in group kumkum developed mild reactions. The development of reaction to the given compounds between the groups was statistically insignificant ( P = 0.18). The difference between all three groups in terms of patient satisfaction was statistically insignificant ( P = 0.31). LIMITATIONS: The period of 4 weeks was not sufficient in all cases, as the sensitization phase may be longer. We do recommend a follow-up for a longer period, and we also need to develop a more acceptable form of our products. CONCLUSION: The alternatives were cosmetically acceptable and did not cause any reaction in the majority of the patients. All the alternatives were promising, safe, and cost-effective to be given as an alternative in patients with bindi and kumkum dermatitis.