When used for temporary tattoos, henna laced with PPD is known as “Black Henna.” Although this is not an approved use for PPD in North America, some tattoo artists will illegally add the chemical to henna for darker temporary tattoos that dry faster than pure henna tattoos. Because the dye is applied while the PPD is in its oxidation process, its potential as an allergen is increased. Black Henna tattoos often result in a skin reaction similar to a chemical burn, which in turn results in a scar where the skin was tattooed.
Once a person who has been exposed to PPD in black henna has an allergic reaction, they may suffer a lifelong sensitivity to the chemical. They will have future allergic reactions to hair colour and other things such as sunscreen, cosmetics and dark-coloured fabrics.