Halloween treats, costumes, and decorations are exciting for parents and children alike, but these holiday staples may be associated with unpleasant allergic reactions, such as contact dermatitis or urticaria (hives). As Halloween approaches and you are choosing your child’s costume, here are some helpful tips from Melissa Levoska, MD, Assistant Professor of Dermatology at the Icahn School of Medicine at Mount Sinai on how to protect your child’s skin.

Know the signs of a reaction

Your child may be experiencing an adverse skin reaction if redness, itching, dryness or blistering of the skin develops. If you notice these signs, immediately wash off any make-up/body paint and remove their costume and accessories. For some children, the rash may improve with removal of the offending agent, but others may require treatment topical corticosteroids or oral antihistamines. Contact your doctor if your child isn’t improving.

Do a spot check before applying face paint and makeup

Face paint and make-ups may contain preservatives such as methylchloroisothiazolinone/methylisothiazolinone, dyes, or fragrances that can be irritating to the skin. Be sure to test the face paint or makeup on a small area of your child’s skin, such as a spot on the arm, three to five days prior to full application on Halloween, to make sure your child does not develop a reaction.

Avoid false eyelashes and nails

Fake eyelashes are held in place with glues and acrylic nails, and contain potential contact allergens such as cyanoacrylates, latex, and formaldehyde. Furthermore, these products may damage your child’s nails and eyelashes over time.

Beware of hidden nickel  

Costume jewelry and accessories, such as belts, can also cause skin reactions as they commonly contain metals such as nickel, which is one of the most common causes of allergic contact dermatitis.

Opt for a natural, breathable fabric

When choosing a costume for your child, 100 percent cotton fabric is recommended. Other materials, such as wool and polyester, may be irritating to the skin. Irritation is especially likely if your child has a history of sensitive skin or eczema. Looser fitting, breathable fabrics also decreases the incidence of skin issues on the big day.

Most importantly, have fun and Happy Halloween! 

Melissa Levoska, MD, is an Assistant Professor of Dermatology at the Icahn School of Medicine at Mount Sinai and a board-certified dermatologist. Her patients are her top priority, and she strives to provide compassionate and patient-centered care.

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