Efek Toksik Merkuri dalam Krim Pencerah Wajah dari Perspektif Klinis

Retno Haryanti, Auliya A. Suwantika, Marline A. Bratadiredja

Abstract


Efek toksik akibat paparan merkuri dapat terjadi melalui berbagai cara, antara lain menghirup uap merkuri, tertelan maupun topikal. Penyerapan merkuri secara topikal dapat terjadi melalui penggunaan produk kosmetik. Salah satu produk kosmetik yang digunakan secara topikal dan rentan mengandung merkuri adalah krim pencerah wajah. Telah banyak penelitian yang dilakukan untuk mengetahui efek toksik merkuri terhadap manusia akibat penggunaan krim pencerah wajah. Tujuan artikel review ini adalah untuk memberikan suatu tinjauan khusus dan komprehensif mengenai efek toksik penggunaan krim pencerah wajah yang mengandung merkuri bagi manusia. Metode yang digunakan dalam menyusun artikel review ini yaitu pencarian literatur publikasi dalam situs pencari seperti MEDLINE (melalui PubMed) dan Google Scholar. Selain itu, pencarian jurnal acuan juga melalui situs jurnal terpercaya seperti ScienceDirect, Springer dan beberapa situs lainnya dengan menggunakan kombinasi kata kunci pencarian seperti toxicity of mercury, mercury in skin lightening cream, mercury exposure in skin whitening cream dan clinical effects of mercury. Literatur yang ditemukan kemudian diseleksi berdasarkan pertimbangan kelayakan dan kesesuaian sehingga diperoleh 43 jurnal. Hasil review yaitu kandungan merkuri dalam krim pencerah wajah dapat diserap tubuh dan masuk sirkulasi sistemik sehingga bersifat toksik terhadap organ dengan berbagai manifestasi klinisnya. Dengan demikian dapat disimpulkan bahwa penggunaan merkuri dalam krim pencerah wajah harus dihindari, hanya boleh sebagai cemaran logam berat dengan kadar tidak lebih dari 1 ppm.

Kata kunci: krim pencerah wajah, merkuri, toksik

 

Toxic Effects of Mercury on Facial Lightening Cream from Clinical Perspective

Abstract
The toxic effect of mercury is absorbed into the body through various methods, such as through inhalation, ingestion or topical contact. Mercury is mostly absorbed through topical cosmetic contact, such as using a facial lightening cream. Furthermore, many studies have been conducted to determine the toxic effects of mercury on humans due to the use of this cream. Therefore, this review aims to explore the comprehensive toxic effects of facial lightening creams containing mercury on humans. The method used in compiling this review was by searching related articles at MEDLINE (via Pub Med) and Google Scholar, through trusted journal sites, such as ScienceDirect, Springer, and several others. The search keywords used were toxicity of mercury, mercury in skin lightening cream, mercury exposure in skin whitening cream, and clinical effects of mercury. The literatures found were filtered based on their feasibility and suitability, and used as many as 43 articles. The results showed that the mercury content in facial lightening creams was absorbed through the skin into the systemic circulation, and intoxicated several organs, with various clinical manifestations. In conclusion, the use of mercury in facial lightening creams should meet the standard criteria, namely heavy metal contaminants with levels not exceeding 1 ppm.

Keywords: Facial lightening cream, mercury, toxic


Keywords


Krim pencerah wajah, merkuri, toksik

References


Agrawal SS, Mazhar M. Adulteration of mercury in skin whitening creams–a nephrotoxic agent. Curr Med Res Pract. 2015;5(4):172–5. doi: 10.1016/j.cmrp.2015.07.007

Burger P, Landreau A, Azoulay S, Michel T, Fernandez X. Skin whitening cosmetics: Feedback and challenges in the development of natural skin lighteners. Cosmetics. 2016;3(4):36–60. doi: 10.3390/cosmetics3040036

Gillbro JM, Olsson MJ. The melanogenesis and mechanisms of skin-lightening agents –Existing and new approaches. Int J Cosmet Sci. 2011;33(3):210–21 doi: 10.1111/j.1468-2494.2010.00616.x

Adawe A, Oberg C. Skin-lightening practices and mercury exposure in the Somali community. Minn Med. 2013;96(7):48–9.

Blay YA. Skin bleaching and global white supremacy: By way of introduction. J Pan Afr Stud. 2011;4(4):4–46.

Ladizinski B, Mistry N, Kundu RV. Widespread use of toxic skin lightening compounds: Medical and psychosocial aspects. Dermatol Clin. 2011;29(1):111–23. doi: 10.1016/j.det.2010.08.010

Dlova NC, Hamed SH, Tsoka-Gwegweni J, Grobler A. Skin lightening practices: An epidemiological study of South African women of African and Indian ancestries. Br J Dermatol. 2015;173(S2):2–9. doi: 10.1111/bjd.13556

Chan TYK. Inorganic mercury poisoning associated with skin-lightening cosmetic products. Clin. Toxicol. 2011;49(10):886–91. doi: 10.3109/15563650.2011.626425

Al-Saleh I, Shinwari N, Al-Amodi M. Accumulation of mercury in ovaries of mice after the application of skin-lightening creams. Biol Trace Elem Res. 2009;131(1):43–54. doi: 10.1007/s12011-009-8341-x

McKelvey W, Jeffery N, Clark N, Kass D, Parsons PJ. Population-based inorganic mercury biomonitoring and the identification of skin care products as a source of exposure in New York City. Environ Health Perspect. 2011;119(2):203–9. doi: 10.1289/ehp.1002396

Dickenson CA, Woodruff TJ, Stotland NE, Dobraca D, Das R. Elevated mercury levels in pregnant woman linked to skin cream from Mexico. Am J Obstet Gynecol. 2013;209(2):E4–5. doi: 10.1016/j.ajog.2013.05.030

Hamann CR, Boonchai W, Wen L, Sakanashi EN, Chu CY, Hamann K, et al. Spectrometric analysis of mercury content in 549 skin-lightening products: is mercury toxicity a hidden global health hazard?. J Am Acad Dermatol. 2014;70(2):281–7. doi: 10.1016/j.jaad.2013.09.050

Copan L, Fowles J, Barreau T, McGee N. Mercury toxicity and contamination of households from the use of skin creams adulterated with Mercurous Chloride (Calomel). Int J Environ Res Public Health. 2015;12(9):10943–54. doi: 10.3390/ijerph120910943

Smit N, Vicanova J, Pavel S. The hunt for natural skin whitening agents. Int J Mol Sci. 2009;10(12):5326–49. doi: 10.3390/ijms10125326

Park HY, Kosmadaki M, Yaar M, Gilchrest BA. Cellular mechanisms regulating human melanogenesis. Cell Mol Life Sci. 2009;66:1493–506. doi: 10.1007/s00018-009-8703-8

Fistarol SK, Itin PH. Disorders of pigmentation. J Dtsch Dermatol Ges. 2010;8(3):187–201. doi: 10.1111/j.1610-0387.2009.07137.x

Pillaiyar T, Manickam M, Namasivayam V. Skin whitening agents: Medicinal chemistry perspective of tyrosinase inhibitors. J Enzyme Inhib Med Chem. 2017;32(1):403–25. doi: 10.1080/14756366.2016.1256882

Bocca B, Pino A, Alimonti A, Forte G. Toxic metals contained in cosmetics: A status report. Regul. Toxicol. Pharmacol. 2014;68(3):447–67. doi: 10.1016/j.yrtph.2014.02.003

Moody RP, Joncas J, Richardson M, Petrovic S, Chu I. Contaminated soils (II): In vitro absorption of nickel (Ni-63) and mercury (Hg-203) in human skin. J Toxicol Environ Health. 2009;72(8):551–9. doi: 10.1080/15287390802706322

Agrawal SS, Sharma P. Current status of mercury level in skin whitening creams. Curr Med Res Pract. 2017;7(2):47–50. doi: 10.1016/j.cmrp.2017.02.001

Alqadami AA, Abdalla MA, AlOthman ZA, Omer K. Application of solid phase extraction on multiwalled carbon nanotubes of some heavy metal ions to analysis of skin whitening cosmetics using ICP-AES. Int J Environ Res Public Health. 2013;10(1):361–74. doi: 10.3390/ijerph10010361

Al-Saleh I, Elkhatib R, Al-Rouqi R, Al-Enazi S, Shinwari N. The dangers of skin-lightening creams. Toxicol Environ Chem. 2012;94(1):195–219. doi: 10.1080/02772248.2011.631925

Washam C. Beastly beauty products: Exposure to inorganic mercury in skin-lightening creams. Environ Health Perspect. 2011;119(2):A80. doi: 10.1289/ehp.119-a80b

Peregrino CP, Moreno MV, Miranda S, Rubio AD, Leal LO. Mercury levels in locally manufactured mexican skin-lightening creams. Int J Environ Res Public Health. 2011;8(6):2516–23. doi: 10.3390/ijerph8062516

Ozkaya E, Mirzoyeva L, Otkür B. Mercury-induced systemic allergic dermatitis caused by ‘white precipitate’ in a skin lightening cream. Contact Dermat. 2009;60(1):61–3.

Tang HL, Mak YF, Chu KH, Lee W, Fung SK, Chan TY, et al. Minimal change disease caused by exposure to mercury-containing skin lightening cream: A report of 4 cases. Clin Nephrol. 2013;79(40):326–9.

United States Food and Drug Administration Department of Health and Human Services. CFR 21: Use of mercury compounds in cosmetics including use as skin bleaching agents in cosmetic preparations also regarded as drugs [diunduh 24 Januari 2019]. Tersedia dari: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?fr=700.13&SearchTerm=mercury

Uram E, Bischofer B, Hagemann S. Market analysis of some mercury-containing products and their mercury-free alternatives in selected regions. German: Gesellschaft für Anlagenund Reaktorsicherheit (GRS) mbH; 2010.

Piccinini P, Piecha M, Torrent SF. European survey on the content of lead in lip products. J Pharm Biomed Anal. 2013;76:225–33 doi: 10.1016/j.jpba.2012.11.047

Gondal MA, Seddigi ZS, Nasr MM, Gondal B. Spectroscopic detection of health hazardous contaminants in lipstick using laser induced breakdown spectroscopy. J Hazard Mater. 2010;175(1–3):726–32. doi: 10.1016/j.jhazmat.2009.10.069

Syversen T, Kaur P. The toxicology of mercury and its compounds. J Trace Elem Med Biol. 2012;26(4):215–26. doi: 10.1016/j.jtemb.2012.02.004

Branco V, Canário J, Lu J, Holmgren A, Carvalho C. Mercury and selenium Interaction in vivo: Effects on thioredoxin reductase and glutathione peroxidase. Free Radic Biol Med. 2012;52(4):781–93. doi: 10.1016/j.freeradbiomed.2011.12.002

Ye X, Qian H, Xu P, Zhu L, Longnecker MP, Fu H. Nephrotoxicity, neurotoxicity, and mercury exposure among children with and without dental amalgam fillings. Int J Hyg Environ Health. 2009;212(4):378–86. doi: 10.1016/j.ijheh.2008.09.004

Boujbiha MA, Hamden K, Guermazi F, Bouslama A, Omezzine A, Kammoun A, et al. Testicular toxicity in mercuric chloride treated rats: Association with oxidative stress. Reprod Toxicol. 2009;28(1):81–9. doi: 10.1016/j.reprotox.2009.03.011

Sarikaya S, Karcioglu O, Ay D, Cetin A, Aktas C, Serinken M. Acute mercury poisoning: A case report. BMC Emerg Med. 2010;10:7-9 doi: 10.1186/1471-227X-0-7

Zhang P, Xu Y, Sun J, Li X, Wang L, Jin L. Protection of pyrroloquinoline quinone againts methylmercury induced neurotoxicity via reducing oxidative stress. Free Radic Res. 2009;43(3):224–33. doi: 10.1080/10715760802677348

Bridges CC, Zalups RK. Transport of inorganic mercury and methylmercury in target tissues and organs. J Toxicol Environ Health B Crit Rev. 2010;13(5):385–410. doi: 10.1080/10937401003673750

Drescher O, Dewailly E, Krimholtz M, Rutchik J. ‘Fishy’ make-up on the hook for mercury exposure: A case series. West Indian Med J. 2013;62:770–2.

Choudhury K, Morris J, Harrison H, O’Moore E. Use of skin lightening creams. dangers from mercury. BMJ. 2011;342:1327. doi: 10.1136/bmj.d1327

Dorea JG, Marques RC, Brandao KG. Neonate exposure to thimerosal mercury from hepatitis B vaccines. Am J Perinatol. 2009:26(7):523–27. doi: 10.1055/s-0029-1215431

Al-Saleh I, Shinwari N, Mashhour A, Mohamed Gel D, Rabah A. Heavy metals (lead, cadmium and mercury) in maternal, cord blood and placenta of healthy women. Int J Hyg Environ Health. 2011;214:79–101. doi: 10.1016/j.ijheh.2010.10.001

Al-Saleh I, Abduljabbar M, Al-Rouqi R, Elkhatib R, Alshabbaheen A, Shinwari N. Mercury (Hg) exposure in breast-fed infants and their mothers and the evidence of oxidative stress. Biol Trace Elem Res. 2013;153(1–3):145–54. doi: 10.1007/s12011-013-9687-7

Alghamdi KM. The use of topical bleaching agents among women: A cross-sectional study of knowledge, attitude and practices. J Eur Acad Dermatol Venereol. 2010;24(10):1214–19. doi: 10.1111/j.1468-3083.2010.03629.x

Jaishankar M, Tseten T, Anbalagan N, Mathew BB, Beeregowda KN. Toxicity, mechanism and health effects of some heavy metals. Interdiscip Toxicol. 2014;7(2):60–72. doi: 10.2478/intox-2014-0009

Badan Pengawas Obat dan Makanan Republik Indonesia. E-Reporting obat tradisional, suplemen makanan dan kosmetik [diunduh 24 Januari 2019]. Tersedia dari: http://mesotsmkos.pom.go.id/



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DOI : https://doi.org/10.15416/ijcp.2020.9.3.245


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