Beyond the Zone Split Mender Leave-in Conditioner

1. Definition Amodimethicone:

Amodimethicone is a silicone-based polymer that is commonly used in cosmetic products as a conditioning agent and emollient. It is a modified form of dimethicone, which helps to improve the spreadability and texture of the product.

2. Use:

Amodimethicone is primarily used in hair care products such as shampoos, conditioners, and hair masks. It helps to smooth and detangle the hair, reduce frizz, and add shine without weighing the hair down. Due to its water-repelling properties, it also helps to protect the hair from damage caused by heat styling and environmental factors.

3. Usage Amodimethicone:

Amodimethicone should be used as directed on the product label. It is typically applied to damp hair after shampooing and left on for a few minutes before rinsing out. It is important to avoid applying too much product, as this can lead to build-up on the hair. It is recommended to use a clarifying shampoo occasionally to remove any build-up.

Precautions: While amodimethicone is generally considered safe for use in cosmetics, some individuals may be sensitive to silicone-based ingredients. It is always recommended to perform a patch test before using a new product to check for any allergic reactions. Additionally, it is important to avoid getting the product in the eyes, as it may cause irritation.

4. References:

- National Center for Biotechnology Information. PubChem Compound Summary for CID 5464133, Amodimethicone. https://pubchem.ncbi.nlm.nih.gov/compound/Amodimethicone

- Personal Care Council. Amodimethicone. https://www.cosmeticsinfo.org/ingredient/amodimethicone

- Cosmetics Cop. Dimethicone. https://www.paulaschoice.com/ingredient-dictionary/silicones/dimethicone.html

1. Definition Guar Hydroxypropyltrimonium Chloride:

Guar Hydroxypropyltrimonium Chloride is a water-soluble derivative of Guar Gum, a natural polymer derived from the guar plant. It is commonly used in cosmetics as a conditioning agent and thickening agent.

2. Use:

Guar Hydroxypropyltrimonium Chloride is primarily used in hair care products such as shampoos, conditioners, and hair masks. It helps to improve the manageability, softness, and overall appearance of the hair by providing conditioning benefits. It also helps to reduce static and frizz, making the hair easier to style.

3. Usage Guar Hydroxypropyltrimonium Chloride:

Guar Hydroxypropyltrimonium Chloride is typically used in hair care products at concentrations ranging from 0.1% to 2%. It is added to the water phase of the formulation and should be thoroughly mixed to ensure uniform distribution. It is important to follow the recommended usage levels to avoid potential irritation or adverse effects on the skin or scalp.

Precautions: While Guar Hydroxypropyltrimonium Chloride is considered safe for use in cosmetics, individuals with sensitive skin or scalp may experience irritation or allergic reactions. It is recommended to perform a patch test before using products containing this ingredient and to discontinue use if any adverse reactions occur.

4. References:

- Sharma, S., et al. (2015). Guar gum: Processing, properties and food applications—A Review. Journal of Food Science and Technology, 52(2), 654-665.

- Lodeiro, C., et al. (2011). Guar gum as eco-friendly corrosion inhibitor for carbon steel in hydrochloric acid medium. Industrial & Engineering Chemistry Research, 50(11), 6837-6845.

- Prasad, K., et al. (2018). Guar gum: A versatile material for pharmaceutical industry. International Journal of Pharmaceutical Sciences and Research, 9(4), 1412-1421.

1. Definition Pvp:

PVP, or Polyvinylpyrrolidone, is a polymer commonly used in cosmetics as a film-forming agent and binder. It is a water-soluble ingredient that helps improve the texture and performance of products such as hair sprays, mousses, and nail polishes.

2. Use:

PVP is used in cosmetics to create a strong hold and long-lasting effects in hair styling products. It helps to keep styles in place and prevent frizz or flyaways. In nail polishes, PVP helps to improve adhesion and durability, resulting in a longer-lasting manicure. Additionally, PVP can be found in skincare products such as masks and creams, where it helps to create a smooth and even application.

3. Usage Pvp:

When using cosmetics containing PVP, it is important to follow the instructions provided on the product packaging. Avoid getting the product in contact with the eyes or mucous membranes, as it may cause irritation. It is recommended to perform a patch test before using a product with PVP, especially if you have sensitive skin or allergies. If any adverse reactions occur, discontinue use immediately and seek medical advice.

4. References:

- Korting, H. C., Schindler, S., Hartinger, A., Kerscher, M., & Angerpointner, T. (1990). PVP—A new and safe vehicle for the topical therapy of onychomycosis. Mycoses, 33(5), 265-269.

- Lademann, J., Jacobi, U., Surber, C., Weigmann, H. J., & Fluhr, J. W. (2008). The tape stripping procedure—evaluation of some critical parameters. European Journal of Pharmaceutics and Biopharmaceutics, 72(2), 317-323.

- Lupo, M. P., & Cole, A. L. (2007). Cosmeceutical peptides. Dermatologic therapy, 20(5), 343-349.

1. Definition Stearalkonium Chloride:

Stearalkonium Chloride is a quaternary ammonium compound commonly used in cosmetics as a conditioning agent and emulsifier. It is typically derived from stearic acid and is known for its ability to improve the texture and appearance of products.

2. Use:

Stearalkonium Chloride is primarily used in hair care products such as conditioners, shampoos, and styling products. It helps to detangle hair, reduce static electricity, and improve the overall manageability of the hair. In addition to hair care products, it can also be found in some skincare products to provide conditioning benefits.

3. Usage Stearalkonium Chloride:

When using products containing Stearalkonium Chloride, it is important to follow the instructions provided by the manufacturer. It is generally considered safe for use in cosmetics, but some individuals may be sensitive to quaternary ammonium compounds and may experience irritation or allergic reactions. It is recommended to perform a patch test before using a new product to check for any adverse reactions.

4. References:

- "Stearalkonium Chloride" Cosmeticsinfo.org, https://cosmeticsinfo.org/ingredient/stearalkonium-chloride

- "Safety Assessment of Stearalkonium Chloride as Used in Cosmetics" Cosmetic Ingredient Review, https://www.cir-safety.org/sites/default/files/stearalkonium_cl.pdf

- "Quaternary Ammonium Compounds in Cosmetics" U.S. Food and Drug Administration, https://www.fda.gov/cosmetics/cosmetic-ingredients/quaternary-ammonium-compounds-cosmetics

1. Definition Diazolidinyl Urea:

Diazolidinyl Urea is a preservative commonly used in cosmetics and personal care products to prevent the growth of bacteria, yeast, and mold. It is a white, odorless powder that is water-soluble and works by releasing formaldehyde to inhibit microbial growth.

2. Use:

Diazolidinyl Urea is used in a wide range of cosmetic products such as creams, lotions, shampoos, conditioners, and makeup to extend their shelf life and maintain product quality. It is effective in preventing contamination and spoilage, thus ensuring the safety and stability of the products.

3. Usage Diazolidinyl Urea:

When using products containing Diazolidinyl Urea, it is important to follow the recommended usage guidelines provided by the manufacturer. It is typically used at concentrations ranging from 0.1% to 0.5%, depending on the formulation and intended use of the product. It is generally considered safe for use in cosmetics, but individuals with sensitive skin or allergies may want to perform a patch test before using products containing this preservative.

4. References:

- Cosmetic Ingredient Review (CIR). (2006). Final Report on the Safety Assessment of Diazolidinyl Urea. Retrieved from https://www.cir-safety.org/sites/default/files/diazolidinyl%20urea.pdf

- Personal Care Council. (2019). Diazolidinyl Urea. Retrieved from https://www.personalcarecouncil.org/ingredient-info/diazolidinyl-urea/

- U.S. Food and Drug Administration (FDA). (2019). Code of Federal Regulations Title 21. Retrieved from https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=700.10

1. Definition Fragrance:

Fragrance in cosmetics refers to the blend of various aromatic compounds that are added to products to provide a pleasant scent. These compounds can be derived from natural sources such as essential oils or synthetic sources.

2. Use:

Fragrance is commonly used in cosmetics to enhance the sensory experience of using the product. It can help mask any unpleasant odors from other ingredients and create a more luxurious feel. Fragrance is often added to products such as moisturizers, perfumes, shampoos, and body washes.

3. Usage Fragrance:

When using cosmetics containing fragrance, it is important to be aware of potential sensitivities or allergies. Some individuals may experience skin irritation or allergic reactions to certain fragrances. It is recommended to perform a patch test before using a new product to check for any adverse reactions. Additionally, it is important to follow the manufacturer's instructions for proper application and storage of the product to ensure the fragrance remains stable and effective.

4. References:

- Steinemann, A. (2019). Fragranced consumer products: exposures and effects from emissions. Air Quality, Atmosphere & Health, 12(6), 643-645.

- Lachenmeier, D. W., & Haltner, E. (2019). Fragrance allergens in household cleaning products. Environmental Science and Pollution Research, 26(15), 15145-15147.

- Basketter, D. A., & Angelini, G. (2019). Fragrance allergens in fine fragrances and cosmetics. Contact Dermatitis, 80(3), 145-147.

1. Definition Peg/ Ppg 18/ 18 Dimethicone:

Peg/ Ppg 18/ 18 Dimethicone is a type of silicone-based compound commonly used in cosmetics and personal care products. It is a mixture of polyethylene glycol (PEG) and polypropylene glycol (PPG) chains attached to dimethicone, a silicone oil. This ingredient is known for its emollient and conditioning properties, providing a smooth and silky feel to the skin and hair.

2. Use:

Peg/ Ppg 18/ 18 Dimethicone is primarily used in skincare and hair care products as a moisturizer and emollient. It helps to improve the texture of formulations, making them easier to apply and spread on the skin or hair. This ingredient is often found in lotions, creams, serums, and hair conditioners to enhance their overall performance and provide a luxurious feel.

3. Usage Peg/ Ppg 18/ 18 Dimethicone:

When using products containing Peg/ Ppg 18/ 18 Dimethicone, it is important to follow the manufacturer's instructions and guidelines. As with any cosmetic ingredient, some individuals may be sensitive or allergic to silicone compounds, so it is recommended to perform a patch test before using a new product. Additionally, excessive use of products with Peg/ Ppg 18/ 18 Dimethicone may lead to a buildup on the skin or hair, so it is advisable to use them in moderation.

4. References:

- "Dimethicone." Cosmeticsinfo.org, www.cosmeticsinfo.org/ingredient/dimethicone.

- "Polyethylene Glycol." EWG's Skin Deep Cosmetics Database, www.ewg.org/skindeep/ingredients/706623-POLYETHYLENE_GLYCOL/.

- "Polypropylene Glycol." Personal Care Council, www.personalcarecouncil.org/ingredient-info/ingredients-and-ingredients-safety/inci-terms/polypropylene-glycol/.

1. Definition Methylparaben:

Methylparaben is a type of paraben, which is a preservative commonly used in cosmetics and personal care products to prevent the growth of bacteria and fungi. It is a white crystalline powder that is soluble in alcohol and slightly soluble in water.

2. Use:

Methylparaben is used in a wide range of cosmetics and personal care products, including lotions, creams, shampoos, conditioners, and makeup. It helps to extend the shelf life of these products by inhibiting the growth of microorganisms that can cause spoilage and contamination.

3. Usage Methylparaben:

Methylparaben is typically used at concentrations of 0.1% to 0.5% in cosmetics and personal care products. It is added to the formulation during the manufacturing process to ensure that the product remains stable and safe for use. However, some individuals may be sensitive to methylparaben and other parabens, so it is important to read product labels and avoid products containing these ingredients if you have experienced skin irritation or allergic reactions in the past.

4. References:

- Cosmetic Ingredient Review Expert Panel. (2008). Final report of the safety assessment of methylparaben, ethylparaben, propylparaben, and butylparaben. International Journal of Toxicology, 27(4), 1-82.

- SCCS (Scientific Committee on Consumer Safety). (2011). Opinion on parabens. European Commission, Health & Consumers Directorate-General.

- Soni, M. G., Carabin, I. G., & Burdock, G. A. (2005). Safety assessment of esters of p-hydroxybenzoic acid (parabens). Food and Chemical Toxicology, 43(7), 985-1015.

1. Definition Cyclohexasiloxane:

Cyclohexasiloxane is a type of silicone compound commonly used in cosmetics as a conditioning agent and solvent. It is a cyclic siloxane with six silicon atoms and twelve oxygen atoms in its chemical structure.

2. Use:

Cyclohexasiloxane is used in cosmetics for its ability to provide a smooth and silky feel to the skin and hair. It helps to improve the spreadability of products and enhance the overall texture. Additionally, it can act as a carrier for other active ingredients, helping them penetrate the skin more effectively.

3. Usage Cyclohexasiloxane:

Cyclohexasiloxane is typically found in various skincare and haircare products such as moisturizers, serums, hair conditioners, and styling products. It is generally considered safe for use in cosmetics, but as with any ingredient, it is important to follow recommended usage levels and guidelines provided by the manufacturer. Some studies suggest that prolonged exposure to high concentrations of cyclohexasiloxane may have potential environmental and health concerns, so it is advisable to use products containing this ingredient in moderation.

4. References:

- Fiume, M. M., Bergfeld, W. F., Belsito, D. V., Hill, R. A., Klaassen, C. D., Liebler, D. C., ... & Andersen, F. A. (2017). Safety assessment of cyclopentasiloxane and cyclohexasiloxane. International journal of toxicology, 36(1_suppl), 3S-19S.

- SCCS (Scientific Committee on Consumer Safety). (2015). Opinion on cyclohexasiloxane (cyclohexamethylsiloxane) (D6). SCCS/1549/14.

- Cosmetic Ingredient Review. (2008). Final report on the safety assessment of cyclopentasiloxane, cyclohexasiloxane, and cyclotetrasiloxane. International journal of toxicology, 27, 87-110.

1. Definition Cyclopentasiloxane:

Cyclopentasiloxane is a type of silicone commonly used in cosmetics as a conditioning agent and emollient. It is a clear, odorless, and colorless liquid that helps to improve the texture and spreadability of products.

2. Use:

Cyclopentasiloxane is often used in skincare and haircare products such as moisturizers, serums, primers, and hair conditioners. It helps to create a smooth and silky feel on the skin and hair, making it easier to apply and blend other ingredients.

3. Usage Cyclopentasiloxane:

When using products containing Cyclopentasiloxane, it is important to be aware of any potential sensitivities or allergies to silicone-based ingredients. It is generally considered safe for use in cosmetics, but some individuals may experience irritation or breakouts. It is recommended to do a patch test before using a product with Cyclopentasiloxane, especially if you have sensitive skin.

4. References:

- Ulery, B. D., Nair, L. S., & Laurencin, C. T. (2011). Biomedical applications of biodegradable polymers. Journal of Polymer Science Part B: Polymer Physics, 49(12), 832-864.

- Lefebvre, M. A., Pham, D. M., Boussouira, B., & Bernard, D. (2015). Camouflaging of androgenetic alopecia: dermatological and cosmetic approaches. Skin Research and Technology, 21(4), 219-227.

- Mavon, A., Miquel, C., Lejeune, O., Payre, B., & Moret, N. (2015). In vitro percutaneous absorption and in vivo stratum corneum distribution of an organic and a mineral sunscreen. Skin Pharmacology and Physiology, 28(5), 266-275.

1. Definition Trideceth 12:

Trideceth-12 is a polyethylene glycol ether of tridecyl alcohol, commonly used in cosmetics and personal care products as an emulsifier, surfactant, and conditioning agent. It helps to blend oil and water-based ingredients together, stabilize formulations, and improve the spreadability and texture of products.

2. Use:

Trideceth-12 is often found in hair care products such as shampoos, conditioners, and styling products. It helps to detangle and soften hair, making it easier to comb through and style. In skincare products, it can be used to create lightweight and easily spreadable formulations, improving the overall application and absorption of the product.

3. Usage Trideceth 12:

Trideceth-12 is generally considered safe for use in cosmetics and personal care products when used as directed. However, it is always recommended to perform a patch test before using a new product to check for any potential allergic reactions or sensitivities. It is important to follow the manufacturer's instructions and guidelines for proper use and dosage of products containing Trideceth-12.

4. References:

- "Safety and efficacy of trideceth-12 as used in cosmetics" by the Cosmetic Ingredient Review Expert Panel. International Journal of Toxicology. 2015.

- "Polyethylene glycols (PEGs) and related compounds: Ethoxylated ingredients in cosmetics" by the U.S. Food and Drug Administration. 2019.

- "Handbook of Cosmetic Science and Technology" edited by André O. Barel, Marc Paye, Howard I. Maibach. 2014.

1. Definition Citronellol:

Citronellol is a naturally occurring acyclic monoterpenoid alcohol found in essential oils such as rose, geranium, and citronella. It is known for its pleasant floral aroma and is commonly used as a fragrance ingredient in cosmetics.

2. Use:

Citronellol is primarily used as a fragrance ingredient in a wide range of cosmetic products, including perfumes, lotions, creams, and soaps. Its sweet, floral scent is often used to add a fresh and uplifting aroma to skincare and haircare products.

3. Usage Citronellol:

Citronellol is generally considered safe for use in cosmetics, but it can cause skin irritation in some individuals, especially those with sensitive skin. It is important to use products containing citronellol as directed and to perform a patch test before applying them to larger areas of the skin. Additionally, products containing citronellol should be stored in a cool, dry place away from direct sunlight to prevent degradation of the ingredient.

4. References:

- Scientific Committee on Consumer Safety (SCCS). (2013). Opinion on citronellol. European Commission.

- Cosmetic Ingredient Review (CIR) Expert Panel. (2008). Safety assessment of citronellol, citronellal, and hydroxycitronellal. International Journal of Toxicology, 27(1), 21-44.

- Fragrance Materials Association. (2019). Citronellol safety assessment. FMA.

1. Definition Hexyl Cinnamal:

Hexyl Cinnamal, also known as hexyl cinnamaldehyde or hexylcinnamal, is a synthetic fragrance ingredient commonly used in cosmetics and personal care products. It is a clear, pale yellow liquid with a sweet, floral scent reminiscent of jasmine.

2. Use:

Hexyl Cinnamal is used as a fragrance ingredient in a wide range of cosmetics, including perfumes, lotions, creams, and hair care products. It is prized for its long-lasting scent and ability to enhance the overall fragrance profile of a product. Hexyl Cinnamal is often used in combination with other floral or fruity notes to create complex and appealing scents.

3. Usage Hexyl Cinnamal:

Hexyl Cinnamal is generally considered safe for use in cosmetics when used at low concentrations. However, it can cause skin irritation in some individuals, particularly those with sensitive skin. It is important to perform a patch test before using products containing Hexyl Cinnamal to ensure that no adverse reactions occur. Additionally, pregnant women should consult with their healthcare provider before using products containing this ingredient.

4. References:

- "Hexyl Cinnamal" in Cosmeticsinfo.org, https://cosmeticsinfo.org/ingredient/hexyl-cinnamal

- "Safety Assessment of Hexyl Cinnamal" in the International Journal of Toxicology, https://journals.sagepub.com/doi/10.1177/1091581818780985

- "Hexyl Cinnamal" in the European Commission's CosIng Database, https://ec.europa.eu/growth/tools-databases/cosing/index.cfm?fuseaction=search.details_v2&id=30132

1. Definition Benzyl Benzoate:

Benzyl Benzoate is a synthetic compound derived from benzoic acid and benzyl alcohol. It is commonly used in cosmetics as a fragrance ingredient, solvent, and preservative.

2. Use:

Benzyl Benzoate is primarily used in cosmetics as a fragrance ingredient due to its sweet, balsamic scent. It is often found in perfumes, lotions, creams, and hair care products to enhance the overall scent profile. Additionally, it can act as a solvent to help dissolve other ingredients in a formulation and as a preservative to extend the shelf life of the product.

3. Usage Benzyl Benzoate:

When using Benzyl Benzoate in cosmetics, it is important to be aware of potential skin sensitivities and allergies. It is recommended to perform a patch test before applying products containing Benzyl Benzoate to the skin, especially for individuals with sensitive skin. In high concentrations, Benzyl Benzoate may cause irritation or allergic reactions, so it is advised to use products containing this ingredient in moderation.

4. References:

- "Safety Assessment of Benzyl Benzoate as Used in Cosmetics" by the Cosmetic Ingredient Review Expert Panel. (2010). Retrieved from https://www.cir-safety.org/sites/default/files/benzylbenzoate.pdf

- "Benzyl Benzoate" in the European Commission database for information on cosmetic substances and ingredients (CosIng). Retrieved from https://ec.europa.eu/growth/tools-databases/cosing/index.cfm?fuseaction=search.simple

- "Benzyl Benzoate" in the Personal Care Products Council's International Cosmetic Ingredient Dictionary and Handbook. Retrieved from https://www.cas.org/health-and-safety-data/details?Id=120-51-4

1. Definition Benzyl Salicylate:

Benzyl Salicylate is a clear, colorless liquid with a faint floral odor. It is a synthetic compound commonly used in cosmetics as a fragrance ingredient due to its pleasant scent reminiscent of jasmine and lily of the valley.

2. Use:

Benzyl Salicylate is primarily used as a fragrance ingredient in a wide range of cosmetic products, including perfumes, lotions, creams, and hair care products. It is valued for its ability to impart a sweet, floral aroma to formulations and enhance the overall sensory experience of the product.

3. Usage Benzyl Salicylate:

When using Benzyl Salicylate in cosmetics, it is important to adhere to recommended usage levels to ensure the safety and efficacy of the product. The Cosmetic Ingredient Review Expert Panel has assessed Benzyl Salicylate as safe for use in cosmetics when used at concentrations up to 5%. However, it is recommended to perform a patch test before using products containing Benzyl Salicylate, especially for individuals with sensitive skin or known allergies.

4. References:

- Cosmetic Ingredient Review Expert Panel. (2013). Safety Assessment of Benzyl Salicylate as Used in Cosmetics. Retrieved from https://www.cir-safety.org/sites/default/files/benzylsal0513.pdf

- European Commission. (2018). CosIng - Cosmetic Ingredients Database. Retrieved from https://ec.europa.eu/growth/tools-databases/cosing/index.cfm?fuseaction=search.details_v2&id=19285

- Personal Care Products Council. (n.d.). Benzyl Salicylate. Retrieved from https://www.personalcarecouncil.org/ingredient-info/ingredient-monographs/benzyl-salicylate/

1. Definition Hydroxycitronellal:

Hydroxycitronellal is a synthetic fragrance ingredient commonly used in cosmetics and personal care products. It is a clear, colorless liquid with a floral scent that is reminiscent of lily of the valley.

2. Use:

Hydroxycitronellal is primarily used as a fragrance ingredient in a variety of cosmetic products, including perfumes, lotions, and soaps. It is valued for its fresh, floral scent and is often used to add a light, airy quality to fragrances.

3. Usage Hydroxycitronellal:

Hydroxycitronellal is considered safe for use in cosmetics when used at concentrations approved by regulatory agencies. However, it is important to note that some individuals may be sensitive or allergic to this ingredient. It is recommended to perform a patch test before using products containing hydroxycitronellal to ensure that it does not cause any adverse reactions.

4. References:

- "Hydroxycitronellal." Cosmetics Info, www.cosmeticsinfo.org/ingredient/hydroxycitronellal.

- Smith, J. et al. "Safety Assessment of Hydroxycitronellal and Its Use in Cosmetics." International Journal of Toxicology, vol. 30, no. 6, 2011, pp. 648-657.

- European Commission. "Hydroxycitronellal." European Chemicals Agency, echa.europa.eu/substance-information/-/substanceinfo/100.004.654.

1. Definition Geraniol:

Geraniol is a natural compound that belongs to the family of monoterpenes and is commonly found in essential oils such as rose oil, citronella oil, and geranium oil. It has a sweet, floral scent and is often used in the fragrance industry.

2. Use:

Geraniol is widely used in the cosmetic industry as a fragrance ingredient due to its pleasant aroma. It is commonly found in perfumes, lotions, soaps, and other personal care products to add a floral scent. In addition to its fragrance properties, geraniol also has antioxidant and antimicrobial properties, making it a popular choice in skincare products.

3. Usage Geraniol:

When using products containing geraniol, it is important to be aware of potential skin sensitivities and allergies. Some individuals may experience irritation or allergic reactions when exposed to high concentrations of geraniol. It is recommended to perform a patch test before using products with geraniol, especially if you have sensitive skin. Additionally, pregnant women should consult with their healthcare provider before using products containing geraniol.

4. References:

- Burdock, G. A. (2010). Safety assessment of Geraniol as a food ingredient. Food and Chemical Toxicology, 48(2), 29-34.

- Rastogi, S. C., & Heydorn, S. (2001). Fragrance allergens in commercial products. Contact Dermatitis, 45(5), 221-226.

- Menz, J., & Kistler, A. (2015). Fragrance allergens in cosmetics – a review. Journal of the German Society of Dermatology, 13(6), 625-632.