Alta, a scarlet-red solution used by some Indian women as a cosmetic t
o colour their feet, was found to be associated with depigmentation at
the site of application. Chromatographic and spectroscopic analysis o
f 3 brands of alta confirmed the presence of 2 dyes: Crocein Scarlet M
OO (CSM) (brilliant crocein) and rhodamine B (tetraethyl rhodamine). P
atch testing produced depigmentation at the site of application of alt
a, CSM and para-phenylenediamine (PPD). Although PPD has been reported
to produce leukoderma, azo dyes have not previously been reported as
depigmenting agents. (C) Munksgaard, 1998.