Literature DB >> 23666571

Issues about axial diffusion during segmental hair analysis.

Pascal Kintz1.   

Abstract

The detection of a single drug exposure in hair (doping offence, drug-facilitated crime) is based on the presence of the compound of interest in the segment corresponding to the period of the alleged event. However, in some cases, the drug is detected in consecutive segments. As a consequence, interpretation of the results is a challenge that deserves particular attention. Literature evaluation and data obtained from the 20-year experience in drug testing in hair of the author are used as the basis to establish a theory to validate the concept of single exposure in authentic forensic cases where the drug is detected in 2 or 3 segments. The gained experience recommends to wait for 4-5 weeks after the alleged event and then to collect strands of hair. Assuming normal hair growth rate (1 cm/mo), it is advisable to cut the strand into 3 segments of 2 cm to document eventual exposure. Administration of a single dose would be confirmed by the presence of the drug in the proximal 2-cm segment (root), whereas not detected in the 2 other segments. However, in the daily experience of the author, it was noticed that sometimes (about 1 case from 10 examinations), the drug can be detected in 2 or 3 consecutive segments. Such a disposition was even observed in volunteer experiments in the literature. As it was also described for cocaine in early 1996, there is considerable variability in the area over which incorporated drug can be distributed in the hair shaft and in the rate of axial distribution of drug along the hair shaft. This can explain why a small amount of drug, as compared with the concentration in the proximal segment, can be measured in the second segment, as a result of an irregular movement. Another explanation for broadening the band of positive hair from a single dose is that drugs and metabolites are incorporated into hair during formation of the hair shaft via diffusion from sweat and other secretions. The presence of confounding interferences in the hair matrix or changes in the hair structure due to cosmetic treatments might mislead the final result of hair analysis. To qualify for a single exposure in hair, the author proposes to consider that the highest drug concentration must be detected in the segment corresponding to the period of the alleged event (calculated with a hair growth rate at 1 cm/mo) and that the measured concentration be at least 3 times higher than those measured in the previous or the following segments. This must only be done using scalp hair after cutting the hair directly close to the scalp.

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Year:  2013        PMID: 23666571     DOI: 10.1097/FTD.0b013e318285d5fa

Source DB:  PubMed          Journal:  Ther Drug Monit        ISSN: 0163-4356            Impact factor:   3.681


  7 in total

1.  Hair testing to assess both known and unknown use of drugs amongst ecstasy users in the electronic dance music scene.

Authors:  Joseph J Palamar; Alberto Salomone; Enrico Gerace; Daniele Di Corcia; Marco Vincenti; Charles M Cleland
Journal:  Int J Drug Policy       Date:  2017-08-12

2.  Deposition of diazepam and its metabolites in hair following a single dose of diazepam.

Authors:  Xin Wang; Sys Stybe Johansen; Yurong Zhang; Jingying Jia; Yulan Rao; Fengli Jiang; Kristian Linnet
Journal:  Int J Legal Med       Date:  2016-08-17       Impact factor: 2.686

3.  Commentary on Ondersma et al. (2019): Will better self-report screening instruments be enough to detect drug use during pregnancy?

Authors:  Joseph J Palamar
Journal:  Addiction       Date:  2019-07-12       Impact factor: 6.526

4.  Detection of "bath salts" and other novel psychoactive substances in hair samples of ecstasy/MDMA/"Molly" users.

Authors:  Joseph J Palamar; Alberto Salomone; Marco Vincenti; Charles M Cleland
Journal:  Drug Alcohol Depend       Date:  2016-02-04       Impact factor: 4.492

5.  The use of nails as an alternative matrix for the long-term detection of previous drug intake: validation of sensitive UHPLC-MS/MS methods for the quantification of 76 substances and comparison of analytical results for drugs in nail and hair samples.

Authors:  Franziska Krumbiegel; Martin Hastedt; Lena Westendorf; André Niebel; Maximilian Methling; Maria Kristina Parr; Michael Tsokos
Journal:  Forensic Sci Med Pathol       Date:  2016-08-11       Impact factor: 2.007

Review 6.  A review of bioanalytical techniques for evaluation of cannabis (Marijuana, weed, Hashish) in human hair.

Authors:  Iltaf Shah; Bayan Al-Dabbagh; Alaa Eldin Salem; Saber A A Hamid; Neak Muhammad; Declan P Naughton
Journal:  BMC Chem       Date:  2019-08-14

7.  Underreporting of drug use among electronic dance music party attendees.

Authors:  Joseph J Palamar; Alberto Salomone; Katherine M Keyes
Journal:  Clin Toxicol (Phila)       Date:  2020-07-09       Impact factor: 4.467

  7 in total

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