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In America, however, the ingredient was considered dangerous enough to prompt the US Food and Drug Administration to warn consumers that AHAs "could destroy the upper layers of skin, causing severe burns, swelling and pain". Dr Epstein, who is Professor emeritus of environmental and occupational health at the University of Illinois, made his comments about the US cosmetics industry. But Prof Epstein told the Daily Express they were just as relevant to British anti-wrinkle creams. "Anything that strips the surface of the skin not only risks sunlight penetrating the exposed layer but also allows other toxic products in", he said. "All of the toxic effects are massively increased by AHAs".