Allergic Contact Dermatitis in Children: Review of the Past Decade

@article{Admani2014AllergicCD,
  title={Allergic Contact Dermatitis in Children: Review of the Past Decade},
  author={Shehla Admani and Sharon E Jacob},
  journal={Current Allergy and Asthma Reports},
  year={2014},
  volume={14},
  pages={1-11}
}
  • S. Admani, S. Jacob
  • Published 7 February 2014
  • Medicine
  • Current Allergy and Asthma Reports
Allergic contact dermatitis (ACD) is a type IV delayed hypersensitivity reaction. During the last decade, there has been a heightened awareness of this disease in the pediatric population. The gold standard for diagnosis is patch testing. The prevalence of positive patch tests in referred children with suspected ACD ranges from 27 to 95.6 %. The most common allergens in children in North America are nickel, neomycin, cobalt, fragrance, Myroxylon pereirae, gold, formaldehyde, lanolin/wool… 
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
It is estimated that one third of children suffering from ACD could potentially benefit from a ‘pre-emptive avoidance strategy’ (P.E.A.S.) of the stated top 10 allergens.
EAACI position paper for practical patch testing in allergic contact dermatitis in children
Allergic contact dermatitis (ACD) in children appears to be on the increase, and contact sensitization may already begin in infancy. The diagnosis of contact dermatitis requires a careful evaluation
Allergic Contact Dermatitis in an Adolescent Athlete: Mercaptobenzothiazole and Mercapto Mix
TLDR
It is emphasized through this case that sports activities, toys, and hobbies should be questioned for possible contact allergen in the diagnosis of dermatitis in childhood, and the importance of the patch test in the diagnoses is highlighted.
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References

SHOWING 1-10 OF 94 REFERENCES
Pediatric contact dermatitis.
TLDR
Patch testing should be considered not only in children with lesions of a morphology suggestive of ACD, but in any child with dermatitis that is difficult to control, including 1-week-old neonates.
Allergic contact dermatitis in children
TLDR
The documented rates of allergic contact dermatitis in children are on the rise, and may be due to increased chemical exposures in this age group, better recognition by pediatricians and perhaps more widespread use of epicutaneous patch testing.
Nickel Allergy: Localized, Id, and Systemic Manifestations in Children
TLDR
Four children are presented to illustrate the different presentations of nickel allergy confirmed by patch testing and localized, id, and systemic nickel reactions are reviewed, as well as the diagnosis and management of nickel allergic contact dermatitis.
Current Strategies in Treating Severe Contact Dermatitis in Pediatric Patients
TLDR
The major principles behind the diagnosis and management of this disease in the pediatric population are addressed, and useful strategies that may result in improved treatment of this condition are highlighted.
Patch Tests in Children with Suspected Allergic Contact Dermatitis: A Prospective Study and Review of the Literature
TLDR
Sensitivity to contact allergens may begin in infancy and continue to be more common in toddlers and young children, and in recalcitrant atopic dermatitis, especially at the age of 5 years and over, patch tests are indicated.
Contact sensitization in very young children.
Allergic contact dermatitis in children: should pattern of dermatitis determine referral? A retrospective study of 500 children tested between 1995 and 2004 in one U.K. centre
TLDR
Allergic contact dermatitis increases with age, and a prevalence of up to 24·5% has been reported, and patch testing infants may be particularly difficult, and false‐positive reactions may occur.
Patch Testing of Singapore Children and Adolescents: Our Experience over 18 Years
TLDR
This is the first study with over 1000 patients on this subject from Asia and the most common allergens were nickel, thimerosal, colophony, lanolin, fragrance mix, and neomycin.
Clinically Relevant Patch Test Reactions in Children—A United States Based Study
TLDR
It is concluded that the diagnosis of allergic contact dermatitis to specific relevant allergens is common in children referred for patch testing and that contact allergy should be considered in all children with recalcitrant dermatitis.
Patch Testing: Another Steroid‐Sparing Agent to Consider in Children
TLDR
This protocol for pediatric patch testing and three pediatric cases, with severe and recalcitrant dermatitis unresponsive to systemic therapies, in whom comprehensive patch testing played a key role in management, illustrate the importance of patch testing in recalcitrants dermatitis within the pediatric population.
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