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[Compositae dermatitis].

Marina Jovanović1, Mirjana Poljacki

  • 1Klinika za kozno-venericne bolesti Klinicki centar, Novi Sad. zip@EUnet.yu

Medicinski Pregled
|June 10, 2003
PubMed
Summary

Compositae dermatitis, an allergic reaction to plants like ragweed and feverfew, affects exposed skin. Diagnosis involves patch testing, with allergen-immunotherapy as the primary treatment for this common European sensitivity.

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Area of Science:

  • Dermatology
  • Allergology
  • Toxicology

Context:

  • Compositae dermatitis is an allergic contact reaction to plants in the Compositae family.
  • Historical reports date back to the late 19th century, with significant cases linked to ragweed and Parthenium hysterophorus.
  • This condition, often airborne, primarily affects exposed skin surfaces, leading to widespread redness.

Purpose:

  • To review the epidemiology, etiology, pathogenesis, diagnosis, and treatment of Compositae dermatitis.
  • To highlight the prevalence and common sensitizers within the Compositae family.
  • To discuss diagnostic methods and therapeutic approaches, including immunotherapy.

Summary:

  • Compositae allergy is prevalent in Europe, particularly among middle-aged and elderly individuals, affecting 0.7-1.4% of the general population and up to 4.5% of occupationally exposed individuals.
  • Key sensitizers include Chrysanthemum (60%), lettuce (20-30%), feverfew (70-90%), tansy (54%), and dandelion (65%), with sesquiterpene lactones being the primary allergens.
  • Photosensitivity occurs in 22-75% of affected individuals, and clinical manifestations range from generalized eczema to localized hand or facial eczema.

Impact:

  • Understanding Compositae dermatitis is crucial for managing allergic contact reactions to common plants.
  • Accurate diagnosis through patch testing with specific Compositae extracts and sesquiterpene lactone mixes is essential.
  • Specific allergen-immunotherapy is the recommended treatment, offering a targeted approach for affected patients.

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