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Related Experiment Video

Updated: May 30, 2026

Resolving Water, Proteins, and Lipids from In Vivo Confocal Raman Spectra of Stratum Corneum through a Chemometric Approach
09:32

Resolving Water, Proteins, and Lipids from In Vivo Confocal Raman Spectra of Stratum Corneum through a Chemometric Approach

Published on: September 26, 2019

Sole dermatitis in children: patch testing revisited.

Mark I Darling1, Helen M Horn, Sally K A McCormack

  • 1Department of Dermatology, Royal Infirmary of Edinburgh, Edinburgh, UK. Mark.darling@nhs.net

Pediatric Dermatology
|August 23, 2011
PubMed
Summary
This summary is machine-generated.

Patch testing is crucial for diagnosing sole dermatoses in children, even those with a history of atopy or juvenile plantar dermatosis (JPD). This approach helps identify allergic contact dermatitis, improving diagnosis and management.

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Area of Science:

  • Pediatric Dermatology
  • Allergic Contact Dermatitis
  • Patch Testing

Background:

  • Dermatoses of the soles in children are common in clinics.
  • The link between sole dermatoses and allergic contact dermatitis is not well-established.
  • Juvenile plantar dermatosis (JPD) is a common condition affecting children's soles.

Purpose of the Study:

  • To evaluate the diagnostic relevance of patch testing in children presenting with sole dermatoses.
  • To identify common allergens responsible for allergic contact dermatitis on the soles in pediatric patients.
  • To assess the utility of patch testing in children with inflammatory sole dermatitis and JPD.

Main Methods:

  • Retrospective review of patch test results from children (<18 years) with sole dermatoses.
  • Data collected from a departmental patch test database between 1997 and 2009.
  • Analysis of 41 children: 27 with inflammatory sole dermatitis and 14 with JPD.

Main Results:

  • 17 out of 41 children (41%) showed at least one clinically relevant positive patch test reaction.
  • Rubber additives and potassium dichromate were the most frequent allergens identified.
  • Relevant reactions were observed in 48% of children with inflammatory sole dermatitis and 29% with JPD.
  • 76% of children with relevant reactions had a personal or family history of atopy.

Conclusions:

  • Patch testing is important for children with sole dermatoses, including those with JPD or a history of atopy.
  • Allergic contact dermatitis should be considered in the differential diagnosis of sole dermatoses in children.
  • Identifying specific allergens like rubber additives and potassium dichromate can guide treatment.