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[Contact allergies in the elderly].

V Mahler1

  • 1Hautklinik Universitätsklinikum Erlangen, Ulmenweg 18, 91054, Erlangen, Deutschland. vera.mahler@uk-erlangen.de.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|August 20, 2015
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Summary
This summary is machine-generated.

Older adults show distinct contact allergen profiles, with higher rates of fragrance mix and Balsam of Peru sensitization. Leg dermatitis is also more common in this age group.

Keywords:
ComorbidityContact allergensContact sensitizationDermatitisIngredients of ointment

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Area of Science:

  • Dermatology
  • Allergology
  • Epidemiology

Context:

  • The aging population presents unique dermatological challenges.
  • Lifelong exposures and comorbidities influence sensitization in seniors.
  • Analysis of the IVDK cohort (2009-2013, N=14,841) compared allergen profiles in individuals >65 years vs. ≤65 years.

Purpose:

  • To identify differences in contact allergen sensitization profiles between older adults (>65 years) and younger individuals (≤65 years).
  • To investigate the impact of comorbidities like leg dermatitis on allergen sensitization in seniors.

Summary:

  • Top allergens in seniors (>65) include fragrance mix, Balsam of Peru, nickel sulfate, fragrance mix II, colophony, propolis, MCI/MI, lanolin alcohol, Amerchol L 101, and tert-butylhydroquinone.
  • Sensitization to nickel was less frequent in seniors, while fragrance mix and Balsam of Peru were more frequent compared to younger individuals.
  • Leg dermatitis affected 25.9% of seniors vs. 5.8% of younger individuals. Specific sensitivities to topical ointment ingredients (lanolin alcohol, Amerchol L 101, tert-butylhydroquinone) differed in seniors with leg-related comorbidities.

Impact:

  • Findings highlight the need for tailored patch testing strategies in older adults, particularly those with leg dermatitis.
  • Results inform clinical practice regarding common allergens and comorbidities in geriatric dermatology.
  • Understanding age-related sensitization patterns can improve diagnosis and management of allergic contact dermatitis in the elderly.