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Contact hypersensitivity in adolescents.

Eszter Barbara Pap1, Erzsébet Temesvári2, Ilona Németh2

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Area of Science:

  • Dermatology
  • Allergology
  • Pediatric Health

Background:

  • Contact hypersensitivity is prevalent in adolescents, yet literature data is scarce.
  • Adolescents frequently use cosmetics, wear jewelry, and get tattoos, increasing allergen exposure.
  • Limited understanding of adolescent-specific contact hypersensitivity patterns exists.

Purpose of the Study:

  • To investigate the frequency and common allergens associated with contact hypersensitivity in adolescents.
  • To provide data on adolescent patch testing outcomes.
  • To identify specific allergen patterns in adolescent males and females, and those with atopic dermatitis.

Main Methods:

  • A retrospective, noninterventional cohort study.
  • 100 adolescents (aged 13-18) underwent consecutive patch testing.
  • Data collected on patient demographics, allergens, reaction times, and lesion locations.

Main Results:

  • 51% of adolescents tested positive for contact hypersensitivity.
  • Nickel, thimerosal, para-phenylenediamine, cobalt, and fragrance mix I were the most frequent allergens.
  • Delayed reactions (day 7) were noted in 13%; hands and face were commonly affected.
  • Adolescents with atopic dermatitis showed high rates of contact hypersensitivity, often linked to skincare ingredients.

Conclusions:

  • Contact hypersensitivity is common in adolescents, necessitating awareness and diagnostic evaluation.
  • Patch testing, including a 7-day evaluation, is advised for therapy-resistant facial and hand lesions.
  • This study offers crucial insights into adolescent contact hypersensitivity in Hungary, highlighting metals, fragrances, and skincare products as key allergens.