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Contact Dermatitis in Atopic Dermatitis Children-Past, Present, and Future
Jenna Borok1, Catalina Matiz2, Alina Goldenberg3
1The Mount Sinai Hospital, New York, NY, 10029, USA.
Clinical Reviews in Allergy & Immunology
|September 19, 2018
Summary
Allergic contact dermatitis (ACD) is increasingly diagnosed in children. Patch testing is a safe and effective diagnostic tool for pediatric ACD, especially for those with atopic dermatitis (AD).
Area of Science:
- Pediatric Dermatology
- Allergology
- Immunology
Background:
- Allergic contact dermatitis (ACD) was once rare in children but now affects millions, prompting increased research.
- Atopic dermatitis (AD) patients show similar allergen sensitization rates to ACD patients, potentially influenced by an inflammatory (IL-4) environment.
Purpose of the Study:
- To highlight the rising incidence of pediatric allergic contact dermatitis.
- To emphasize the safety and efficacy of patch testing in diagnosing ACD in children.
- To outline key considerations for patch testing assessment in pediatric cases.
Main Methods:
- Review of current research on pediatric allergic contact dermatitis.
- Analysis of patch testing safety and effectiveness in children.
- Identification of specific clinical scenarios warranting patch testing in pediatric patients.
Main Results:
- Patch testing is confirmed as safe and effective for diagnosing ACD in children.
- Children with atopic dermatitis (AD) exhibit comparable sensitization rates to ACD patients.
- Specific clinical indicators and patient profiles necessitate careful patch testing evaluation in pediatric ACD.
Conclusions:
- Pediatric allergic contact dermatitis (ACD) is a growing concern requiring accurate diagnostic methods.
- Patch testing is a valuable tool for identifying allergens in children with ACD, including those with atopic dermatitis (AD).
- Established guidelines aid in the appropriate application and interpretation of patch testing in complex pediatric cases.
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