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Pediatric contact dermatitis: what's new

Idy Tam1,2, JiaDe Yu2,3

  • 1Tufts University School of Medicine.

Current Opinion in Pediatrics
|July 4, 2020
PubMed

Insights

Allergic contact dermatitis (ACD) is increasingly common in children, often requiring patch testing for diagnosis. Management focuses on identifying and avoiding specific allergens like nickel and fragrances.

Area of Science:

  • Pediatric Dermatology
  • Allergy and Immunology

Background:

  • Allergic contact dermatitis (ACD) is increasingly recognized in children, contrary to previous beliefs of its rarity.
  • Factors such as changing trends in toys, hobbies, and personal care products may contribute to rising ACD prevalence in pediatric populations.

Purpose of the Study:

  • To review the current understanding of allergic contact dermatitis (ACD) in children.
  • To highlight diagnostic approaches and common allergens implicated in pediatric ACD.

Main Methods:

  • Review of recent studies and patch testing data in pediatric populations.
  • Discussion of clinical features differentiating ACD from atopic dermatitis.
  • Reference to the 2018 expert consensus-derived pediatric baseline series for patch testing.

Main Results:

  • Nickel, cobalt, neomycin, balsam of Peru, fragrance mixes I and II, methylisothiazolinone, formaldehyde, and lanolin are frequently identified allergens in children with ACD.
  • Patch testing is becoming more common for diagnosing ACD in children.
  • ACD can coexist with atopic dermatitis, necessitating careful clinical evaluation.

Conclusions:

  • Allergic contact dermatitis (ACD) is a significant and growing concern in pediatric dermatology.
  • Accurate diagnosis via patch testing and diligent allergen avoidance are crucial for managing pediatric ACD.
  • Understanding common pediatric allergens is key to effective prevention and treatment strategies.
Abstract

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