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Pediatric Allergic Contact Dermatitis

Christen Brown1, JiaDe Yu2

  • 1Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.

Immunology and Allergy Clinics of North America
|July 6, 2021
PubMed

Insights

Allergic contact dermatitis (ACD) affects many children, yet they are rarely patch tested. This review covers pediatric ACD diagnosis, common allergens, and avoidance strategies for better management.

Area of Science:

  • Dermatology
  • Pediatric Allergy
  • Contact Dermatitis

Background:

  • Allergic contact dermatitis (ACD) impacts up to 20% of both adults and children.
  • Prevalence of ACD is similar in children and adults, irrespective of atopic dermatitis.
  • Pediatric patch testing is currently underutilized despite comparable ACD prevalence.

Purpose of the Study:

  • To examine current patch testing methods for diagnosing pediatric allergic contact dermatitis.
  • To review updated data on the prevalence and common allergens associated with pediatric ACD.
  • To discuss effective avoidance strategies for children diagnosed with ACD.

Main Methods:

  • Review of current literature and expert consensus on patch testing techniques.
  • Analysis of recent data regarding pediatric allergic contact dermatitis prevalence.
  • Identification and discussion of prevalent allergens in the pediatric population.
  • Examination of avoidance strategies for identified allergens.

Main Results:

  • Patch testing remains the gold standard for ACD evaluation.
  • A new Pediatric Baseline Series has been established for improved pediatric patch testing.
  • Data indicate similar ACD prevalence across age groups and in those with/without atopic dermatitis.

Conclusions:

  • Increased utilization of patch testing is recommended for pediatric ACD diagnosis.
  • The Pediatric Baseline Series aids in standardized and effective pediatric patch testing.
  • Understanding common allergens and implementing avoidance strategies are crucial for managing pediatric ACD.

Keywords:
AllergyAtopic dermatitisContact dermatitisPatch testingPediatric allergic contact dermatitisPediatric allergy

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