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Contact dermatitis in children
A Sevila1, C Romaguera, J Vilaplana
1Department of Dermatology, Hospital General de Alicante, Spain.
Insights
A 10-year study found that 37.1% of children patch tested had allergic reactions. Nickel and rubber compounds were the most common allergens in pediatric patients.
Area of Science:
- Pediatric Dermatology
- Allergology
Background:
- Allergic contact dermatitis is a significant health concern in children.
- Identifying common allergens is crucial for effective management and prevention.
Purpose of the Study:
- To analyze the prevalence and types of allergens causing positive patch test reactions in children.
- To determine the relevance of identified allergens in pediatric cases.
Main Methods:
- Patch testing was conducted on 272 children aged 14 years and under.
- Data collected over a 10-year period (1982-1991) were analyzed.
- Positive reactions were assessed for clinical relevance.
Main Results:
- 101 out of 272 children (37.1%) exhibited positive patch test reactions.
- Relevant allergic reactions were observed in 54.4% (57/101) of those with positive tests.
- The most frequent allergens identified were nickel, rubber compounds, mercuric chloride, cobalt salts, thimerosal, benzoyl peroxide, and fragrance mix.
Conclusions:
- Nickel and rubber compounds are the leading causes of allergic contact dermatitis in children.
- Routine patch testing is valuable for diagnosing relevant allergens in pediatric populations.
- Awareness of common pediatric allergens can guide preventative strategies.
Abstract:
272 children up to the age of 14 years were patch tested during a 10-year period (1982-1991). 101 children (37.1%) gave positive reactions to 1 or more allergens. Of these, 54.4% (57/101), were considered relevant. The main allergens were, in order of frequency: nickel, rubber compounds, mercuric chloride, cobalt salts, thimerosal, benzoyl peroxide and fragrance mix.
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