Age-related differences in patch testing results among children: Analysis of North American Contact Dermatitis Group Data, 2001-2018

被引：16

作者：

Silverberg, Jonathan, I ^{[1
,2
]}

Hou, Alexander ^{[2
]}

Warshaw, Erin M. ^{[3
,4
,5
]}

DeKoven, Joel G. ^{[6
]}

Maibach, Howard, I ^{[7
]}

Belsito, Donald, V ^{[8
]}

Zug, Kathryn A. ^{[9
]}

Taylor, James S. ^{[10
]}

Sasseville, Denis ^{[11
]}

Dunnick, Cory A. ^{[12
]}

Houle, Marie-Claude ^{[13
]}

Atwater, Amber R. ^{[14
]}

Reeder, Margo J. ^{[15
]}

DeLeo, Vincent A. ^{[16
]}

Pratt, Melanie D. ^{[17
]}

Fowler, Joseph F., Jr. ^{[18
]}

Zirwas, Matthew J. ^{[19
]}

Marks, James G., Jr. ^{[20
]}

机构：

[1] George Washington Univ, Sch Med, Dept Dermatol, 2150 Penn Ave,Suite 2B-425, Washington, DC 20037 USA

[2] Northwestern Univ, Feinberg Sch Med, Dept Dermatol, Chicago, IL USA

[3] Pk Nicollet Hlth Serv, Dept Dermatol, Minneapolis, MN USA

[4] Univ Minnesota, Dept Dermatol, Minneapolis, MN 55455 USA

[5] Minneapolis Vet Affairs Med Ctr, Dept Dermatol, Minneapolis, MN USA

[6] Univ Toronto, Sunnybrook Hlth Sci Ctr, Div Dermatol, Toronto, ON, Canada

[7] Univ Calif San Francisco, Dept Dermatol, San Francisco, CA 94143 USA

[8] Columbia Univ, Irving Med Ctr, Dept Dermatol, New York, NY 10027 USA

[9] Dartmouth Hitchcock Med Ctr, Dept Dermatol, Lebanon, NH 03766 USA

[10] Cleveland Clin, Dept Dermatol, Cleveland, OH 44106 USA

[11] McGill Univ, Montreal Gen Hosp, Div Dermatol, Montreal, PQ, Canada

[12] Univ Colorado, Dept Dermatol, Aurora, CO USA

[13] Laval Univ, Ctr Hosp Univ Quebec, Div Dermatol, Quebec City, PQ, Canada

[14] Duke Univ, Med Ctr, Dept Dermatol, Durham, NC USA

[15] Univ Wisconsin, Sch Med & Publ Hlth, Dept Dermatol, Madison, WI USA

[16] Keck Sch Med, Dept Dermatol, Los Angeles, CA USA

[17] Univ Ottawa, Div Dermatol, Ottawa, ON, Canada

[18] Univ Louisville, Div Dermatol, Louisville, KY 40292 USA

[19] Ohio State Univ, Dept Dermatol, Columbus, OH 43210 USA

[20] Penn State Univ, Dept Dermatol, Hershey, PA USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY | 2022年 / 86卷 / 04期

关键词：

adolescent; allergic contact dermatitis; children; dermatitis; epidemiology; health; itch; patch test; pruritus; rash; NICKEL ALLERGY; POPULATION; EXPOSURE; METHYLISOTHIAZOLINONE; PREVALENCE; LINALOOL;

D O I：

10.1016/j.jaad.2021.07.030

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Background: An updated understanding of allergic contact dermatitis is needed, particularly in children. Objectives: To compare positive and clinically relevant reactions in children versus adults referred for patch testing. Methods: Retrospective analysis of 1871 children and 41,699 adults from the North American Contact Dermatitis Group (NACDG) from 2001-2018. Results: Both final diagnosis of allergic contact dermatitis (55.2% versus 57.3%; chi square, P = .0716) and prevalence of >= 1 currently relevant reaction to a NACDG screening allergen (49.2% vs 52.2%; P = .1178) were similar between children and adults. Currently in children, the most common relevant allergens were nickel sulfate (17.3%), hydroperoxides of linalool (7.8%), methylisothiazolinone (7.7%), cobalt chloride (7.0%), and fragrance mix I (4.9%). Approximately a fifth of children had a positive reaction to a non-NACDG allergen. Conclusion: Over half of children referred for patch testing were diagnosed with allergic contact dermatitis. The most common relevant allergens in children were nickel sulfate, cobalt chloride, and hydroperoxides of linalool. Twenty percent of children had at least 1 positive reaction to allergens/substances not on the NACDG screening series, underscoring the need for comprehensive testing.

引用

页码：818 / 826

页数：9