Allergic contact dermatitis in children: common allergens and treatment: a review
Authors:
- Mohamed L ElsaieMEMohamed L Elsaie
- Sharon E JacobSJSharon E Jacob
- 1 August 2009
- journal article
- review article
- Published by Wolters Kluwer Health in Current Opinion in Pediatrics
- Vol. 21 (4) , 491-498
Abstract
The following study reviews the recent literature pertaining to allergic contact dermatitis (ACD) in the pediatric population. This study also provides an overview of the most common allergens and discusses various therapeutic modalities. The pathophysiology of ACD is intricate and multifaceted, resulting in a characteristic, delayed inflammatory response. Although commonly recognized in adults, its existence in the pediatric population was questioned. Recent literature suggests that pediatric ACD exists and is more common than previously recognized. The diagnosis relies on the clinical presentation combined with appropriate use and interpretation of a patch test. Although many studies have investigated ACD in children, few have documented the relevance of positive patch test reactions until recently. The most current prevalence estimates of positive patch test reactions range from 14 to 70% of children patch tested. Although that range is broad, these studies have demonstrated the relevance of positive reactions and confirmed ACD as a disease entity in children. ACD is a previously underrecognized disease process in the pediatric population that can manifest as a serious dermatologic challenge for both patients and physicians. This review will address the prevalence, diagnostic methods, frequent allergens and treatment options in pediatric ACD.Keywords
This publication has 88 references indexed in Scilit:
- Prevalence of patch test results from 1970 to 2002 in a multi‐centre population in North America (NACDG)Contact Dermatitis, 2007
- Shoe Allergens: Retrospective Analysis of Cross-Sectional Data from the North American Contact Dermatitis Group, 2001-2004Dermatitis®, 2007
- Cellular phone addiction and allergic contact dermatitis to nickelContact Dermatitis, 2007
- Results of patch testing to a corticosteroid series: A retrospective review of 1188 patients during 6 years at Mayo ClinicJournal of the American Academy of Dermatology, 2007
- Mobile telephone as new source for nickel dermatitisContact Dermatitis, 2007
- A prospective randomized clinical trial of 0.1% tacrolimus ointment in a model of chronic allergic contact dermatitisJournal of the American Academy of Dermatology, 2006
- Corticosteroid classes: A quick reference guide including patch test substances and cross-reactivityJournal of the American Academy of Dermatology, 2006
- CorticosteroidsDermatitis®, 2005
- Allergic Contact Dermatitis from CosmeticsDermatology, 2002
- Nickel Contact Hypersensitivity in ChildrenPediatric Dermatology, 2002