Prevalence of allergic contact dermatitis in children with and without atopic dermatitis: A multicenter retrospective case-control study

Johnson, Hadley; Aquino, Marcella R.; Snyder, Alan; Collis, Reid W.; Franca, Katlein; Goldenberg, Alina; Sui, Jennifer Y.; Eichenfield, Dawn Z.; Kozy, Brittany J.; Chen, Jennifer K.; Shope, Chelsea; Goldminz, Ari M.; Yu, JiaDe

doi:10.1016/j.jaad.2023.06.048

Cited by 6 publications

(1 citation statement)

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“…Recent epidemiological, immunological, and clinical data have demonstrated that ACD and AD may coexist, with AD patients being more prone to ACD due to a disturbed barrier function and a greater tendency to use a wide variety of allergen‐containing topical ointments 2,11–13 . As such, Herro et al 14 .…”

Section: Discussionmentioning

confidence: 99%

Exploring the relationship between allergic contact dermatitis and atopic dermatitis in children: insights from a retrospective patch testing analysis

Andre,

Usher,

Ofri

et al. 2024

Int J Dermatology

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BackgroundRecent years have seen significant exploration into the potential link between allergic contact dermatitis and atopic dermatitis, yielding contradictory findings.MethodsA retrospective cohort analysis of children aged 2 to 18 who underwent patch testing at the pediatric dermatology clinic at a tertiary medical center in Israel was conducted.ResultsOverall, 367 patients were included in the study, 31.6% of whom were diagnosed with atopic dermatitis. 160 children (43.6%) exhibited a positive reaction to at least one compound in the European baseline series. There was no statistically significant difference in reactivity between children with atopic dermatitis and those without (P = 0.848). Sub‐analyses based on ethnicity, gender, and age did not reveal significant differences in overall European baseline series reactivity (P = 0.612, P = 0.446, P = 0.488, respectively). Sensitivity was notably higher when patch readings were conducted 72 h after application compared to 48 h [0.95 (CI: 0.91–0.97) vs. 0.60 (CI: 0.55–0.66)].ConclusionsPatch testing is imperative for suspected cases of allergic contact dermatitis in all children, regardless of their atopic background. Further research is warranted to potentially replace the traditional 48‐h reading with a single 72‐h reading in future guidelines, contributing to enhanced efficiency and cost‐effectiveness in clinical practice.

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Section: Discussionmentioning

confidence: 99%