The relationship between atopic dermatitis and contact dermatitis

Skin symptoms and work‐related skin symptoms among grape farmers in Crete, Greece

“…It is difficult to distinguish whether the atopic subjects in the study, who reported a history of rash, were suffering from an exacerbation of atopic dermatitis, or rather, were suffering from a concomitant allergic or irritant contact dermatitis. This is a common problem even for clinicians, since both allergic or irritant contact dermatitis can be quite common in atopic dermatitis [Akhavan and Cohen, 2003]. Clinical evaluation with focus on the distribution areas of the rash, along with patch testing for specific chemicals could contribute to differentiating between these three eczematous skin disorders.…”

Allergic Contact Dermatitis in Children

“…Some authors have indicated that ACD is less prevalent in patients with AD (Uhr, 1960;Rystedt, 1985;De Groot, 1990;Katsarou et al, 1996;Stables et al, 1996;Brasch & Geier, 1997). Several authors were unable to detect differences between atopic and nonatopic subjects in this regard (Marghescu, 1985;Pambor et al, 1991;Goossens et al, 1995;Akhavan & Cohen, 2003;Beattie et al, 2007;Milingou et al, 2010). Against this others have even found a greater prevalence of ACD in patients with AD (De la Cuadra et al, 1990;Lammintausta et al, 1992;Dotterund & Falk, 1995;Lugovic & Lipozencic, 1997;Giordano-Labadie et al, 1999;Clayton et al, 2006).…”

Flexural Eczema Versus Atopic Dermatitis

“…Paradoxically, treatment protocols for atopic dermatitis often call for large amounts of topical drugs and emollients, which involve complex formulas with a range of chemicals, preservatives, and even fragrances, which may be among the leading causes for higher allergic contact dermatitis rates in this group. 48 Almost half of all children with chronic recurrent eczema, who gave affirmative answers to the eczema module in the ISAAC questionnaire and had positive prick test (confirmed atopy), were found to have a reaction to at least 1 hapten on the European Baseline Patch Test Series. 49 A detailed examination of these children revealed that 1 in 3 (and 1 in 2 adolescents) was ultimately diagnosed with allergic contact dermatitis.…”