Details

Autor(en) / Beteiligte

• Belloni Fortina, Anna, MD
• Romano, Ilaria, MD, PhD
• Peserico, Andrea, MD
• Eichenfield, Lawrence F., MD

Titel

Contact sensitization in very young children

Ist Teil von

• Journal of the American Academy of Dermatology, 2011-10, Vol.65 (4), p.772-779

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2011

Quelle

ScienceDirect Pay Per View(PPV) Titles

Beschreibungen/Notizen

• Background Allergic contact dermatitis is an increasingly recognized clinical problem in children. Objective The aim of our study was to evaluate contact sensitization in patients younger than 3 years of age with suspected contact dermatitis. Methods During a 6-year period (2002-2008), 321 children underwent routine patch testing with a screening pediatric standard series of 30 allergens. Results Two hundred children (62.3%; 102 girls and 98 boys aged 3-36 months [mean age 27 + 5.6 months]) developed at least one positive reaction. The most frequent reactions were to nickel sulfate (26.8%), followed by potassium dichromate (9%), cocamidopropylbetaine (7.2%), cobalt chloride (6.2%), neomycin sulfate (5%), and methylchloroisothiazolinone/methylisothiazolinone (4.4%). The prevalence of contact sensitization was similar in children with (61.3%) and without (63%) atopic dermatitis. Limitations The prevalence of contact sensitization in children younger than 3 years of age was not compared with the prevalence in older children. Conclusion A high prevalence of contact sensitization was found in preschool children, even younger than 3 years of age. Patch testing should be considered in this age group when persistent dermatitis does not respond to conventional treatment.