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Contact Dermatitis: Diagnosis and Therapy

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Textbook of Clinical Pediatrics

Introduction

The term contact dermatitis refers to a group of exogenous dermatoses commonly affecting both children and adults, with irritant contact dermatitis (ICD) representing the vast majority of cases (∼80%) and allergic contact dermatitis (ACD) accounting for the other large proportion (∼20%). The current estimate is that ACD may actually account for as much as 20% of all childhood dermatitis. Patch testing is the gold standard for diagnosing ACD and a number of studies have demonstrated that appropriate epicutaneous patch testing improves quality of life measurements by directing the avoidance of inciting allergens.

In the last decade, multiple international tertiary care centers have reported clinically relevant positive patch test (PPT) reactions being identified in a relatively significant number of pediatric patients with prevalence rates ranging from 21% to 77%. These data sets, combined, serve as a useful guide in the selection of allergens used for patch testing,...

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Jacob, S.E., Herro, E.M., Taylor, J.S. (2012). Contact Dermatitis: Diagnosis and Therapy. In: Elzouki, A.Y., Harfi, H.A., Nazer, H.M., Stapleton, F.B., Oh, W., Whitley, R.J. (eds) Textbook of Clinical Pediatrics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02202-9_144

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