Contact sensitization in pediatric patients with atopic dermatitis: a purpose for a new patch testing series for the Portuguese population
Jóni Costa Carvalho joniccarvalho@gmail.com1, Iolanda Alen Coutinho1, Carlos Loureiro1, Ana Catarina Cordeiro2, Leonor Ramos3, Margarida Gonçalo3,4Show more: Authors information and Publication history1Department of Allergy and Clinical Immunology, Coimbra University Hospital Center, Coimbra, Portugal
2Department of Pediatric, Coimbra University Hospital Center, Coimbra, Portugal
3Department of Dermatology, Coimbra University Hospital Center, Coimbra, Portugal
4Department of Dermatology, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
HistoryPublished: 09 June 2022
Accepted: 09 June 2022
Received: 16 May 2022
Doi10.23822/EurAnnACI.1764-1489.258Summary
Background. Atopic dermatitis is a prevalent condition in the pediatric population, with affected children exhibiting a susceptibility to cutaneous sensitization due to skin barrier dysfunction and immune dysregulation. Recent studies have highlighted an increased prevalence of certain allergens, which identification may be clinically relevant, with direct implications for the management of atopic dermatitis.
Methods. We retrospective reviewed pediatric patients patch tested due to suspected contact dermatitis. Patients were divided according the diagnosis of AD, with subsequent comparison of positive results for both groups.
Results. A total of 145 pediatric patch testing were analyzed, 44.1% (n = 63) with the diagnosis of atopic dermatitis. There were notable differences in sensitization rates of relevant allergens between groups and when compared to other European studies. Based on the most prevalent and relevant allergens, we proposed a tailored hapten series for assessing portuguese pediatric patients with AD and suspected allergic contact dermatitis.
Conclusions. Our findings confirmed the geographic sensitization variability and emphasize the need for pediatric adaptation and "individualized baseline series".
Key words
Atopic dermatitis; allergic contact dermatitis; prevalent allergens; baseline serie; pediatric patients.
Cite this article as: Costa Carvalho J, Coutinho IA, Loureiro C, Cordeiro AC, Ramos L, Gonçalo M. Contact sensitization in pediatric patients with atopic dermatitis: a purpose for a new patch testing serie for the Portuguese population. Eur Ann Allergy Clin Immunol. 2024;56(1):9-16. doi: 10.23822/EurAnnACI.1764-1489.258.
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