Current Strategies in Treating Severe Contact Dermatitis in Pediatric Patients

Allergic contact dermatitis in children is underdiagnosed and undertreated, and its incidence is increasing. Appropriate history taking and the suspicion for allergic contact dermatitis is essential, and patch testing remains the gold standard in diagnosis. Avoidance of the offending allergen, once...

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Bibliographic Details
Published in:Current allergy and asthma reports 2012-12, Vol.12 (6), p.599-606
Main Authors: Fonacier, Luz S., Aquino, Marcella R., Mucci, Tania
Format: Article
Language:English
Subjects:
Adrenal Cortex Hormones - therapeutic use
Allergens - adverse effects
Allergens - classification
Allergology
Child
Cosmetics - adverse effects
Dermatitis, Atopic - diagnosis
Dermatitis, Atopic - therapy
Dermatitis, Contact - diagnosis
Dermatitis, Contact - etiology
Dermatitis, Contact - therapy
Diagnosis, Differential
Food Hypersensitivity - complications
Glucocorticoids - therapeutic use
Humans
Medicine
Medicine & Public Health
Nickel - adverse effects
Pediatric Allergy and Immunology (JM Portnoy and CE Ciaccio
Physical Examination
Preservatives, Pharmaceutical - adverse effects
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Summary:Allergic contact dermatitis in children is underdiagnosed and undertreated, and its incidence is increasing. Appropriate history taking and the suspicion for allergic contact dermatitis is essential, and patch testing remains the gold standard in diagnosis. Avoidance of the offending allergen, once identified, is the first goal of treatment. Medical therapies include topical corticosteroid and topical immunomodulators. In severe cases, oral corticosteroids or immunomodulators are utilized, although prospective randomized trials for the treatment of this disease in children are lacking. A PubMed literature search was performed to identify publications on allergic contact dermatitis in the pediatric population with the keywords: dermatitis, children, allergic contact dermatitis, pediatrics, contact hypersensitivity, contact allergy, treatment, and management. This review will address the major principles behind the diagnosis and management of this disease in the pediatric population, and highlight useful strategies that may result in improved treatment of this condition.
ISSN:1529-7322
1534-6315
DOI:10.1007/s11882-012-0305-0