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Pediatr Allergy Immunol. 2015 Nov;26(7):598-606. doi: 10.1111/pai.12463.

EAACI position paper for practical patch testing in allergic contact dermatitis in children.

Author information

1
Department of Dermatology, Sint Franciscus Vlietland Group, Vlietland Hospital, Rotterdam/Schiedam, The Netherlands.
2
Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Technische Universität München, München, Germany.
3
Department of Dermatology & Allergy Center, Odense University Hospital, Odense, Denmark.
4
Department of Dermatology & Allergy, Hillingdon Hospitals NHS Foundation Trust, Uxbridge (London), UK.
5
Department of Dermatology and Allergy, Allergy-Center Charité, Charité - Universitätsmedizin Berlin, Berlin, Germany.
6
Department of Pediatrics, Padua General University Hospital, Padua, Italy.
7
Allergy Unit, Department of Dermatology, University of Zürich, Zürich, Switzerland.
8
Department of Dermatology, Universitat Internacional de Catalunya, Barcelona, Spain.
9
Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, Krakow, Poland.
10
Clinic of Children's Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
11
Department of Paediatric Allergy & Dermatology, St John's Institute of Dermatology, St Thomas' Hospital & King's College London, London, UK.
12
Department of Pediatrics, Odense University Hospital, Odense, Denmark.
13
Department of Pediatrics - Chief Division of Allergy, Pediatric Hospital Bambino Gesu, Roma, Vatican City, Italy.
14
Department of Allergology/Immunology, CUF Descobertas Hospital, Lisbon and NOVA Medical School, Lisbon, Portugal.
15
Department of Dermatology, Dermicis Skin Hospital, Alkmaar, Foundation Pediatric Dermatology, Rotterdam, The Netherlands.

Abstract

INTRODUCTION:

Allergic contact dermatitis (ACD) in children appears to be on the increase, and contact sensitization may already begin in infancy. The diagnosis of contact dermatitis requires a careful evaluation of a patient's clinical history, physical examination, and skin testing. Patch testing is the gold standard diagnostic test.

METHODS:

Based on consensus, the EAACI Task Force on Allergic Contact Dermatitis in Children produced this document to provide details on clinical aspects, the standardization of patch test methodology, and suggestions for future research in the field.

RESULTS:

We provide a baseline list of test allergens to be tested in children with suspected ACD. Additional tests should be performed only on specific indications.

KEYWORDS:

allergic contact dermatitis; children; contact allergens; contact dermatitis; cutaneous allergy; irritant dermatitis; patch tests; practical guidelines

PMID:
26287570
DOI:
10.1111/pai.12463
[Indexed for MEDLINE]

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