Frequency of Contact Allergens in Pediatric Patients with Atopic Dermatitis
Identifieur interne : 000313 ( Pmc/Curation ); précédent : 000312; suivant : 000314Frequency of Contact Allergens in Pediatric Patients with Atopic Dermatitis
Auteurs : Elise M. Herro [États-Unis] ; Catalina Matiz [États-Unis] ; Kim Sullivan [États-Unis] ; Curt Hamann [États-Unis] ; Sharon E. Jacob [États-Unis]Source :
- The Journal of Clinical and Aesthetic Dermatology [ 1941-2789 ] ; 2011.
Abstract
Url:
PubMed: 22125658
PubMed Central: 3225137
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<author><name sortKey="Herro, Elise M" sort="Herro, Elise M" uniqKey="Herro E" first="Elise M." last="Herro">Elise M. Herro</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California, San Diego;</nlm:aff>
<country>États-Unis</country>
<placeName><settlement type="city">San Diego</settlement>
<region type="state">Californie</region>
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<wicri:orgArea>Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California</wicri:orgArea>
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<author><name sortKey="Matiz, Catalina" sort="Matiz, Catalina" uniqKey="Matiz C" first="Catalina" last="Matiz">Catalina Matiz</name>
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<author><name sortKey="Sullivan, Kim" sort="Sullivan, Kim" uniqKey="Sullivan K" first="Kim" last="Sullivan">Kim Sullivan</name>
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<author><name sortKey="Hamann, Curt" sort="Hamann, Curt" uniqKey="Hamann C" first="Curt" last="Hamann">Curt Hamann</name>
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<author><name sortKey="Jacob, Sharon E" sort="Jacob, Sharon E" uniqKey="Jacob S" first="Sharon E." last="Jacob">Sharon E. Jacob</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Frequency of Contact Allergens in Pediatric Patients with Atopic Dermatitis</title>
<author><name sortKey="Herro, Elise M" sort="Herro, Elise M" uniqKey="Herro E" first="Elise M." last="Herro">Elise M. Herro</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California, San Diego;</nlm:aff>
<country>États-Unis</country>
<placeName><settlement type="city">San Diego</settlement>
<region type="state">Californie</region>
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<wicri:orgArea>Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California</wicri:orgArea>
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<author><name sortKey="Matiz, Catalina" sort="Matiz, Catalina" uniqKey="Matiz C" first="Catalina" last="Matiz">Catalina Matiz</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California, San Diego;</nlm:aff>
<country>États-Unis</country>
<placeName><settlement type="city">San Diego</settlement>
<region type="state">Californie</region>
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<wicri:orgArea>Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California</wicri:orgArea>
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<author><name sortKey="Sullivan, Kim" sort="Sullivan, Kim" uniqKey="Sullivan K" first="Kim" last="Sullivan">Kim Sullivan</name>
<affiliation wicri:level="2"><nlm:aff id="A2">SmartPractice USA, Phoenix, Arizona</nlm:aff>
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<placeName><region type="state">Arizona</region>
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<author><name sortKey="Hamann, Curt" sort="Hamann, Curt" uniqKey="Hamann C" first="Curt" last="Hamann">Curt Hamann</name>
<affiliation wicri:level="2"><nlm:aff id="A2">SmartPractice USA, Phoenix, Arizona</nlm:aff>
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<author><name sortKey="Jacob, Sharon E" sort="Jacob, Sharon E" uniqKey="Jacob S" first="Sharon E." last="Jacob">Sharon E. Jacob</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California, San Diego;</nlm:aff>
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<series><title level="j">The Journal of Clinical and Aesthetic Dermatology</title>
<idno type="ISSN">1941-2789</idno>
<imprint><date when="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><p><bold>Objective:</bold>
The authors compared the prevalence of positive patch tests in atopic pediatric patients versus nonatopic controls and sought to determine if statistically significant allergen prevalence differences existed between the two groups. <bold>Design:</bold>
Retrospective chart review. <bold>Setting:</bold>
Rady Children's Hospital, San Diego, California. <bold>Participants:</bold>
Patients with suspected allergic contact dermatitis between the ages of 6 and 18 years who had been enrolled in the Pediatric Research Equity Act Thin-layer Rapid Use Epicutaneous Test trial. <bold>Measurements:</bold>
Statistical analysis used Z-scores to compare associations between positive reactions in atopic versus nonatopic patients and the prevalence of individual chemicals in either group. <bold>Results:</bold>
Results showed that at least one allergen reaction was noted in 78 percent (n=79) of the patients, 89 percent (n=48) in atopic patients, and 66 percent (n= 31) in the nonatopic patients (Z-score 2.78). Eczema area and severity index scores ranged from 0 to 41.75. Eczema area and severity index scores greater than 10 correlated with a higher probability of more than three positive patch tests (Z-score [-]3.28). Statistically significant differences were also observed between atopic and nonatopic patients in regards to contact allergens, with 20 percent (n=11) of atopic patients exhibiting positive patch tests to <italic>Myroxylon pereirae</italic>
and 19 percent (n=10) of those with atopic dermatitis having reactions to fragrance mix. <bold>Conclusion:</bold>
The authors concur with prior studies that performing systematic patch testing is indicated in children with moderate-to-severe atopic dermatitis, given the high rate of contact allergy in the atopic group, especially those with eczema area and severity index scores greater than 10. Furthermore, prevention through exposure avoidance to the most frequent contact allergens, especially fragrances in patients with atopic dermatitis, is recommended.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Aesthet Dermatol</journal-id>
<journal-id journal-id-type="publisher-id">JCAD</journal-id>
<journal-title-group><journal-title>The Journal of Clinical and Aesthetic Dermatology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1941-2789</issn>
<publisher><publisher-name>Matrix Medical Communications</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22125658</article-id>
<article-id pub-id-type="pmc">3225137</article-id>
<article-id pub-id-type="other">jcad_4_11_39</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Frequency of Contact Allergens in Pediatric Patients with Atopic Dermatitis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Herro</surname>
<given-names>Elise M.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Matiz</surname>
<given-names>Catalina</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sullivan</surname>
<given-names>Kim</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hamann</surname>
<given-names>Curt</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Jacob</surname>
<given-names>Sharon E.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<aff id="A1"><label>a</label>
Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, University of California, San Diego;</aff>
<aff id="A2"><label>b</label>
SmartPractice USA, Phoenix, Arizona</aff>
</contrib-group>
<author-notes><corresp><bold>ADDRESS CORRESPONDENCE TO:</bold>
Sharon E. Jacob, MD, Associate Professor of Medicine and Pediatrics (Dermatology-WOS), University of California, San Diego—Rady Children's Hospital, 8010 Frost Street, Suite 602, San Diego, CA 92123; E-mail: <email>sjacob@contactderm.net</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2011</year>
</pub-date>
<volume>4</volume>
<issue>11</issue>
<fpage>39</fpage>
<lpage>41</lpage>
<abstract><p><bold>Objective:</bold>
The authors compared the prevalence of positive patch tests in atopic pediatric patients versus nonatopic controls and sought to determine if statistically significant allergen prevalence differences existed between the two groups. <bold>Design:</bold>
Retrospective chart review. <bold>Setting:</bold>
Rady Children's Hospital, San Diego, California. <bold>Participants:</bold>
Patients with suspected allergic contact dermatitis between the ages of 6 and 18 years who had been enrolled in the Pediatric Research Equity Act Thin-layer Rapid Use Epicutaneous Test trial. <bold>Measurements:</bold>
Statistical analysis used Z-scores to compare associations between positive reactions in atopic versus nonatopic patients and the prevalence of individual chemicals in either group. <bold>Results:</bold>
Results showed that at least one allergen reaction was noted in 78 percent (n=79) of the patients, 89 percent (n=48) in atopic patients, and 66 percent (n= 31) in the nonatopic patients (Z-score 2.78). Eczema area and severity index scores ranged from 0 to 41.75. Eczema area and severity index scores greater than 10 correlated with a higher probability of more than three positive patch tests (Z-score [-]3.28). Statistically significant differences were also observed between atopic and nonatopic patients in regards to contact allergens, with 20 percent (n=11) of atopic patients exhibiting positive patch tests to <italic>Myroxylon pereirae</italic>
and 19 percent (n=10) of those with atopic dermatitis having reactions to fragrance mix. <bold>Conclusion:</bold>
The authors concur with prior studies that performing systematic patch testing is indicated in children with moderate-to-severe atopic dermatitis, given the high rate of contact allergy in the atopic group, especially those with eczema area and severity index scores greater than 10. Furthermore, prevention through exposure avoidance to the most frequent contact allergens, especially fragrances in patients with atopic dermatitis, is recommended.</p>
</abstract>
</article-meta>
</front>
</pmc>
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