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Journal Information
Vol. 47. Issue 1.
Pages 47-51 (January - February 2019)
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Vol. 47. Issue 1.
Pages 47-51 (January - February 2019)
Original Article
DOI: 10.1016/j.aller.2018.06.002
Contact sensitization in children with atopic dermatitis
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D. Ozcekera,1,
Corresponding author
denizozceker@gmail.com

Corresponding author.
, F. Haslakb,1, F. Dilekc,1, S. Sipahid,1, E. Yucela,1, N. Gulerd,1, Z. Tamayd,1
a Saglik Bilimleri University, Okmeydani Education and Resarch Hospital, Department of Pediatric, Allergy and Immunolgy, Istanbul, Turkey
b Istanbul University, Istanbul Medical Faculty, Department of Pediatric, Istanbul, Turkey
c Bezmi Alem University, Medical Faculty, Department of Pediatric Allergy and Immunolgy, Istanbul, Turkey
d Istanbul University, Istanbul Medical Faculty, Department of Pediatric Allergy and Immunolgy, Istanbul, Turkey
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Tables (4)
Table 1. Demographic, clinical and laboratory features of the patients with atopic dermatitis.
Table 2. Cosmetic and european standard patch test results of the patients with atopic dermatitis.
Table 3. Association of some risk factors with sensitization to cosmetic and european standard patch test series.
Table 4. Evaluation of patch test results in atopic and non-atopic patients.
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Abstract
Background

Atopic dermatitis is a common illness in childhood. Children with atopic dermatitis are prone to develop cutaneous sensitization due to skin barrier dysfunction.

Aim

The aim of this study was to evaluate the frequency of cutaneous sensitizations in patients with atopic dermatitis and to identify the most frequent causative allergens.

Study design

The study group consisted of 112 children with atopic dermatitis, aged 1–18 years (median 88.5 months) and 39 healthy controls, aged 1–8 years (median 88.48 months).

Methods

The diagnosis of atopic dermatitis was established by modified Hanifin and Rajka criteria; severity of the disease was assessed by scoring of atopic dermatitis. Serum blood eosinophil count, total IgE and skin prick tests for common aeroallergens and food allergens were performed. Patch tests with cosmetic series and European standard patch test series (Stallegenes© Ltd, Paris, France) were applied.

Results

Of the children with atopic dermatitis, 17% (n=19) were sensitized to either cosmetic or standard series or both of them; no children in the control group had a positive patch test (p=0.001). Atopy and severity of atopic dermatitis was not a significant risk factor for cutaneous sensitization. The most common allergens were Nickel sulphate and Methychloroisothiazinolone (4.5% and 4.5%) in the European standard patch test and cocamidoproplybetaine (12.5%) in the cosmetic series patch test.

Conclusion

Cutaneous sensitization can develop in children with atopic dermatitis, therefore allergic contact dermatitis should be kept in mind.

Keywords:
Dermatitis
Atopic
Dermatitis
Allergic contact
Nickel
Patch tests

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