contact%20dermatitis%20(pediatric)
CONTACT DERMATITIS (PEDIATRIC)
Treatment Guideline Chart
Allergic contact dermatitis is an immunologic cell-mediated skin reaction to exposure to antigenic substances.
The lesions initially appear on the cutaneous site of principal exposure then may spread to other more distant sites due to contact or autosensitization. Lesions are typically asymmetrical and unilateral.
Specific signs and symptoms will depend on the duration, location, degree of sensitivity and concentration of allergens. The patch test shows reaction to allergen.
Irritant contact dermatitis is a non-immunologic skin reaction to skin irritants.
It is often localized to areas of thin skin eg eyelids, intertriginous areas.

Contact Dermatitis (Pediatric) References

  1. Drake LA, Dorner W, Goltz RW, et al. Guidelines of care for contact dermatitis. J Am Acad Dermatol. 1995 Jan;32(1):109-113. http://www.ncbi.nlm.nih.gov/pubmed/?term=7822498. PMID: 7822498
  2. Fyhrquist-Vanni N, Alenius H, Lauerma A. Contact dermatitis. Dermatol Clin. 2007 Oct;25(4):613-623. http://www.ncbi.nlm.nih.gov/pubmed/?term=17903620. PMID: 17903620
  3. Leung D, Schatz M. Consultation and referral guidelines citing the evidence: how the allergist-immunologist can help. J Allergy Clin Immunol. 2006 Feb;117(Suppl 2 Suppl Consultation):S495-S523. http://www.jacionline.org/article/S0091-6749(05)02579-0/pdf. PMID: 16553071
  4. Heymann WR. Hand dermatitis. J Am Acad Dermatol. 2006 Jun;54:1078-1080. http://www.jaad.org/article/S0190-9622(06)00324-0/pdf. PMID: 16713475
  5. Mark BJ, Slavin RG. Allergic contact dermatitis. Med Clin North Am. 2006 Jan;90(1):169-185. http://www.ncbi.nlm.nih.gov/pubmed/?term=Mark+BJ%2C+Slavin+RG%09Allergic+contact+dermatitis. PMID: 16310529
  6. Ong PY, Boguniewicz M. Atopic dermatitis and contact dermatitis in the emergency department. Clin Pediatr Emerg Med. 2007;8(2):81-86. http://www.clinpedemergencymed.com/article/S1522-8401(07)00023-7/pdf.
  7. Scalf L, Genebriera J, Davis MD, et al. Patients' perceptions of the usefulness and outcome of patch testing. J Am Acad Dermatol. 2007 Jun;56(6):928-932. PMID: 17239988
  8. Peralejo B, Beltrani V, Bielory L. Dermatologic and allergic conditions of the eyelid. Immunol Allergy Clin North Am. 2008 Feb;28(1):137-168. doi: 10.1016/j.iac.2007.12.004. PMID: 18282550
  9. Habif TP. Contact dermatitis and patch testing. In: Habif TP. Clinical dermatology: A color guide to diagnosis and therapy. 4th. Philadelphia, PA: Mosby, Elsevier; 2004.
  10. Schalock PC, Zug KA. Contact Dermatitis. In: Rakel RE, Bope ET. Conn's Current Therapy. 60th ed. Philadelphia: Saunders, an imprint of Elsevier; 2008
  11. Morelli JG. Eczematous disorders. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson textbook of Pediatrics. 18th ed. Philadelphia: Saunders, Elsevier; 2007
  12. Ferri FF. Dermatitis, contact. In: Ferri FF. Ferri’s clinical advisor: instant diagnosis and treatment. 1st ed. Philadelphia, PA: Mosby, Elsevier; 2008.
  13. MedWormhttp://www.medworm.com/rss/index.php/Allergy-%26-Immunology/3/http://www.medworm.com/rss/medicalfeeds/specialities/Allergy-Immunology.xml
  14. MedWorm http://www.medworm.com/rss/index.php/Dermatology/12/ http://www.medworm.com/rss/medicalfeeds/specialities/Dermatology-News.xml
  15. MedWormhttp://www.medworm.com/rss/index.php/Pediatrics/33/http://www.medworm.com/rss/medicalfeeds/specialities/Pediatrics.xml
  16. Paller AS, Mancini AJ. Eczematous eruptions in childhood. In: Paller AS, Mancini AJ. Hurwitz Clinical Pediatric Dermatology. 4th ed. Philadelphia, PA: Elsevier Inc; 2011:37-70.
  17. Tan CH, Rasool S, Johnston GA. Contact dermatitis: Allergic and irritant. Clin Dermatol. 2014 Jan;32(1):116-124. www.cidjournal.com/article/S0738-081X(13)00100-4/pdf. PMID: 24314385
  18. Usatine RP, Riojas M. Diagnosis and management of contact dermatitis. Am Fam Physician. 2010 Aug;82(3):249-255. http://www.aafp.org/afp/2010/0801/p249.pdf. Accessed 02 May 2014. PMID: 20672788
  19. Fonacier L, Bernstein DI, Pacheco K, et al; American Academy of Allergy, Asthma & Immunology; American College of Allergy, Asthma & Immunology; Joint Council of Allergy, Asthma & Immunology. Contact dermatitis: a practice parameter-update 2015. J Allergy Clin Immunol Pract. 2015 May;3(Suppl 3):S1-S39. https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20and%20Parameters/Contact-dermatitis-2015.pdf. Accessed 13 Apr 2016. PMID: 25965350
  20. Johansen JD, Aalto-Korte K, Agner T, et al. European Society of Contact Dermatitis guideline for diagnostic patch testing - recommendations on best practice. Contact Dermatitis. 2015 Oct;73(4):195-221. http://onlinelibrary.wiley.com/doi/10.1111/cod.12432/epdf. PMID: 26179009
  21. Brod BA. Management of allergic contact dermatitis. UpToDate. http://www.uptodate.com/. Jan 2020.
  22. Alavi A, Sibbald RG, Ladizinski B, et al. Wound-related allergic/irritant contact dermatitis. Adv Skin Wound Care. 2016 Jun;29(6):278-286. doi: 10.1097/01.ASW.0000482834.94375.1e. PMID: 27171256
  23. Weston WL. Contact dermatitis in children. UpToDate. http://www.uptodate.com/. May 2020.
  24. Australian Society of Clinical Immunology and Allergy (ASCIA). Contact dermatitis. ASCIA. http://www.allergy.org.au. 2019.
  25. Brod BA. Management of allergic contact dermatitis. UpToDate. 23 Jan 2020.
  26. de Waard-van der Spek FB, Darsow U, Mortz CG, et al. EAACI position paper for practical patch testing in allergic contact dermatitis in children. Pediatr Allergy Immunol. 2015 Nov;26(7):598-606. doi: 10.1111/pai.12463. Accessed 08 Dec 2021. PMID: 26287570
  27. Johnston GA, Exton LS, Mohd Mustapa MF, et al. British Association of Dermatologists’ guidelines for the management of contact dermatitis 2017. Br J Dermatol. 2017 Feb;176(2):317-329. doi: 10.1111/bjd.15239. PMID: 28244094
  28. Neale H, Garza-Mayers AC, Tam I, et al. Pediatric allergic contact dermatitis. Part I: clinical features and common contact allergens in children. J Am Acad Dermatol. 2021 Feb;84(2):235-244. doi: 10.1016/j.jaad.2020.11.002. PMID: 33217510
  29. Weston WL. Contact dermatitis in children. UpToDate. https://www.uptodate.com. 05 May 2020.
  30. World Allergy Organization (WAO). Contact dermatitis: synopsis. WAO. https://www.worldallergy.org/. Dec 2020.
  31. Eichenfield LF, Ahluwalia J, Waldman A, et al. Current guidelines for the evaluation and management of atopic dermatitis: A comparison of the Joint Task Force Practice Parameter and American Academy of Dermatology guidelines. J Allergy Clin Immunol. 2017 Apr;139(4S):S49-S57. doi: 10.1016/j.jaci.2017.01.009. PMID: 28390477
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