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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

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  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
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  14. MedWorm http://www.medworm.com/rss/index.php/Dermatology/12/ http://www.medworm.com/rss/medicalfeeds/specialities/Dermatology-News.xml
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  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
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  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
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  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
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  24. Australian Society of Clinical Immunology and Allergy (ASCIA). Contact dermatitis. ASCIA. http://www.allergy.org.au. 2019.
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  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.
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