Naslov
Contact sensitivity in facial dermatitis.

Autori
Lipozenčić, Jasna ; Ljubojević, Suzana ; Basta-Juzbašić, Aleksandra ; Milavec-Puretić, Višnja

Izvornik
Odborný časopis dermatovenerológie, estetickej dermatology a kozmetiky. 3. Tisícročia. (1335-7913) V (2005), 4;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, stručni

Ključne riječi
Contact sensitivity; facial dermatitis; allergic and irritant contact dermatitis; patch test

Sažetak
Background: Facial dermatitis may result from allergic or irritant contact dermatitis to cosmetics, local creams and ointments, as well as from endogenous conditions such as topic or seborrheic dermatitis, or combinations of many other factors. The aim of our study was to determine the frequency of positive patch test reactions in patients with facial dermatitis. Material and methods: Patch testing to standard series was performed on 322 patients according to recommendations of the International Contact Dermatitis Research Group (ICDRG). Four patients with acne vulgaris, 13 with blepharoconjunctivitis, 82 with allergic contact dermatitis, 15 with irritant contact dermatitis, 13 with lip and 21 with perioral involvement, 20 patients with atopic dermatitis, 91 with seborrheic dermatitis, 11 with rosaceiform steroid dermatitis and 4 patients with rosacea were tested. There were 60 (19%) males and 262 (81%) female patients, mean age 41 years. Results: Out of 322 patch tested patients, 131 (41%) were negative, while 191 (59%) were positive mainly to nickel sulphate – 77 (24%), cobalt chloride – 60 (19%), carba mix – 49 (15%), fragrance mix – 41 (13%), neomycin-sulphate – 31 (10%), and detergents 31 (10%). Conclusion: Contact allergy is frequent cause of facial dermatitis. Personal care products, preservatives, and fragrances represent the most common allergens in patients diagnosed with allergic contact dermatitis. Our recommendation is to perform patch test to all patients with facial dermatitis who have constantly eczematous skin, and do not improve or deteriorate during conventional therapy. A significant number of relevant allergic reactions would be missed if patch test to standard series were not performed.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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