Current Allergy and Asthma Reports

, Volume 12, Issue 6, pp 599–606

Current Strategies in Treating Severe Contact Dermatitis in Pediatric Patients

  • Luz S. Fonacier
  • Marcella R. Aquino
  • Tania Mucci
Pediatric Allergy and Immunology (JM Portnoy and CE Ciaccio, Section Editors)

DOI: 10.1007/s11882-012-0305-0

Cite this article as:
Fonacier, L.S., Aquino, M.R. & Mucci, T. Curr Allergy Asthma Rep (2012) 12: 599. doi:10.1007/s11882-012-0305-0

Abstract

Allergic contact dermatitis in children is underdiagnosed and undertreated, and its incidence is increasing. Appropriate history taking and the suspicion for allergic contact dermatitis is essential, and patch testing remains the gold standard in diagnosis. Avoidance of the offending allergen, once identified, is the first goal of treatment. Medical therapies include topical corticosteroid and topical immunomodulators. In severe cases, oral corticosteroids or immunomodulators are utilized, although prospective randomized trials for the treatment of this disease in children are lacking. A PubMed literature search was performed to identify publications on allergic contact dermatitis in the pediatric population with the keywords: dermatitis, children, allergic contact dermatitis, pediatrics, contact hypersensitivity, contact allergy, treatment, and management. This review will address the major principles behind the diagnosis and management of this disease in the pediatric population, and highlight useful strategies that may result in improved treatment of this condition.

Keywords

Allergic contact dermatitisIrritant contact dermatitisAtopic dermatitisPatch testChildrenMetal allergyFragrance allergyNeomycin allergyRubber allergyPlant allergyDiagnosisTreatmentPediatric

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Luz S. Fonacier
    • 1
  • Marcella R. Aquino
    • 1
  • Tania Mucci
    • 1
  1. 1.Section of Allergy and ImmunologyWinthrop University HospitalMineolaUSA