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Pathophysiology of Allergic and Irritant Contact Dermatitis

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Abstract

Contact dermatitis comprises two main groups: irritant (ICD) and allergic (ACD) contact dermatitis. It presents as acute, subacute, or chronic eczema. Although it is possible to differentiate ICD from ACD on clinical ground, both diseases can have very similar clinical, histological, and molecular presentations.

The mechanisms at the origin of the eczema are different in the two types of dermatitis, at least as far as the initiation stages of the skin inflammation are concerned. ICD is a nonspecific inflammatory dermatosis, mainly due to the toxicity of chemicals on the skin cells which triggers inflammation by activation of the skin innate immune system.

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References

  1. Nosbaum A, Vocanson M, Rozieres A, Hennino A, Nicolas JF (2009) Allergic and irritant contact dermatitis. Pathophysiology and immunological diagnosis. Eur J Dermatol 19:1–8

    Google Scholar 

  2. Vocanson M, Hennino A, Rozières A, Poyet G, Nicolas JF (2009) Effector and regulatory mechanisms in allergic contact dermatitis. Allergy 64:1699–1714

    Article  PubMed  CAS  Google Scholar 

  3. Fyhrquist-Vanni N, Alenius H, Lauerma A (2007) Contact dermatitis. Dermatol Clin 25:613–623

    Article  PubMed  CAS  Google Scholar 

  4. Bonneville M, Rozières A, Chabeau G, Saint-Mezard P, Nicolas J-F (2004) Physiopathologie de la dermatite irritante de contact. In: Progrès en dermato-allergologie. John Libbey Eurotext, Paris, pp 177–187

    Google Scholar 

  5. Lepoittevin J-P, Leblond I (1997) Hapten determinants for T cells. Eur J Dermatol 7:151–154

    CAS  Google Scholar 

  6. Basketter DA, Kan-King-Yu D, Dierkes P, Jowsey IR (2007) Does irritation potency contribute to the skin sensitization potency of contact allergens? Cutan Ocul Toxicol 26:279–286

    Article  PubMed  CAS  Google Scholar 

  7. Martin SF, Esser PR, Weber FC, Jakob T, Freudenberg MA, Schmidt M, Goebeler M (2011) Mechanisms of chemical-induced innate immunity in allergic contact dermatitis. Allergy 66:1152–1163

    Article  PubMed  CAS  Google Scholar 

  8. de Jongh CM, Lutter R, Verberk MM, Kezic S (2007) Differential cytokine expression in skin after single and repeated irritation by sodium lauryl sulphate. Exp Dermatol 16:1032–1040

    Article  PubMed  Google Scholar 

  9. Norman MU, Hwang J, Hulliger S, Bonder CS, Yamanouchi J, Santamaria P, Kubes P (2008) Mast cells regulate the magnitude and the cytokine microenvironment of the contact hypersensitivity response. Am J Pathol 172:1638–1649

    Article  PubMed  CAS  Google Scholar 

  10. Vocanson M, Hennino A, Poyet G, Nicolas JF (2007) Experimental models of contact dermatitis. Rev Fr Allergol Immunol Clin 47:314–317

    Google Scholar 

  11. Vocanson M, Hennino A, Chavagnac C, Saint-Mezard P, Dubois B, Kaiserlian D, Nicolas JF (2005) Contribution of CD4+ and CD8+ T cells in contact hypersensitivity and allergic contact dermatitis. Expert Rev Clin Immunol 1:75–86

    Article  PubMed  CAS  Google Scholar 

  12. Cavani A (2008) T regulatory cells in contact hypersensitivity. Curr Opin Allergy Clin Immunol 8(4):294–298

    Article  PubMed  CAS  Google Scholar 

  13. Basketter D, Darlenski R, Fluhr JW (2008) Skin irritation and sensitization: mechanisms and new approaches for risk assessment. Skin Pharmacol Physiol 21:191–202

    Article  PubMed  CAS  Google Scholar 

  14. Bonneville M, Chavagnac C, Vocanson M, Rozieres A, Benetiere J, Pernet I, Denis A, Nicolas JF, Hennino A (2007) Skin contact irritation conditions the development and severity of allergic contact dermatitis. J Invest Dermatol 127:1430–1437

    Article  PubMed  CAS  Google Scholar 

  15. Vocanson M, Hennino A, Rozieres A, Poyet G, Gaillard V, Achachi A, Benetiere J, Kaiserlian D, Dubois B, Nicolas JF (2010) ICOS is a marker for highly suppressive antigen-specific T cells sharing features of Th17/Th1 and regulatory T cells. J Allergy Clin Immunol 126:280–289

    Article  PubMed  CAS  Google Scholar 

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© 2012 Springer-Verlag Berlin Heidelberg

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Nosbaum, A., Nicolas, JF., Lachapelle, JM. (2012). Pathophysiology of Allergic and Irritant Contact Dermatitis. In: Patch Testing and Prick Testing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25492-5_1

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  • DOI: https://doi.org/10.1007/978-3-642-25492-5_1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-25491-8

  • Online ISBN: 978-3-642-25492-5

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