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Contact Allergy

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  • 16 Accesses

Synonyms

Allergic contact dermatitis; Contact hypersensitivity

Definition and Characteristics

Itchy skin reaction with erythema, edema and vesicles occurring at the site of penetration of chemicals in pre-sensitized individuals. In the chronic phase, increased epidermal thickness with scales and painful fissures are frequent.

Prevalence

Widely common disease in both professional and extraprofessional settings. Prevalence in general population varies dramatically depending on the source considered. It has been reported that 2–15% of individuals residing in industrialized countries are skin sensitized at least to one substance, but the general assumption is that prevalence is greatly underestimated.

Molecular and Systemic Pathophysiology

Contact allergy is the consequence of an unbalanced T cell immune reaction against small chemicals, named haptens, contacting the skin. In the sensitization process, the hapten penetrating the skin promotes the mobilization and functional maturation of...

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References

  1. Scnuch et al. (2002) Epidemiology of contact allergy: an estimation of morbidity employing the clinical epidemiology and drug-utilization research (CE-DUR) approach. Contact Derm 47:32–39

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  2. Weltzien et al. (1996) T cell immune responses to haptens. Structural models for allergic and autoimmune reactions. Toxicology 22:141–151

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  3. Cavani et al. (2001) Effector and regulatory mechanisms in allergic contact dermatitis. Trends Immunol 22:118–120

    Article  PubMed  CAS  Google Scholar 

  4. Cavani et al. (2003) Human CD25+ regulatory T cells maintain immune tolerance to nickel in healthy, non allergic individuals. J Immunol 171:5760–5768

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© 2009 Springer-Verlag GmbH Berlin Heidelberg

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Cavani, A., Girolomoni, G. (2009). Contact Allergy. In: Lang, F. (eds) Encyclopedia of Molecular Mechanisms of Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29676-8_405

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