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Allergic Contact Dermatitis

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Synonyms

Allergic contact eczema

Definition

Allergic contact dermatitis is a skin inflammation mediated by hapten-specific T-cells that elicit a delayed-type hypersensitivity and can present as acute, subacute, or chronic contact dermatitis.

Epidemiology and Risk Factors

The prevalence of contact allergy is rising worldwide. About 15–20 % of the general population in Europe is sensitized to at least one contact allergen. Most common allergens are nickel and fragrances (Peiser et al. 2012). Workplace exposure, sex, age, and genetic predispositions (atopy) were identified as most important risk factors. Women are twice as frequently affected as men, probably due to hormonal influences. In occupational contact dermatitis, the highest incidence is found among metal workers and hairdressers (Dickel et al. 2001; Peiser et al. 2012).

Pathophysiology

Allergic contact dermatitis is mediated by a cascade of three immune processes, a sensitization, an elicitation, and a resolution phase (Fig. 1)....

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References

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Correspondence to Teresa Jaeger .

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Jaeger, T., Seher, T., Schmidt-Weber, C.B., Ring, J., Gutermuth, J. (2014). Allergic Contact Dermatitis. In: Mackay, I.R., Rose, N.R., Ledford, D.K., Lockey, R.F. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9194-1_453

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  • DOI: https://doi.org/10.1007/978-1-4614-9194-1_453

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