European Surveillance System on Contact Allergies (ESSCA): Contact allergies in relation to body sites in patients with allergic contact dermatitis.

Publisher: Wiley Country of Publication: England NLM ID: 7604950 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0536 (Electronic) Linking ISSN: 01051873 NLM ISO Abbreviation: Contact Dermatitis Subsets: MEDLINE

Publication: <2005-> : Oxford : Wiley
Original Publication: Copenhagen, Munksgaard.

Dermatitis, Allergic Contact/*epidemiology ; Dermatitis, Occupational/*epidemiology ; Facial Dermatoses/*epidemiology ; Hand Dermatoses/*epidemiology ; Leg Dermatoses/*epidemiology; Adult ; Databases, Factual ; Dermatitis, Allergic Contact/etiology ; Dermatitis, Occupational/etiology ; Epidemiological Monitoring ; Europe/epidemiology ; Facial Dermatoses/chemically induced ; Female ; Hand Dermatoses/chemically induced ; Humans ; Leg Dermatoses/chemically induced ; Male ; Middle Aged ; Patch Tests ; Prevalence

Background: Analyses of the European Surveillance System on Contact Allergies (ESSCA) database have focused primarily on the prevalence of contact allergies to the European baseline series, both overall and in subgroups of patients. However, affected body sites have hitherto not been addressed.
Objective: To determine the prevalence of contact allergies for distinct body sites in patients with allergic contact dermatitis (ACD).
Methods: Analysis of data collected by the ESSCA (www.essca-dc.org) in consecutively patch tested patients, from 2009 to 2014, in eight European countries was performed. Cases were selected on the basis of the presence of minimally one positive patch test reaction to the baseline series, and a final diagnosis of ACD attributed to only one body site.
Results: Six thousand two hundred and fifty-five cases were analysed. The head and hand were the most common single sites that ACD was attributed to. Differences between countries were seen for several body sites. Nickel, fragrance mix I, cobalt and methylchloroisothiazolinone/methylisothiazolinone were the most frequent allergens reported for various body sites.
Conclusions: Distinct allergen patterns per body site were observed. However, contact allergies were probably not always relevant for the dermatitis that patients presented with. The possibility of linking positive patch test reactions to relevance, along with affected body sites, should be a useful addition to patch test documentation systems.
(© 2018 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.)

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Investigator: U Beiteke; P Frosch; J Brasch; T Fuchs; A Balato; F Ayala; M Kieć-Świerczyńska; V Fernández-Redondo; P Mercader; I Ruiz; JF Silvestre; A Bircher; J Grabbe
Keywords: allergic contact dermatitis; body site; contact allergy; patch test; sensitization

Date Created: 20181207 Date Completed: 20190910 Latest Revision: 20210109

20221213

PMC6590142

10.1111/cod.13192

30520058