EAACI Position Paper for practical patch testing in Allergic Contact Dermatitis in children

Pediatr Allergy Immunol. 2015 Aug 19. doi: 10.1111/pai.12463. [Epub ahead of print]

de Waard-van der Spek FB1, Darsow U2, Mortz CG3, Orton D4, Worm M5, Muraro A6, Schmid-Grendelmeier P7, Grimalt R8, Spiewak R9, Rudzeviciene O10, Flohr C11, Halken S12, Fiocchi A13, Borrego LM14, Oranje AP15.

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Abstract

Allergic Contact Dermatitis (ACD) in children appears to be on the increase, and contact sensitization may already begin in infancy. The diagnosis of contact dermatitis requires a careful evaluation of a patient's clinical history, physical examination and skin testing.

Patch testing is the gold standard diagnostic test. Based on consensus, the EAACI Task Force on Allergic Contact Dermatitis in Children produced this document to provide details on clinical aspects, the standardization of patch test methodology, and suggestions for future research in the field. We provide a baseline list of test allergens to be tested in children with suspected ACD. Additional tests should be performed only on specific indications.

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