scholarly journals A study of 300 cases of allergic contact dermatitis

Author(s):  
Thilak Sundararaj ◽  
Meera Govindaraju ◽  
Brindha Thangaraj

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Allergic contact dermatitis (ACD) is a delayed type of hypersensitivity from contact with a specific allergen. The aim of the study was to study age, sex incidence of allergic contact dermatitis and incidence of various allergen in patch test positive cases for that allergen in patients presenting to dermatology department in Meenakshi Medical College &amp; Research institute, Kanchipuram.</span></p><p class="abstract"><strong>Methods:</strong> Diagnosis of allergic contact dermatitis was made by patch testing.<strong></strong></p><p class="abstract"><strong>Results:</strong> Most cases of allergic contact dermatitis fall in the age group of 41-50 years. More common in males than females. Allergic contact dermatitis to cement was found to be the commonest cause in our study<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Allergic contact dermatitis is common in middle age and incidence of disease is common in males than females. The higher incidence of allergic contact dermatitis to cement is due to more people being employed in construction working in this part of the world<span lang="EN-IN">.</span></p>

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Pramod Kumar ◽  
Rekha Paulose

Background. Increasing use of cosmetics has contributed to a rise in the incidence of allergic contact dermatitis (ACD) to cosmetics. It is estimated that 1–5.4% of the population is sensitized to a cosmetic ingredient. Patch testing helps to confirm the presence of an allergy and to identify the actual allergens which are chemical mixtures of various ingredients.Objectives. The aims of this study are to perform patch testing in suspected ACD to cosmetics and to identify the most common allergen and cosmetic product causing dermatitis.Methods. Fifty patients with suspected ACD to cosmetics were patch-tested with 38 antigens of the Indian Cosmetic Series and 12 antigens of the Indian Standard Series.Results. The majority (58%) of patients belonged to the 21–40 years age group. The presence of ACD to cosmetics was confirmed in 38 (76%) patients. Face creams (20%), hair dyes (14%), and soaps (12%) were the most commonly implicated. The most common allergens identified were gallate mix (40%), cetrimide (28%), and thiomersal (20%). Out of a total of 2531 patches applied, positive reactions were obtained in 3.75%.Conclusion. Incidence of ACD to cosmetics was greater in females. Face creams and hair dyes were the most common cosmetic products implicated. The principal allergens were gallate mix, cetrimide, and thiomersal.


1993 ◽  
Vol 14 (6) ◽  
pp. 240-243 ◽  
Author(s):  
Peter A. Hogan ◽  
William L. Weston

Definition Allergic contact dermatitis (ACD) is an inflammatory reaction of the skin that follows percutaneous absorption of antigen from the skin surface and recruitment of previously sensitized, antigen-specific T lymphocytes into the skin. Epidemiology In the pediatric age group, ACD can involve either sex and manifest as early as the first week of life. A recent review of several European and US studies found that ACD may account for up to 20% of cases of dermatitis in the 0- to 14-year-old age group. Although the incidence and prevalence of the disease in the general pediatric population is unknown, epicutaneous patch testing of randomly selected and otherwise healthy children revealed that 13% to 20% were allergic to one or more common antigens, suggesting that at least 20% of children in the general population theoretically are at risk of developing ACD. When one considers poison ivy or poison oak as contact allergens prevalent in certain areas of North America, the likelihood of allergic contact dermatitis may be much higher. Pediatricians should recognize that children are sensitized to contact allergens early in life, with most children being sensitized by age 5 years. The allergens most commonly responsible for allergic contact dermatitis in North American children are listed in Table 1.


2006 ◽  
Vol 55 (2) ◽  
pp. 84-91 ◽  
Author(s):  
Miguel Cabanillas ◽  
Virginia Fernandez-Redondo ◽  
Jaime Toribio

1970 ◽  
Vol 19 (2) ◽  
pp. 60-62
Author(s):  
Md Moazzem Hossain

This study was done in the outpatient department of Rajshahi Medical College Hospital from April 2005 to March 2006. In this study the clinical patterns of allergic contact dermatitis and their causative allergic products was studied. Out of 50 patients, 34(68%) were female and 16(32%) were male. The study shows that the clinical patterns of allergic contact dermatitis are eczema 24(48%), hyperpigmentation 14(28%), urticaria 6(12%), acneform eruption 04(08%) and hypopigmentation 02(04%). Allergic products causing allergic contact dermatitis was cosmetics 20(40%), shoe 08(16%), clothing 06(12%), occupation 05(10%) adhesive 04(08%), metals & metal salts 04(08%) topical drugs 02(04%) and rubber gloves 01(02%).   doi: 10.3329/taj.v19i2.3151 TAJ 2006; 19(2): 60-62


2021 ◽  
Vol 23 (1) ◽  
pp. 16-22
Author(s):  
Arnija Rana ◽  
S Shrestha ◽  
AK Jha ◽  
DP Thapa ◽  
S Joshi ◽  
...  

Allergic contact dermatitis (ACD) is one of the most common diseases presenting to the Dermatology department. The one and only method of preventing as well as treating this disease is avoidance of the allergen causing it. The identification of the allergen causing the ACD is possible by performing patch testing. The purpose of this study was to identify common allergens among patients with ACD using Indian standard series (ISS) of patch test. Clinically suspected cases of ACD were included in the hospital based cross-sectional study from January to December 2017. These cases underwent patch testing with the ISS. The study assessed the following variables: sex, age, occupation, site and positive patch test results. There were a total of 58 patients among which, 36.2% were males and 63.8% were females with a mean age of 32.36±12.51 years. Positive patch test reactions were seen in 63.0% of patients. The most common allergens were nickel sulphate (51.4%), fragrance mix (37.8%), potassium dichromate (8.1%), colophony (8.1%) and black rubber mix (8.1%). Among male, most common allergens were fragrance mix (57.1%), nickel sulphate (28.6%) and potassium dichromate (21.4%) while in female, most common allergens were nickel sulphate (65.2%) and fragrance mix (26.1%). In our study, majority of the allergens were positive. Hence, the ISS used in the study might be suitable in the context of Nepalese population. However, further similar studies on large number of patients with multiple allergens are required to determine the exact number of contact allergens prevalent in our population.


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