Contact Allergy Screening for Atopic Dermatitis

Mykayla Sandler; JiaDe Yu

doi:10.1016/j.det.2024.04.009

Contact Allergy Screening for Atopic Dermatitis

Dermatol Clin. 2024 Oct;42(4):601-609. doi: 10.1016/j.det.2024.04.009. Epub 2024 Jun 2.

Authors

Mykayla Sandler¹, JiaDe Yu²

Affiliations

¹ Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, 50 Staniford Street, Suite 200, Boston, MA 02114, USA.
² Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, 50 Staniford Street, Suite 200, Boston, MA 02114, USA. Electronic address: jiade.yu@mgh.harvard.edu.

PMID: 39278713
DOI: 10.1016/j.det.2024.04.009

Abstract

Atopic dermatitis (AD) and allergic contact dermatitis (ACD) are common inflammatory skin diseases in both children and adults that present similarly and often coexist. Patch testing is the gold standard for establishing the diagnosis of ACD and can often help distinct between the 2 conditions. Patch testing is more challenging in patients with underlying AD due to potential for angry back reactions. In this review, we discuss the current evidence and guidelines regarding the screening for contact allergies in patients with AD. We also discuss the most frequent relevant allergens in adults and children with atopic dermatitis.

Keywords: Allergic contact dermatitis; Atopic dermatitis; Contact allergy; Patch testing.

Publication types

Review

MeSH terms

Adult
Allergens* / adverse effects
Child
Dermatitis, Allergic Contact* / diagnosis
Dermatitis, Atopic* / diagnosis
Dermatitis, Atopic* / immunology
Humans
Patch Tests*

Substances

Allergens