Allergic Contact Dermatitis

Stacy Nassau; Luz Fonacier

doi:10.1016/j.mcna.2019.08.012

Allergic Contact Dermatitis

Med Clin North Am. 2020 Jan;104(1):61-76. doi: 10.1016/j.mcna.2019.08.012. Epub 2019 Oct 28.

Authors

Stacy Nassau¹, Luz Fonacier²

Affiliations

¹ Department of Internal Medicine, Section of Allergy and Immunology, NYU Winthrop University Hospital, 120 Mineola Boulevard, Suite 410, Mineola, NY 11501, USA. Electronic address: Stacy.Nassau@nyulangone.org.
² Department of Internal Medicine, Section of Allergy and Immunology, NYU Winthrop University Hospital, 120 Mineola Boulevard, Suite 410, Mineola, NY 11501, USA.

PMID: 31757238
DOI: 10.1016/j.mcna.2019.08.012

Abstract

Allergic contact dermatitis is common, resulting in considerable morbidity. Diagnosis is based on a thorough history, physical examination, and patch testing. Several commercially available panels of patch testing are currently used. Allergens are found in a wide variety of daily products, occupational exposures, and foods. The mainstay of treatment is avoidance of the allergen, and databases like Contact Allergen Management Program and Contact Allergen Replacement Database help patients to select products that do not contain allergens to which they are sensitized. Topical corticosteroids can be used to treat exacerbations, but should be avoided in long-term treatment.

Keywords: Allergic contact dermatitis; Contact dermatitis; Eczema; Irritant contact dermatitis; Nickel allergy; Systemic contact dermatitis.

Publication types

Review

MeSH terms

Administration, Topical
Adrenal Cortex Hormones / administration & dosage
Allergens / analysis*
Dermatitis, Allergic Contact / diagnosis*
Dermatitis, Allergic Contact / drug therapy
Humans
Patch Tests / methods*

Substances

Adrenal Cortex Hormones
Allergens