EAACI position paper for practical patch testing in allergic contact dermatitis in children.
BACKGROUND
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.


METHODS
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.


RESULTS
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.
Department of Dermatology, Sint Franciscus Vlietland Group, Vlietland Hospital, Rotterdam/Schiedam, The Netherlands.
Flora B
FB
de Waard-van der Spek
Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Technische Universität München, München, Germany.
Ulf
U
Darsow
Department of Dermatology & Allergy Center, Odense University Hospital, Odense, Denmark.
Charlotte G
CG
Mortz
Department of Dermatology & Allergy, Hillingdon Hospitals NHS Foundation Trust, Uxbridge (London), UK.
David
D
Orton
Department of Dermatology and Allergy, Allergy-Center Charité, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Margitta
M
Worm
Department of Pediatrics, Padua General University Hospital, Padua, Italy.
Antonella
A
Muraro
Allergy Unit, Department of Dermatology, University of Zürich, Zürich, Switzerland.
Peter
P
Schmid-Grendelmeier
Department of Dermatology, Universitat Internacional de Catalunya, Barcelona, Spain.
Ramon
R
Grimalt
Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, Krakow, Poland.
Radoslaw
R
Spiewak
Clinic of Children's Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Odilija
O
Rudzeviciene
Department of Paediatric Allergy & Dermatology, St John's Institute of Dermatology, St Thomas' Hospital & King's College London, London, UK.
Carsten
C
Flohr
Department of Pediatrics, Odense University Hospital, Odense, Denmark.
Susanne
S
Halken
Department of Pediatrics - Chief Division of Allergy, Pediatric Hospital Bambino Gesu, Roma, Vatican City, Italy.
Alessandro
A
Fiocchi
Department of Allergology/Immunology, CUF Descobertas Hospital, Lisbon and NOVA Medical School, Lisbon, Portugal.
Luis Miguel
LM
Borrego
Department of Dermatology, Dermicis Skin Hospital, Alkmaar, Foundation Pediatric Dermatology, Rotterdam, The Netherlands.
Arnold P
AP
Oranje
D000485:Allergens / Q000009:adverse effects / Q000276:immunology; D002648:Child; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000276:immunology; D003937:Diagnosis, Differential; D006801:Humans; D008487:Medical History Taking; D010328:Patch Tests / Q000379:methods*; D011379:Prognosis
D000485:Allergens
allergic contact dermatitis; children; contact allergens; contact dermatitis; cutaneous allergy; irritant dermatitis; patch tests; practical guidelines