title: Pediatric Allergic Contact Dermatitis: Lessons for Better Care.
abstract: Allergic contact dermatitis (ACD) is an immune-mediated condition that is likely underrecognized in children. ACD is the result of primary sensitization and secondary elicitation by allergy-provoking haptens. A detailed clinical history and physical examination may yield diagnosis. Patch testing is the criterion standard diagnostic tool for confirming the diagnosis of ACD in both children and adults. Herein, we present an overview of pediatric ACD, an analysis of relevant current literature on the topic, focused management recommendations, and a discussion of existing knowledge gaps that must be addressed by future research.
authors.affiliation: Medical Student, University of California San Diego, La Jolla, Calif.
authors.forename: Alina
authors.initials: A
authors.lastname: Goldenberg
authors.affiliation: Chief, Pediatric Dermatology, M. Sinai Health Systems, Mt. Sinai St. Luke's-Roosevelt Hospital Center, New York, NY.
authors.forename: Nanette
authors.initials: N
authors.lastname: Silverberg
authors.affiliation: Departments of Dermatology, Preventive Medicine and Medical Social Sciences, Feinberg School of Medicine at Northwestern University, Chicago, IL.
authors.forename: Jonathan I
authors.initials: JI
authors.lastname: Silverberg
authors.affiliation: Fellowship Director, Pediatric Dermatology, The Children's Hospital of Philadelphia, Philadelphia, Pa; Assistant Professor, Pediatrics and Dermatology, University of Pennsylvania School of Medicine, Philadelphia, Pa.
authors.forename: James
authors.initials: J
authors.lastname: Treat
authors.affiliation: Associate Professor of Dermatology, Loma Linda University, Loma Linda, Calif. Electronic address: sjacob@contactderm.net.
authors.forename: Sharon E
authors.initials: SE
authors.lastname: Jacob
mesh_terms: D000328:Adult; D000485:Allergens / Q000276:immunology; D000818:Animals; D002648:Child; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000628:therapy; D006241:Haptens / Q000276:immunology; D006801:Humans; D007114:Immunization; D009532:Nickel / Q000276:immunology*; D010328:Patch Tests / Q000379:methods*
chemical_list: D000485:Allergens; D006241:Haptens; D009532:Nickel
keywords: Allergic contact dermatitis; Atopic dermatitis; Children; Nickel; Pediatric; Sensitization