Patch Test Results Among Older Adults: A Retrospective Analysis of the North American Contact Dermatitis® Group Data (2009-2020).

IF 4 3区 医学 Q1 DERMATOLOGY
Dermatitis Pub Date : 2024-05-01 Epub Date: 2023-08-17 DOI:10.1089/derm.2023.0130
JiaDe Yu, Hadley Johnson, Joel G DeKoven, Erin M Warshaw, James S Taylor, Donald V Belsito, Brandon L Adler, Jonathan I Silverberg, Amber R Atwater, Margo J Reeder, Nina Botto, Marie-Claude Houle, Christen M Mowad, Melanie D Pratt, Cory A Dunnick
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引用次数: 0

Abstract

Background: Allergic contact Dermatitis® (ACD) in older adults (OA) represents a significant health burden, but few studies examine the prevalence and characteristics of contact allergy and ACD in this population. Objective: To compare positive and clinically relevant patch test results in OA versus younger adults (YA) and children. Methods: Retrospective analysis of patch test results obtained in OA (≥65 years), YA (19-64 years), and children (≤18 years) by the North American Contact Dermatitis® Group, 2009 to 2020. Results: Of 28,177 patients patch tested, 5366 (19.0%) were OA. OA were more likely to have a final primary diagnosis of ACD as compared with YA (50.8% vs 49.2%, P = 0.035) and children (44.6%, P < 0.0001). The primary site of Dermatitis® also differed by age group, with OA having a higher proportion of Dermatitis® affecting the trunk, scalp, anogenital region, and "under clothing," and a lower proportion of Dermatitis® affecting the face, lips, and feet. Limitations: Retrospective design, lack of follow-up, and referral population. Conclusion: OA were as likely and were statistically even more likely to have a final primary diagnosis of ACD compared with YA and children. Anatomic site of Dermatitis® also differed by age group. This underscores the need for patch testing in OA when ACD is suspected.

老年人的斑贴测试结果:北美接触性皮炎®小组数据的回顾性分析(2009-2020 年)。
背景:老年人(OA)中的过敏性接触性皮炎(ACD)对健康造成了极大的负担,但很少有研究对这一人群中接触过敏和过敏性接触性皮炎的患病率和特征进行研究。研究目的比较 OA 与年轻成人 (YA) 和儿童的阳性和临床相关贴片测试结果。方法:回顾性分析北美接触性皮炎®小组 2009 年至 2020 年在 OA(≥65 岁)、YA(19-64 岁)和儿童(≤18 岁)中获得的斑贴测试结果。结果:在28177名接受贴片测试的患者中,5366人(19.0%)为OA。与青年(50.8% vs 49.2%,P = 0.035)和儿童(44.6%,P 限制:回顾性设计、缺乏随访和转诊人群。结论:与青少年和儿童相比,老年性痴呆症患者最终被初诊为 ACD 的几率相同,在统计学上甚至更高。皮炎®的解剖部位也因年龄组而异。这强调了在怀疑有 ACD 时对 OA 进行斑贴测试的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Dermatitis
Dermatitis 医学-皮肤病学
CiteScore
5.30
自引率
11.50%
发文量
251
审稿时长
>12 weeks
期刊介绍: Dermatitis is owned by the American Contact Dermatitis Society and is the home journal of 4 other organizations, namely Societa Italiana di Dermatologica Allergologica Professionale e Ambientale, Experimental Contact Dermatitis Research Group, International Contact Dermatitis Research Group, and North American Contact Dermatitis Group. Dermatitis focuses on contact, atopic, occupational, and drug dermatitis, and welcomes manuscript submissions in these fields, with emphasis on reviews, studies, reports, and letters. Annual sections include Contact Allergen of the Year and Contact Allergen Alternatives, for which papers are chosen or invited by the respective section editor. Other sections unique to the journal are Pearls & Zebras, Product Allergen Watch, and news, features, or meeting abstracts from participating organizations.
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