Variability in Paediatric Patch Test Practices Across Europe: A Survey From the European Baseline Series (EBS) Working Party on Behalf of the European Society of Contact Dermatitis (ESCD).
Olivier Aerts, Thomas Rustemeyer, Anna Belloni-Fortina, Sonia Badulici, Heinrich Dickel, Jose Luis Garcia Abujeta, Ana Maria Giménez-Arnau, Margarida Gonçalo, Catherine R Holden, Marléne Isaksson, Faheem Latheef, Suzana Ljubojevic Hadzavdic, Vera Mahler, Esen Özkaya, Gyorgyi Ponyai, Nives Pustišek, Marie-Louise Schuttelaar, Jakob Schwensen, Radoslaw Spiewak, Luca Stingeni, Cecilia Svedman, Wolfgang Uter, Jonathan M L White, Mark Wilkinson, Anne-Birgitte Simonsen, Jeanne Duus Johansen
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Abstract
Background: Allergic contact dermatitis (ACD) is an increasingly recognised condition in children and adolescents. However, there is limited knowledge about the different paediatric patch test procedures in European patch test clinics.
Objectives: To map current European paediatric patch test practices, and to relate these to the existing literature, with the aim of guiding the development of a future paediatric patch test guideline, and a corresponding paediatric European baseline series (pEBS).
Materials and methods: In the course of late 2023/early 2024, a standardised paediatric patch test e-mail questionnaire was developed, distributed, and discussed among members of the European Baseline Series (EBS) Working Party of the European Society of Contact Dermatitis (ESCD).
Results: Areas of agreement and discussion were identified regarding patch testing in children of different ages, with and without atopic dermatitis: (contra)indications, choice of allergens and patch test chambers, peculiarities regarding the application and fixation of tests, occlusion and reading times.
Conclusion: Although variability exists in paediatric patch test practices across Europe, there is broad agreement on common procedures, and only a few areas of debate; these findings may be used to inform the development of a future paediatric patch test guideline and pEBS.
期刊介绍：
Contact Dermatitis is designed primarily as a journal for clinicians who are interested in various aspects of environmental dermatitis. This includes both allergic and irritant (toxic) types of contact dermatitis, occupational (industrial) dermatitis and consumers" dermatitis from such products as cosmetics and toiletries. The journal aims at promoting and maintaining communication among dermatologists, industrial physicians, allergists and clinical immunologists, as well as chemists and research workers involved in industry and the production of consumer goods. Papers are invited on clinical observations, diagnosis and methods of investigation of patients, therapeutic measures, organisation and legislation relating to the control of occupational and consumers".
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