欧洲儿童接触性过敏:儿科欧洲基线系列的建议。

IF 4.6 1区 医学 Q2 ALLERGY
Anne Birgitte Simonsen, Thomas Rustemeyer, Suzana Ljubojevicé Hadzavdic, Radoslaw Spiewak, Anna Belloni Fortina, Margarida Gonçalo, Ana Maria Giménez Arnau, Nidia Planella-Fontanillas, Marie L A Schuttelaar, Heinrich Dickel, Jonathan White, Györgyi Pónyai, S Mark Wilkinson, Esen Özkaya, Ella Dendooven, Nives Pustišek, Jeanne Duus Johansen, Olivier Aerts
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引用次数: 0

摘要

背景:接触性过敏在儿童中很常见,但欧洲没有儿科基线系列(pEBS),尽管一些国家提出了建议。目的:收集和比较来自欧洲中心的补丁测试数据,提出一个共同的pEBS,可能根据年龄组进行调整。材料和方法:汇总了来自12个欧洲国家13个中心的数据,涵盖了1816名0-16岁的儿童(1099名女孩,60.5%),在2018年至2022年期间接受了成人EBS (aEBS)和其他常见过敏原的测试。过敏原选择遵循成人标准,纳入标准更为严格,要求儿童至少有1%的阳性反应(95% CI较低)。结果:来自aEBS的17种过敏原在≥1%的儿童中引起阳性反应(95% CI较低)。常见的过敏原包括金属、香料和防腐剂。tixocorol -21- private尽管由于其难以怀疑的性质,其频率较低,但仍被包括在内。其他常见的过敏原是柠檬烯和芳樟醇的氢过氧化物、萘酚L-101和山梨糖半半油酸酯。总共有18种过敏原被确定为可能符合pEBS的条件,另外还有7种过敏原被推荐添加。结论:来自欧洲各地儿童的斑贴试验结果强调了一组常见的过敏原,应考虑用于pEBS。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contact Allergy in Children in Europe: A Proposal for a Paediatric European Baseline Series.

Background: Contact allergy is common in children, but no paediatric baseline series (pEBS) exists in Europe, despite recommendations in several countries.

Objectives: To collect and compare patch testing data from European centres to propose a common pEBS, possibly adapted by age group.

Materials and methods: Data from 13 centres in 12 European countries were aggregated, covering 1816 children (1099 girls, 60.5%), aged 0-16 years, tested with the adult EBS (aEBS) and other frequent allergens between 2018 and 2022. Allergen selection followed adult criteria, with a stricter cut-off for inclusion, requiring at least 1% positive reactions (lower 95% CI) in children.

Results: A total of 17 allergens from the aEBS caused positive reactions in ≥ 1% of children (lower 95% CI). Common allergens included metals, fragrances, and preservatives. Tixocortol-21-pivalate was included despite its lower frequency due to its difficult-to-suspect nature. Additional frequent allergens were hydroperoxides of limonene and linalool, Amerchol L-101, and sorbitan sesquioleate. In total, 18 allergens were identified as potentially qualifying for a pEBS, with a further 7 as recommended additions.

Conclusion: Results from patch testing children across europe highlight a common set of frequent allergens, which should be considered for a pEBS.

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来源期刊
Contact Dermatitis
Contact Dermatitis 医学-过敏
CiteScore
4.60
自引率
30.90%
发文量
227
审稿时长
4-8 weeks
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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