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22-09-2023 | Allergic Contact Dermatitis | REVIEW

Allergic Contact Dermatitis in Older Adults

Authors: Hadley Johnson, JiaDe Yu

Published in: Current Dermatology Reports

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Abstract

Purpose of Review

Allergic contact dermatitis (ACD) is a common skin condition in older adults. This article discusses the relationship between aging skin and the development of ACD, with close attention paid to the allergens that are currently the most relevant to the age group.

Recent Findings

The prevalence of at least one positive patch test in older adults ranges from 60–80%. Relevant contact allergens include fragrances, topical medicaments, preservatives, lanolin, and metals.

Summary

Dermatologists must be able to recognize ACD in the older adult and refer for patch testing when needed. Patch testing can elucidate causative allergens and guide an avoidance strategy.
Literature
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go back to reference •• Slodownik D, Mousa M, Bar J. Allergic contact dermatitis in the older adults: a comparative cross-sectional study. Dermatitis. 2023;19.  https://​doi.​org/​10.​1089/​derm.​2022.​0004. Epub ahead of print. Recent large retrospective controlled study analyzing the proportion of positive patch tests and relevant positive patch tests in older adults compared to younger age groups. •• Slodownik D, Mousa M, Bar J. Allergic contact dermatitis in the older adults: a comparative cross-sectional study. Dermatitis. 2023;19.  https://​doi.​org/​10.​1089/​derm.​2022.​0004. Epub ahead of print. Recent large retrospective controlled study analyzing the proportion of positive patch tests and relevant positive patch tests in older adults compared to younger age groups.
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go back to reference • Silverberg JI, Hou A, Warshaw EM, et al. Prevalence and trend of allergen sensitization in patients with a diagnosis of stasis dermatitis referred for patch testing, North American contact dermatitis group data, 2001–2016. Arch Dermatol Res. 2022;314(9):857–67. https://​doi.​org/​10.​1007/​s00403-021-02295-y. Large retrospective analysis exploring the relationship between stasis dermatitis and allergic contact dermatitis. • Silverberg JI, Hou A, Warshaw EM, et al. Prevalence and trend of allergen sensitization in patients with a diagnosis of stasis dermatitis referred for patch testing, North American contact dermatitis group data, 2001–2016. Arch Dermatol Res. 2022;314(9):857–67. https://​doi.​org/​10.​1007/​s00403-021-02295-y. Large retrospective analysis exploring the relationship between stasis dermatitis and allergic contact dermatitis.
Metadata
Title
Allergic Contact Dermatitis in Older Adults
Authors
Hadley Johnson
JiaDe Yu
Publication date
22-09-2023
Publisher
Springer US
Published in
Current Dermatology Reports
Electronic ISSN: 2162-4933
DOI
https://doi.org/10.1007/s13671-023-00406-8