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Patch Test Results Among Older Adults: A Retrospective Analysis of the North American Contact Dermatitis Group Data (2009-2020).
Yu, JiaDe; Johnson, Hadley; DeKoven, Joel G; Warshaw, Erin M; Taylor, James S; Belsito, Donald V; Adler, Brandon L; Silverberg, Jonathan I; Atwater, Amber R; Reeder, Margo J; Botto, Nina; Houle, Marie-Claude; Mowad, Christen M; Pratt, Melanie D; Dunnick, Cory A.
Afiliación
  • Yu J; From the Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Johnson H; From the Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • DeKoven JG; Department of Dermatology, University of Minnesota Medical School, Minneapolis, Minnesota, USA. .
  • Warshaw EM; Division of Dermatology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada.
  • Taylor JS; Department of Dermatology, Park Nicollet/Health Partners Health Services, Minneapolis, Minnesota, USA.
  • Belsito DV; Department of Dermatology, University of Minnesota, Minneapolis, Minnesota, USA.
  • Adler BL; Department of Dermatology, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota, USA.
  • Silverberg JI; Department of Dermatology, Cleveland Clinic, Cleveland, Ohio, USA.
  • Atwater AR; Department of Dermatology, Columbia University Irving Medical College, New York, New York, USA.
  • Reeder MJ; Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, USA.
  • Botto N; Department of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
  • Houle MC; Department of Dermatology, Duke University Medical Center, Durham, North Carolina, USA.
  • Mowad CM; Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
  • Pratt MD; Department of Dermatology, University of California San Francisco, San Francisco, California, USA.
  • Dunnick CA; Division of Dermatology, Centre Hospitalier Universitaire de Québec, Laval University, Québec, Canada.
Dermatitis ; 2023 Aug 17.
Article en En | MEDLINE | ID: mdl-37590477
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Dermatitis Asunto de la revista: DERMATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Dermatitis Asunto de la revista: DERMATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos