Etiology of Allergic Contact Dermatitis based on Patch Test

Dita Maulida Anggraini, Endang Sutedja, Achadiyani Achadiyani

Abstract


Background: Allergic contact dermatitis is a type of contact dermatitis, whose  prevalence tends to increase every year. Patch test is an important diagnostic test to confirm the disease. The result of patch test can help doctors to perform appropriate treatment.  The aim of the study was to identify  the most frequent allergen causing allergic contact dermatitis based on patch test results.

Methods: This was a descriptive retrospective study among patients who underwent patch test at the Dermatology and Venereology Clinic in Dr.Hasan Sadikin General Hospital Bandung, Indonesia from August 1st, 2014 to August 31st, 2015. The patch test result was obtained from the patient’s medical record and recapitulation data. The patient’s medical record would be collected based on inclusion and exclusion criteria. This study also collected demographic data of the patients, including age, sex, and occupation.The collected data were presented using tables.

Results: Out of 45 patient’s medical records, 19 patients were male (42.2%) and 26 patients were female (57.8%). Nickel sulphate was the most frequent allergen with 17 sensitization. Thirteen out of 17 patients who were sensitized by nickel sulphate were females. A great majority of the patients were in the age group of 15–44 years. Most of the patients were students (42.2%). Allergic contact dermatitis (64.4%) was the main clinical diagnosis among the patients.

Conclusions: The most frequent allergen causes allergic contact dermatitis is nickel sulphate.


Keywords


Allergic contact dermatitis; nickel sulphate; patch test

Full Text:

PDF

References


Warshaw EM, Belsito DV, Taylor JS, Sasseville D, DeKoven JG, Zirwas MJ, et al. North American Contact Dermatitis Group patch test results: 2009 to 2010. Dermatitis. 2013;24(2):50–9.

Warshaw EM, Maibach HI, Taylor JS, Sasseville D, DeKoven JG, Zirwas MJ, et al. North American Contact Dermatitis Group patch test results: 2011–2012. Dermatitis. 2015;26(1):49–59.

Thaha MA. Uji tempel dengan Finn dan Iq Chambers pada pasien dermatitis kontak alergi di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang. Majalah Kedokteran Sriwijaya. 2014;46(2):118–23.

Beck MH, Wilkinson SM. Contact dermatitis: allergic. In: Burns T, Breathnach S, Cox N, Griffiths C. Rook’s textbook of dermatology. 8th ed. Oxford: Blackwell Publishing; 2010. p. 26.1–26.106.

Sasseville D. Occupational contact dermatitis. Allergy Asthma Clin Immunol. 2008;4(2):59–65.

Lazzarini R, Duarte I, Ferreira A. Patch tests. An Bras Dermatol. 2013;88(6):879–88.

Peiser M, Tralau T, Heidler J, Api A, Arts J, Basketter D, et al. Allergic contact dermatitis: epidemiology, molecular mechanisms, in vitro methods and regulatory aspects. Cell Mol Life Sci. 2012;69(5):763–81.

Calamita Z, Alonso ACR, da Costa LCO, Calamita ABP. Main allergens observed in patients with contact dermatitis in a Brazilian population group. Open Dermatol J. 2015;9(5):21–4.

Reduta T, Bacharewicz J, Pawłoś A. Patch test results in patients with allergic contact dermatitis in the Podlasie region. Postepy Dermatol Alergol. 2013;30(6):350–7.

Adiani AD, Muslimin M. Karakteristik Dermatitis Kontak Alergi (DKA) di RSUP Dr. Kariadi. Media Medika Muda. 2014;3(1):1–25

Bordel-Gómez MT, Miranda-Romero A, Castrodeza-Sanz J. Epidemiology of Contact Dermatitis: Prevalence of Sensitization to Different Allergens and Associated Factors. Actas Dermosifiliogr. 2010;101(1):59–75.

Rietschel R, Fowler J, Fisher A. Fisher’s Contact Dermatitis. 6th ed. Hamilton: BC Decker Inc; 2008. p. 653–60.




DOI: https://doi.org/10.15850/amj.v4n4.1265

Article Metrics

Abstract view : 2272 times
PDF - 969 times



 This Journal indexed by

                  

          

 

Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats