Patch tests and hand eczema: retrospective study in 173 patients and literature review
Abstract Background Hand eczema (HE) is a highly prevalent, recurrent, and multifactorial disease. It encompasses a group of eczematous diseases that affect the hands, etiologically classified into irritant contact dermatitis (ICD), allergic contact dermatitis (ACD) and atopic dermatitis (AD). Few...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Dermatologia
2023-06-01
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| Series: | Anais Brasileiros de Dermatologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962023000300339&tlng=en |
| _version_ | 1797791433599483904 |
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| author | Nathalie Mie Suzuki Mariana de Figueiredo Silva Hafner Rosana Lazzarini Ida Alzira Gomes Duarte John Verrinder Veasey |
| author_facet | Nathalie Mie Suzuki Mariana de Figueiredo Silva Hafner Rosana Lazzarini Ida Alzira Gomes Duarte John Verrinder Veasey |
| author_sort | Nathalie Mie Suzuki |
| collection | DOAJ |
| description | Abstract Background Hand eczema (HE) is a highly prevalent, recurrent, and multifactorial disease. It encompasses a group of eczematous diseases that affect the hands, etiologically classified into irritant contact dermatitis (ICD), allergic contact dermatitis (ACD) and atopic dermatitis (AD). Few epidemiological studies in Latin America have investigated the characteristics of patients with this condition and the origin of the disease. Objectives To analyze the profile of patients diagnosed with HE submitted to patch tests aiming to determine its etiology. Methods A retrospective descriptive study was carried out on epidemiological data and patch tests of patients with HE treated at a tertiary hospital in the city of São Paulo from January 2013 to December 2020. Results A total of 173 patients were studied, whose final diagnosis was 61.8% of ICD, 23.1% of ACD and 5.2% of AD, with diagnostic overlap in 42.8% of the cases. The main positive and relevant patch tests were: Kathon CG (42%), nickel sulfate (33%), and thiuram mix (18%). Study limitations The number of treated cases and socioeconomic profile was limited to a vulnerable population group. Conclusion HE is a diagnosis in which overlapping etiologies are frequent, with the main sensitizers identified in ACD being Kathon CG, nickel sulfate and thiuram mix. |
| first_indexed | 2024-03-13T02:18:43Z |
| format | Article |
| id | doaj.art-2ce3609b78c04665a1658b4d18bee2b9 |
| institution | Directory Open Access Journal |
| issn | 0365-0596 |
| language | English |
| last_indexed | 2024-03-13T02:18:43Z |
| publishDate | 2023-06-01 |
| publisher | Sociedade Brasileira de Dermatologia |
| record_format | Article |
| series | Anais Brasileiros de Dermatologia |
| spelling | doaj.art-2ce3609b78c04665a1658b4d18bee2b92023-06-30T10:49:27ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962023-06-0198333934610.1016/j.abd.2022.02.007Patch tests and hand eczema: retrospective study in 173 patients and literature reviewNathalie Mie Suzukihttps://orcid.org/0000-0001-5699-3310Mariana de Figueiredo Silva Hafnerhttps://orcid.org/0000-0001-8322-3856Rosana Lazzarinihttps://orcid.org/0000-0002-4893-3593Ida Alzira Gomes Duartehttps://orcid.org/0000-0001-6554-7005John Verrinder Veaseyhttps://orcid.org/0000-0002-4256-5734Abstract Background Hand eczema (HE) is a highly prevalent, recurrent, and multifactorial disease. It encompasses a group of eczematous diseases that affect the hands, etiologically classified into irritant contact dermatitis (ICD), allergic contact dermatitis (ACD) and atopic dermatitis (AD). Few epidemiological studies in Latin America have investigated the characteristics of patients with this condition and the origin of the disease. Objectives To analyze the profile of patients diagnosed with HE submitted to patch tests aiming to determine its etiology. Methods A retrospective descriptive study was carried out on epidemiological data and patch tests of patients with HE treated at a tertiary hospital in the city of São Paulo from January 2013 to December 2020. Results A total of 173 patients were studied, whose final diagnosis was 61.8% of ICD, 23.1% of ACD and 5.2% of AD, with diagnostic overlap in 42.8% of the cases. The main positive and relevant patch tests were: Kathon CG (42%), nickel sulfate (33%), and thiuram mix (18%). Study limitations The number of treated cases and socioeconomic profile was limited to a vulnerable population group. Conclusion HE is a diagnosis in which overlapping etiologies are frequent, with the main sensitizers identified in ACD being Kathon CG, nickel sulfate and thiuram mix.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962023000300339&tlng=enAllergic contact dermatitisHandsPatch tests |
| spellingShingle | Nathalie Mie Suzuki Mariana de Figueiredo Silva Hafner Rosana Lazzarini Ida Alzira Gomes Duarte John Verrinder Veasey Patch tests and hand eczema: retrospective study in 173 patients and literature review Anais Brasileiros de Dermatologia Allergic contact dermatitis Hands Patch tests |
| title | Patch tests and hand eczema: retrospective study in 173 patients and literature review |
| title_full | Patch tests and hand eczema: retrospective study in 173 patients and literature review |
| title_fullStr | Patch tests and hand eczema: retrospective study in 173 patients and literature review |
| title_full_unstemmed | Patch tests and hand eczema: retrospective study in 173 patients and literature review |
| title_short | Patch tests and hand eczema: retrospective study in 173 patients and literature review |
| title_sort | patch tests and hand eczema retrospective study in 173 patients and literature review |
| topic | Allergic contact dermatitis Hands Patch tests |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962023000300339&tlng=en |
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