Abstract
Allerjik kontakt dermatit daha önce karşılaşılan ve duyarlanma gelişen maddeler ile tekrar karşılaşılması sonrasında ortaya çıkan gecikmiş tip (Tip 4) hipersensitivite reaksiyonudur. Erişkinlerde en çok mesleksel maruziyete bağlı gelişse de çocuklarda hobiler, oyuncaklar, spor malzemeleri de bu klinikle ilişkili olabilir. Kesin tanı koymak ve allerjeni tespit etmek için altın standart yama testidir.13 yaşında erkek hasta iki aydır olan her iki el ayasında ve ayaklarında kaşıntılı lezyonlar nedeni ile kliniğimize başvurdu. Hastanın öyküsünden iki aydır yoğun spor yaptığı, futbol oynarken kaleci eldiveni giydiği ve yüzme sırasında kauçuk terlik kullandığı öğrenildi.Hastada primer olarak kontakt dermatit düşünüldü. Ayırıcı tanıya yönelik Avrupa standart seri ile yama testi yapıldı. Mercaptobenzothiazole ve mercapto mix pozitif olarak değerlendirildi.Bu olgu aracılığıyla çocuklarda allerjik kontakt dermatit tanısında spor aktiviteleri, oyuncaklar ve hobilerin olası allerjen teması açısından iyi sorgulanması gerektiği ve yama testinin tanıdaki öneminin vurgulaması amaçlanmıştır.
Keywords
References
- Kadyk DI, McCarter K, Achen F, Belsito DV. Quality of life in patients with allergic contact dermatitis. J Am Acad Dermatol 2003;49:1037-48.
- Admani S, Jacob SE. Allergic contact dermatitis in children: Review of the past decade. Curr Allergy Asthma Rep 2014;14: 421
- Adisen E, Onder M, Terzioglu Y. A retrospective study of patients with facial allergic contact dermatitis patch tested with the European standard series in Turkey. J Eur Acad Dermatol Venereol 2009;23:704-5.
- Adams AK, Warshaw EM. Allergic contact dermatitis from mercapto compounds. Dermatitis 2016;17:56-70.
- Clayton TH, Wilkinson SM, Rawcliffe C, Pollock B, Clark SM. Allergic contact dermatitis in children: Should pattern of dermatitis determine referral? A retrospective study of 500 children tested between 1995 and 2004 in one U.K. centre. Br J Dermatol 2006;154:114-7.
- Onder M, Adisen E. Patch test results in a Turkish paediatric population. Contact Dermatitis 2008;58:63-5.
- Ertam I, Turkmen M, Alper S. Patch-test results of an academic department in Izmir, Turkey. Dermatitis 2008;19:213-5.
- Diepgen TL, Bruynzeel DP, Andersen KE, Brandão FM, Bruze M, Gonçalo M. Mercaptobenzothiazole or the mercapto-mix: Which should be in the standard series? Contact dermatitis 2006;55:36- 8.
- Warshaw EM, Raju SI, Mathias CG, Dekoven JG, Belsito DV, Maibaxh HI. Concomitant patch test reactions to mercapto mix and mercaptobenzothiazole: Retrospective analysis from the North American Contact Dermatitis Group, 1994-2008. Dermatitis 2013; 24: 321-7.
- Dou X, Zhao Y, Ni C, Zhu X, Liu L. Prevalence of contact allergy at a dermatology clinic in China from 1990-2009. Dermatitis 2011; 22:324-31.
- Onten AT, Baumstark J, Belloni B, Ring J, Schnopp C. Atypical diaper dermatitis: Contact allergy to mercapto compounds. Pediatric Dermatology 2011; 28:739-41.
- Tomc C, Kwasniak L, Shoureshi P, Nedorost S. Allergic contact dermatitis probably caused by mercaptobenzothiazole in thermal undergarments. Contact Dermatitis 2012;66:294-5.
Abstract
Allergic contact dermatitis is a delayed type (Type 4) hypersensitivity reaction that occurs after recurrence of previously encountered and sensitizing substances. Although adults have the most occupational exposure, hobbies, toys and sports equipment may also be associated with this clinical picture in children. The patch test is the gold standard to detect the allergy and make a definite diagnosis.A 13-year-old male patient presented to our clinic with pruritic lesions on both hands and feet for the last two months. The history revealed that he had been involved in two months of intense sports, using goalkeeper’s gloves while playing soccer and rubber slippers for swimming.The patient was primarily considered to have contact dermatitis . A patch test was performed with the European standard series for differential diagnosis. Mercaptobenzothiazole and mercapto mix were evaluated as positive.We would like to emphasize through this case that sports activities, toys, and hobbies should be questioned for possible contact allergen in the diagnosis of dermatitis in childhood, and we intended to highlight the importance of the patch test in the diagnosis
References
- Kadyk DI, McCarter K, Achen F, Belsito DV. Quality of life in patients with allergic contact dermatitis. J Am Acad Dermatol 2003;49:1037-48.
- Admani S, Jacob SE. Allergic contact dermatitis in children: Review of the past decade. Curr Allergy Asthma Rep 2014;14: 421
- Adisen E, Onder M, Terzioglu Y. A retrospective study of patients with facial allergic contact dermatitis patch tested with the European standard series in Turkey. J Eur Acad Dermatol Venereol 2009;23:704-5.
- Adams AK, Warshaw EM. Allergic contact dermatitis from mercapto compounds. Dermatitis 2016;17:56-70.
- Clayton TH, Wilkinson SM, Rawcliffe C, Pollock B, Clark SM. Allergic contact dermatitis in children: Should pattern of dermatitis determine referral? A retrospective study of 500 children tested between 1995 and 2004 in one U.K. centre. Br J Dermatol 2006;154:114-7.
- Onder M, Adisen E. Patch test results in a Turkish paediatric population. Contact Dermatitis 2008;58:63-5.
- Ertam I, Turkmen M, Alper S. Patch-test results of an academic department in Izmir, Turkey. Dermatitis 2008;19:213-5.
- Diepgen TL, Bruynzeel DP, Andersen KE, Brandão FM, Bruze M, Gonçalo M. Mercaptobenzothiazole or the mercapto-mix: Which should be in the standard series? Contact dermatitis 2006;55:36- 8.
- Warshaw EM, Raju SI, Mathias CG, Dekoven JG, Belsito DV, Maibaxh HI. Concomitant patch test reactions to mercapto mix and mercaptobenzothiazole: Retrospective analysis from the North American Contact Dermatitis Group, 1994-2008. Dermatitis 2013; 24: 321-7.
- Dou X, Zhao Y, Ni C, Zhu X, Liu L. Prevalence of contact allergy at a dermatology clinic in China from 1990-2009. Dermatitis 2011; 22:324-31.
- Onten AT, Baumstark J, Belloni B, Ring J, Schnopp C. Atypical diaper dermatitis: Contact allergy to mercapto compounds. Pediatric Dermatology 2011; 28:739-41.
- Tomc C, Kwasniak L, Shoureshi P, Nedorost S. Allergic contact dermatitis probably caused by mercaptobenzothiazole in thermal undergarments. Contact Dermatitis 2012;66:294-5.
Details
| Other ID | JA42DR37FR |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 1, 2018 |
| Submission Date | August 1, 2018 |
| Published in Issue | Year 2018 Volume: 12 Issue: 2 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.