Arquivos de Asma, Alergia e Imunologia
https://aaai-asbai.org.br/article/doi/10.5935/2526-5393.20240055
Arquivos de Asma, Alergia e Imunologia
Clinical and Experimental Communication

Dermatite de contato alérgica na infância com sensibilização a múltiplos componentes - Atenção aos novos alérgenos e aos riscos associados à adultização infantil

Allergic contact dermatitis in children with polysensitization - Attention to new allergens and risks associated with childhood adultification

Bruno Emanuel Carvalho Oliveira; Sergio Duarte Dortas-Junior; Priscilla Filippo A. M. Santos

Downloads: 0
Views: 8

Resumo

Relatamos o caso de uma paciente de 6 anos com dermatite de contato alérgica com sensibilização a múltiplos componentes. Foi realizado o teste de contato com bateria padrão, cosméticos e unhas com positividade para bálsamo-do-peru, propilenoglicol, cloreto de cobalto, amerchol L-101, dimetacrilato de etilenoglicol e dimetacrilato de trietilenoglicol. Havia relato do uso de perfumes, bijuterias, produtos para skin care da mãe, apresentava mechas do cabelo coloridas e unhas pintadas com esmalte.A incorporação de tipologias adultizadas ao universo infantil e a pressão estética para o consumo, pelos pacientes pediátricos, de produtos como tinturas e adornos para cabelos, perfumes, cremes, hidratantes e esmaltes de unha contribuem para o aumento da prevalência das dermatites de contato nesta faixa etária.

Palavras-chave

Dermatite de contato alérgica, crianças, alérgenos.

Abstract

We report the case of a 6-year-old girl with allergic contact dermatitis and polysensitization. Patch testing performed with the baseline series, cosmetic series, and nail products showed positive results for balsam of Peru, propylene glycol, cobalt chloride, Amerchol L-101, ethylene glycol dimethacrylate, and triethylene glycol dimethacrylate. She had a history of using her mother’s perfumes, jewelry, and skincare products, having colored hair highlights, and using nail polish. The incorporation of adult typologies into the child’s world and the aesthetic pressure on pediatric patients to consume products such as hair dyes, accessories, perfumes, creams, moisturizers, and nail polish contribute to the increased prevalence of contact dermatitis in this age group.

Keywords

Allergic contact dermatitis, children, allergens.

References

1. Li Y, Li L. Contact Dermatitis: Classifications and Management. Clin Rev Allergy Immunol. 2021 Jul 15;61(3):245-81.

2. Alinaghi F, Bennike NH, Egeberg A, Thyssen JP, Johansen JD. Prevalence of contact allergy in the general population: A systematic review and meta-analysis. Contact Dermatitis. 2018 Oct 29;80(2):77-85.

3. Johansen JD, Bonefeld CM, Schwensen JFB, Thyssen JP, Uter W. Novel insights into contact dermatitis. JACI. 2022;149(4):1162-71. doi 10.1016/j.jaci.2022.02.002.

4. Brys AK, Rodriguez-Homs LG, Suwanpradid J, Atwater AR, MacLeod AS. Shifting Paradigms in Allergic Contact Dermatitis: The Role of Innate Immunity. J Investig Dermatol. 2020 Jan;140(1):21-8.

5. Postman N. O desaparecimento da infância. Rio de Janeiro: Graphia; 1999.

6. Castilhos LKGPS. Infância na sociedade contemporânea: um estudo sobre o processo de adultização infantil. Revista Panorâmica Online. 2020;31(1). Disponível em: https://periodicoscientificos.ufmt.br/revistapanoramica/index.php/revistapanoramica/article/view/1193.

7. Del Priore M. História das crianças no Brasil. 4ª ed. São Paulo: Contexto; 2004.

8. Fisher AA. Allergic contact dermatitis in early infancy. Cutis. 1994;54(5):300-2.

9. Weston WL, Weston JA, Kinoshita J, Kloepfer S, Carreon L, Toth S, et al. Prevalence of positive epicutaneous tests among infants, children, and adolescents. Pediatrics. 1986 Dec;78(6):1070-4.

10. Bruckner AL, Weston WL, Morelli JG. Does Sensitization to Contact Allergens Begin in Infancy? Pediatrics. 2000 Jan 1;105(1):e3-3.

11. Tam I, Schalock PC, González E, Yu J. Patch Testing Results From the Massachusetts General Hospital Contact Dermatitis Clinic, 2007-2016. Dermatitis. 2020;31(3):202-8.

12. de Waard-van der Spek FB, Andersen KE, Darsow U, Mortz CG, Orton D, Worm M, et al. Allergic contact dermatitis in children: which factors are relevant? (review of the literature). Pediatr Allergy Immunol. 2013 Feb 3;24(4):321-9.

13. Medley EA, Kruchten KE, Spratlen MJ, Ureño M, Cole A, Joglekar R, et al. Usage of Children's Makeup and Body Products in the United States and Implications for Childhood Environmental Exposures. Int J Environ Res Public Health. 2023 Jan 24;20(3):2114.

14. Jacob SE, Goldenberg A, Pelletier JL, Fonacier LS, Usatine R, Silverberg N. Nickel Allergy and Our Children's Health: A Review of Indexed Cases and a View of Future Prevention. Pediatric Dermatology. 2015 Jul 27;32(6):779-85.

15. Tuchman M, Silverberg JI, Jacob SE, Silverberg N. Nickel contact dermatitis in children. Clinics in Dermatology. 2015 May;33(3):320-6.

16. Jacob SE, Hamann D, Goldenberg A, Connelly EA. Easter Egg Hunt Dermatitis: Systemic Allergic Contact Dermatitis Associated with Chocolate Ingestion. Pediatric Dermatology. 2014 Dec 22;32(2):231-3.

17. Matiz C, Jacob SE. Systemic Contact Dermatitis in Children: How an Avoidance Diet Can Make a Difference. Pediatric Dermatology. 2010 Aug 27;28(4):368-74.

18. Herro EM, Jacob SE. Systemic Contact Dermatitis - Kids and Ketchup. Pediatric Dermatology. 2012 Feb 3;30(3):e32-3.

19. Isik S, Caglayan-Sözmen S, Anal Ö, Karaman Ö, Uzuner N. Severe Neck and Face Edema in an Adolescent-Delayed Hypersensitivity Reaction to Hair Dye. Pediatric Emergency Care. 2017 Jun;33(6):422-3.

20. Soffer GK, Toh J, Clements S, Jariwala S. A case of chronic contact dermatitis resulting from the use of blue hair dye. Contact Dermatitis. 2016 Sep 12;75(4):258-9.

21. Vigan M, Castelain F. Fragrance and Cosmetic Contact Allergy in Children. Curr Treat Options Allergy. 2014 Jul 12;1(3):310-6.

22. Romita P, Foti C, Barlusconi C, Hansel K, Tramontana M, Stingeni L. Contact allergy to (meth)acrylates in gel nail polish in a child: An emerging risk for children. Contact Dermatitis. 2020 Mar 11;83(1):39-40.

23. Panfili E, Esposito S, Di Cara G. Temporary Black Henna Tattoos and Sensitization to para-Phenylenediamine (PPD): Two Paediatric Case Reports and a Review of the Literature. Int J Environ Res Public Health. 2017 Apr 14;14(4):421.

24. Neri I, E. Guareschi, Savoia F, Patrizi A. Childhood Allergic Contact Dermatitis from Henna Tattoo. Pediatr Dermatol. 2002 Nov 1;19(6):503-5.

25. Jacob SE, McGowan M, Silverberg NB, Pelletier JL, Fonacier L, Mousdicas N, et al. Pediatric Contact Dermatitis Registry Data on Contact Allergy in Children With Atopic Dermatitis. JAMA Dermatology. 2017 Aug 1;153(8):765.

26. Sasseville D. Acrylates in Contact Dermatitis. Dermatitis. 2012 Jan;23(1):6-16.

27. Sanchez-Perez J, Gonzalez-Arriba A, Goiriz R, Garcia-Diez A. Occupational allergic contact dermatitis to acrylates and methacrylates. Contact Dermatitis. 2008;58(4):252-4.

28. Geukens S, Goossens A. Occupational contact allergy to (meth) acrylates. Contact Dermatitis. 2001 Mar;44(3):153-9.

29. Oliveira A, Almeida F, Caldas R, Pereira T, Brito C. Dermatite de Contato Alérgica aos (Meta)Acrilatos - estudo retrospetivo de sete anos num Hospital Público Português. Revista Portuguesa de Saúde Ocupacional on line. 2020, volume 10, 1-10. doi 10.31252/RPSO.23.10.2020.

30. Raposo I, Lobo I, Amaro C, Lobo M de L, Melo H, Parente J, et al. Allergic contact dermatitis caused by (meth)acrylates in nail cosmetic products in users and nail technicians - a 5-year study. Contact Dermatitis. 2017 May 15;77(6):356-9.

31. Romita P, Foti C, Barlusconi C, Hansel K, Tramontana M, Stingeni L. Contact allergy to (meth)acrylates in gel nail polish in a child: An emerging risk for children. Contact Dermatitis. 2020 Mar 11;83(1):39-40.


Submitted date:
05/30/2024

Accepted date:
08/04/2024

69fa3747a9539551eb4bdca4 aaai Articles
Links & Downloads

Arq Asma Alerg Imunol

Share this page
Page Sections