European Surveillance System on Contact Allergies (ESSCA): Contact allergies in relation to body sites in patients with allergic contact dermatitis

Jart A. F. Oosterhaven; Wolfgang Uter; Werner Aberer; José C. Armario‐Hita; Barbara K. Ballmer‐Weber; Andrea Bauer; Magdalena Czarnecka‐Operacz; Peter Elsner; Juan García‐Gavín; Ana M. Giménez‐Arnau; Swen M. John; Beata Kręcisz; Vera Mahler; Thomas Rustemeyer; Anna Sadowska‐Przytocka; Javier Sánchez‐Pérez; Dagmar Simon; Skaidra Valiukeviciene; Elke Weisshaar; Marie L. A. Schuttelaar

doi:10.1111/cod.13192

journal article Open Access Jan 14, 2019

European Surveillance System on Contact Allergies (ESSCA): Contact allergies in relation to body sites in patients with allergic contact dermatitis

Jart A. F. Oosterhaven Wolfgang Uter

Werner Aberer José C. Armario‐Hita Barbara K. Ballmer‐Weber Andrea Bauer

Magdalena Czarnecka‐Operacz Peter Elsner

Juan García‐Gavín Ana M. Giménez‐Arnau

Swen M. John Beata Kręcisz Vera Mahler

Thomas Rustemeyer

Anna Sadowska‐Przytocka Javier Sánchez‐Pérez Dagmar Simon

Skaidra Valiukeviciene Elke Weisshaar Marie L. A. Schuttelaar

Contact Dermatitis Vol. 80 No. 5 pp. 263-272 · Wiley

View at Publisher Save 10.1111/cod.13192

Abstract

Background
Analyses of the European Surveillance System on Contact Allergies (ESSCA) database have focused primarily on the prevalence of contact allergies to the European baseline series, both overall and in subgroups of patients. However, affected body sites have hitherto not been addressed.

Objective
To determine the prevalence of contact allergies for distinct body sites in patients with allergic contact dermatitis (ACD).

Methods

Analysis of data collected by the ESSCA (
www.essca‐dc.org
) in consecutively patch tested patients, from 2009 to 2014, in eight European countries was performed. Cases were selected on the basis of the presence of minimally one positive patch test reaction to the baseline series, and a final diagnosis of ACD attributed to only one body site.

Results
Six thousand two hundred and fifty‐five cases were analysed. The head and hand were the most common single sites that ACD was attributed to. Differences between countries were seen for several body sites. Nickel, fragrance mix I, cobalt and methylchloroisothiazolinone/methylisothiazolinone were the most frequent allergens reported for various body sites.

Conclusions
Distinct allergen patterns per body site were observed. However, contact allergies were probably not always relevant for the dermatitis that patients presented with. The possibility of linking positive patch test reactions to relevance, along with affected body sites, should be a useful addition to patch test documentation systems.

Topics

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Details

Published: Jan 14, 2019
Vol/Issue: 80(5)
Pages: 263-272
License: View

Authors

J

Jart A. F. Oosterhaven

Department of Dermatology University of Groningen, University Medical Centre Groningen Groningen The Netherlands

W

Wolfgang Uter

Department of Medical Informatics, Biometry and Epidemiology Friedrich‐Alexander‐University Erlangen/Nürnberg Erlangen Germany

W

Werner Aberer

Department of Dermatology Medical University of Graz Graz Austria

J

José C. Armario‐Hita

Department of Dermatology University Hospital of Puerto Real, University of Cádiz Cádiz Spain

B

Barbara K. Ballmer‐Weber

Department of Dermatology University Hospital Zürich and Clinic of Dermatology and Allergology, Kantonsspital St Gallen Zürich Switzerland

A

Andrea Bauer

Department of Dermatology University Hospital Carl Gustav Carus, University Allergy Centre, Technical University Dresden Dresden Germany

M

Magdalena Czarnecka‐Operacz

Department of Dermatology Poznan University of Medical Sciences Poznan Poland

P

Peter Elsner

Department of Dermatology University Hospital Jena Jena Germany

J

Juan García‐Gavín

Department of Dermatology, University Hospital Complex Faculty of Medicine, A Coruña, Santiago de Compostela; also: Dermatological Office Vigo Spain

A

Ana M. Giménez‐Arnau

Department of Dermatology Hospital del Mar, IMIM Universitat Autònoma Barcelona Spain

S

Swen M. John

Department of Dermatology and Environmental Medicine Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm), Lower Saxony Institute for Occupational Dermatology (NIB), University of Osnabrück Osnabrück Germany

B

Beata Kręcisz

Faculty of Medicine and Health Science The Jan Kochanowski University Kielce Poland

V

Vera Mahler

Department of Dermatology University of Erlangen/Nürnberg Erlangen Bavaria; Division of Allergology Paul‐Ehrlich‐Institut Langen Germany

T

Thomas Rustemeyer

Department of Dermatology and Allergology Amsterdam University Medical Centers Amsterdam The Netherlands

A

Anna Sadowska‐Przytocka

Department of Dermatology Poznan University of Medical Sciences Poznan Poland

J

Javier Sánchez‐Pérez

Department of Dermatology University Hospital de la Princesa Madrid Spain

D

Dagmar Simon

Department of Dermatology, Inselspital Bern University Hospital, University of Bern Bern Switzerland

S

Skaidra Valiukeviciene

Department of Skin and Venereal Diseases Lithuanian University of Health Sciences Kaunas Lithuania

E

Elke Weisshaar

Department of Clinical Social Medicine, Environmental and Occupational Dermatology University of Heidelberg Heidelberg Germany

M

Marie L. A. Schuttelaar

Department of Dermatology University of Groningen, University Medical Centre Groningen Groningen The Netherlands

Cite This Article

Jart A. F. Oosterhaven, Wolfgang Uter, Werner Aberer, et al. (2019). European Surveillance System on Contact Allergies (ESSCA): Contact allergies in relation to body sites in patients with allergic contact dermatitis. Contact Dermatitis, 80(5), 263-272. https://doi.org/10.1111/cod.13192

European Surveillance System on Contact Allergies (ESSCA): Contact allergies in relation to body sites in patients with allergic contact dermatitis

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