Contact Urticaria Syndrome: a Comprehensive Review.

IF 2.4 Q2 DERMATOLOGY Current Dermatology Reports Pub Date : 2022-01-01 Epub Date: 2022-11-18 DOI:10.1007/s13671-022-00379-0
Ana M Giménez-Arnau, David Pesqué, Howard I Maibach
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Abstract

Purpose of review: Contact urticaria syndrome includes contact urticaria and protein contact dermatitis. Underreport, underdiagnosis, or misdiagnosis of entities within the contact urticaria syndrome is believed to be common, especially in the occupational setting. This review provides a structured overview of the entities comprised in this syndrome as well as the diagnostic work-up and management strategies.

Recent findings: Contact urticaria syndrome has been increasingly described due to personal protective equipment and hand sanitizers in the context of the COVID-19 pandemic. The use of legal cannabis products has led to a rise in occupational cases of contact urticaria to cannabis. A declining trend in the evolution of contact urticaria has been described for natural rubber latex allergy due to the use of synthetic gloves. Prick test has been proposed as a screening method, particularly if multiple products are to be tested, instead of the classical sequential scheme.

Summary: Physicians should be aware of the growing number of culprit agents leading to contact urticaria syndrome. Clinical presentation may be challenging since it includes immediate urticaria and/or eczema and even more generalized reactions. Diagnosis requires a high degree of suspicion, detailed occupational history, and complementary tests, including skin testing. The best treatment is to avoid contact with the culprit agent and to implement preventive measures.

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接触性荨麻疹综合征:全面回顾。
审查目的:接触性荨麻疹综合征包括接触性荨麻疹和蛋白接触性皮炎。据信,接触性荨麻疹综合征中的实体报告不足、诊断不足或误诊的情况很常见,尤其是在职业环境中。本综述对接触性荨麻疹综合征所包含的实体以及诊断工作和管理策略进行了结构化概述:在 COVID-19 大流行的背景下,接触性荨麻疹综合症的病因越来越多地归咎于个人防护设备和洗手液。合法大麻产品的使用导致了大麻接触性荨麻疹职业病例的增加。由于合成手套的使用,对天然橡胶乳胶过敏的接触性荨麻疹病例呈下降趋势。总结:医生应意识到导致接触性荨麻疹综合征的致病因子越来越多。临床表现可能具有挑战性,因为它包括即时性荨麻疹和/或湿疹,甚至更广泛的反应。诊断需要高度怀疑、详细的职业史和辅助检查,包括皮肤测试。最好的治疗方法是避免接触致病因子并采取预防措施。
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来源期刊
CiteScore
3.30
自引率
6.20%
发文量
28
期刊介绍: This journal intends to review the most significant recent developments in the field of dermatology. By providing clear, insightful, balanced contributions by expert international authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of dermatologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field, such as epidemiology, surgery, pharmacology, clinical trial design, and pediatrics. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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