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Medical adhesive allergens: Retrospective analysis of cross-sectional data from the North American Contact Dermatitis Group, 2001-2018.

Publication ,  Journal Article
Atwater, AR; Bembry, R; Liu, B; Warshaw, EM; DeKoven, JG; Silverberg, JI; Taylor, JS; Zug, KA; Houle, M-C; Belsito, DV; Maibach, HI; Pratt, MD ...
Published in: Journal of the American Academy of Dermatology
November 2022

Identification of allergens causing medical adhesive contact allergy is difficult.To characterize the demographics, clinical characteristics, patch test results, and occupational data for North American Contact Dermatitis Group patients with medical adhesive contact allergy.A retrospective study of 43,722 North American Contact Dermatitis Group patients patch tested from 2001 to 2018 with medical adhesive (tapes/bandaids/adhesive aids/suture glue) sources, positive patch test results, and final primary diagnoses of allergic contact dermatitis.In total, 313 (0.7%) patients met the inclusion criteria. Compared with other patients with final primary diagnoses of allergic contact dermatitis, patients with a medical adhesive allergy were less likely to be male (odds ratio, 0.58; 95% CI, 0.45-0.77) and/or aged >40 years (odds ratio, 0.76; 95% CI, 0.60-0.96). The most common North American Contact Dermatitis Group screening series allergens were colophony (80.7%), balsam of Peru (3.9%), 2-hydroxyethyl methacrylate (2.7%), and carba mix (2.7%). One-fourth of the patients (79/313, 25.2%) had positive patch test reactions to supplemental allergens/materials, and 54 (17.3%) of the 313 patients only had reactions to supplemental allergens/materials.Results of comprehensive patch testing may be prone to referral population selection bias and may not be representative of the general dermatology population.Colophony was the most common allergen. Supplemental allergens and materials should be tested in the evaluation of a suspected medical adhesive contact allergy.

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Published In

Journal of the American Academy of Dermatology

DOI

EISSN

1097-6787

ISSN

0190-9622

Publication Date

November 2022

Volume

87

Issue

5

Start / End Page

1024 / 1032

Related Subject Headings

  • Retrospective Studies
  • Patch Tests
  • North America
  • Male
  • Humans
  • Female
  • Dermatology & Venereal Diseases
  • Dermatitis, Allergic Contact
  • Cross-Sectional Studies
  • Allergens
 

Citation

APA
Chicago
ICMJE
MLA
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Atwater, A. R., Bembry, R., Liu, B., Warshaw, E. M., DeKoven, J. G., Silverberg, J. I., … DeLeo, V. A. (2022). Medical adhesive allergens: Retrospective analysis of cross-sectional data from the North American Contact Dermatitis Group, 2001-2018. Journal of the American Academy of Dermatology, 87(5), 1024–1032. https://doi.org/10.1016/j.jaad.2021.11.055
Atwater, Amber Reck, Raina Bembry, Beiyu Liu, Erin M. Warshaw, Joel G. DeKoven, Jonathan I. Silverberg, James S. Taylor, et al. “Medical adhesive allergens: Retrospective analysis of cross-sectional data from the North American Contact Dermatitis Group, 2001-2018.Journal of the American Academy of Dermatology 87, no. 5 (November 2022): 1024–32. https://doi.org/10.1016/j.jaad.2021.11.055.
Atwater AR, Bembry R, Liu B, Warshaw EM, DeKoven JG, Silverberg JI, et al. Medical adhesive allergens: Retrospective analysis of cross-sectional data from the North American Contact Dermatitis Group, 2001-2018. Journal of the American Academy of Dermatology. 2022 Nov;87(5):1024–32.
Atwater, Amber Reck, et al. “Medical adhesive allergens: Retrospective analysis of cross-sectional data from the North American Contact Dermatitis Group, 2001-2018.Journal of the American Academy of Dermatology, vol. 87, no. 5, Nov. 2022, pp. 1024–32. Epmc, doi:10.1016/j.jaad.2021.11.055.
Atwater AR, Bembry R, Liu B, Warshaw EM, DeKoven JG, Silverberg JI, Taylor JS, Zug KA, Houle M-C, Belsito DV, Maibach HI, Reeder MJ, Sasseville D, Dunnick C, Fowler JF, Pratt MD, DeLeo VA. Medical adhesive allergens: Retrospective analysis of cross-sectional data from the North American Contact Dermatitis Group, 2001-2018. Journal of the American Academy of Dermatology. 2022 Nov;87(5):1024–1032.
Journal cover image

Published In

Journal of the American Academy of Dermatology

DOI

EISSN

1097-6787

ISSN

0190-9622

Publication Date

November 2022

Volume

87

Issue

5

Start / End Page

1024 / 1032

Related Subject Headings

  • Retrospective Studies
  • Patch Tests
  • North America
  • Male
  • Humans
  • Female
  • Dermatology & Venereal Diseases
  • Dermatitis, Allergic Contact
  • Cross-Sectional Studies
  • Allergens