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Variability in Paediatric Patch Test Practices Across Europe: A Survey From the European Baseline Series (EBS) Working Party on Behalf of the European Society of Contact Dermatitis (ESCD)

  • Olivier Aerts*
  • , Thomas Rustemeyer
  • , Anna Belloni-Fortina
  • , Sonia Badulici
  • , Heinrich Dickel
  • , Jose Luis Garcia Abujeta
  • , Ana Maria Giménez-Arnau
  • , Margarida Gonçalo
  • , Catherine R. Holden
  • , Marléne Isaksson
  • , Faheem Latheef
  • , Suzana Ljubojevic Hadzavdic
  • , Vera Mahler
  • , Esen Özkaya
  • , Gyorgyi Ponyai
  • , Nives Pustišek
  • , Marie-Louise Schuttelaar
  • , Jakob Schwensen
  • , Radoslaw Spiewak
  • , Luca Stingeni
  • Cecilia Svedman, Wolfgang Uter, Jonathan M. L. White, Mark Wilkinson, Anne-Birgitte Simonsen, Jeanne Duus Johansen
*Corresponding author for this work
  • University of Antwerp
  • University of Amsterdam
  • University of Padua
  • Romanian Society of Legal Medicine
  • Ruhr University Bochum
  • Hospital Marina Baixa
  • Pompeu Fabra University
  • University of Coimbra
  • Sheffield Teaching Hospitals NHS Foundation Trust
  • Lund University
  • Leeds Teaching Hospitals NHS Trust
  • University of Zagreb
  • Paul-Ehrlich-Institut
  • Istanbul University
  • Semmelweis University
  • Childern's Hospital Zagreb
  • University of Groningen
  • University of Copenhagen
  • Jagiellonian University Medical College
  • University of Perugia
  • Friedrich-Alexander University Erlangen-Nürnberg
  • Université libre de Bruxelles

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Allergic contact dermatitis (ACD) is an increasingly recognised condition in children and adolescents. However, there is limited knowledge about the different paediatric patch test procedures in European patch test clinics. Objectives: To map current European paediatric patch test practices, and to relate these to the existing literature, with the aim of guiding the development of a future paediatric patch test guideline, and a corresponding paediatric European baseline series (pEBS). Materials and Methods: In the course of late 2023/early 2024, a standardised paediatric patch test e-mail questionnaire was developed, distributed, and discussed among members of the European Baseline Series (EBS) Working Party of the European Society of Contact Dermatitis (ESCD). Results: Areas of agreement and discussion were identified regarding patch testing in children of different ages, with and without atopic dermatitis: (contra)indications, choice of allergens and patch test chambers, peculiarities regarding the application and fixation of tests, occlusion and reading times. Conclusion: Although variability exists in paediatric patch test practices across Europe, there is broad agreement on common procedures, and only a few areas of debate; these findings may be used to inform the development of a future paediatric patch test guideline and pEBS.
Original languageEnglish
Pages (from-to)285-297
Number of pages13
JournalContact dermatitis
Volume93
Issue number4
Early online date2025
DOIs
Publication statusPublished - Oct 2025

Keywords

  • allergic contact dermatitis
  • atopic dermatitis
  • patch test

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