Korean J Dermatol.  2008 Oct;46(10):1362-1368.

An Epidemiologic Study on Patch Test Positivitiesfor Patients with Allergic Contact Dermatitis

Affiliations
  • 1Department of Dermatology, College of Medicine, Chung-Ang University, Seoul, Korea.
  • 2Department of Dermatology, College of Medicine, Dongguk University, Goyang, Korea. leeay@duih.org

Abstract

BACKGROUND
The common allergens for patients with allergic contact dermatitis (ACD) have changed with the passage of time. Ammoniated mercury was the most common allergen in the 1980s, but it has been replaced by nickel sulphate.
OBJECTIVE
We wanted to delineate the recent alterations of common allergens of Korean ACD patients.
METHODS
We retrospectively reviewed the medical recordings of the patients who were diagnosed with ACD and we performed patch tests on these patients from July 2005 to May 2008. A total of 676 patients were enrolled in this study and the medical records included the patients' age and gender, the site of ACD, the clinical pictures and the results of a Korean standard series of patch tests.
RESULTS
The male to female ratio was 1.62 and the mean age of onset was 41.2+/-16.5 years. The most common ages of the ACD patients were the forties for males and the thirties for females. The most prevalent sites for ACD were the face, scalp and hands in males, while those for females were the face, hands and arms in order of frequency, respectively. The most common allergens were nickel sulfate for females and mercury ammonium chloride for males.
CONCLUSION
For ACD, the relative proportion of male patients has recently been markedly enlarged. This phenomenon might be related to the increased use of men's cosmetic products, and the market for these products had tremendously expanded during the last decade.

Keyword

Contact dermatitis; Epidemiology; Patch test

MeSH Terms

Age of Onset
Allergens
Ammonia
Ammonium Chloride
Arm
Cosmetics
Dermatitis, Allergic Contact
Dermatitis, Contact
Epidemiologic Studies
Female
Hand
Humans
Male
Medical Records
Mercuric Chloride
Nickel
Patch Tests
Retrospective Studies
Scalp
Allergens
Ammonia
Ammonium Chloride
Cosmetics
Mercuric Chloride
Nickel
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