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Tramontana M, Hansel K, Bianchi L, Sensini C, Malatesta N, Stingeni L. Advancing the understanding of allergic contact dermatitis: from pathophysiology to novel therapeutic approaches. Front Med (Lausanne) 2023; 10:1184289. [PMID: 37283623 PMCID: PMC10239928 DOI: 10.3389/fmed.2023.1184289] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 04/18/2023] [Indexed: 06/08/2023] Open
Abstract
Allergic contact dermatitis (ACD) is a common inflammatory skin disease that, especially when the condition becomes chronic, has a high impact on the quality of life and represents a significant disease burden. ACD represents a type IV delayed-type hypersensitivity reaction that is triggered by contact with an allergen in previously sensitized individuals through the activation of allergen-specific T cells. In the acute phase, it is characterized by eczematous dermatitis, which presents with erythema, edema, vesicles, scaling, and intense itch. Non-eczematous clinical forms are also described (lichenoid, bullous, and lymphomatosis). Lichenification is the most common clinical picture in the chronic phase if the culprit allergen is not found or eliminated. ACD can be associated with both occupational and non-occupational exposure to allergens, representing approximately 90% of occupational skin disorders along with irritant contact dermatitis. Patch testing with suspected allergens is required for a diagnosis. Metals, especially nickel, fragrance mix, isothiazolinones, and para-phenylenediamine, are the most commonly positive allergens in patients patch tested for suspected ACD. The treatment goal is to avoid contact with the culprit agent and use topical and/or systemic corticosteroid therapy.
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Foti C, Calianno G, Cassano N, Vena GA, Hansel K, Stingeni L, Romita P. Vulvar allergic contact dermatitis to metronidazole. Contact Dermatitis 2023; 88:406-407. [PMID: 36718015 DOI: 10.1111/cod.14283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 01/25/2023] [Accepted: 01/27/2023] [Indexed: 02/01/2023]
Affiliation(s)
- Caterina Foti
- Department of Precision and Regenerative Medicine and Ionian Area, Unit of Dermatology, University of Bari Aldo Moro, Piazza Giulio Cesare, Bari, Italy
| | - Gianluca Calianno
- Department of Precision and Regenerative Medicine and Ionian Area, Unit of Dermatology, University of Bari Aldo Moro, Piazza Giulio Cesare, Bari, Italy
| | - Nicoletta Cassano
- Dermatology and Venereology Private Practice, Bari and Barletta, Italy
| | - Gino Antonio Vena
- Dermatology and Venereology Private Practice, Bari and Barletta, Italy
| | - Katharina Hansel
- Section of Dermatology, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Luca Stingeni
- Section of Dermatology, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Paolo Romita
- Department of Precision and Regenerative Medicine and Ionian Area, Unit of Dermatology, University of Bari Aldo Moro, Piazza Giulio Cesare, Bari, Italy
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Contact Allergy to Topical Drugs. Contact Dermatitis 2021. [DOI: 10.1007/978-3-030-36335-2_38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Stingeni L, Bianchi L, Tramontana M, Pigatto PD, Patruno C, Corazza M, Foti C, Fabbrocini G, Micali G, Romita P, Napolitano M, Hansel K. Skin tests in the diagnosis of adverse drug reactions. GIORN ITAL DERMAT V 2020; 155:602-621. [DOI: 10.23736/s0392-0488.20.06698-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Hansel K, Marietti R, Tramontana M, Bianchi L, Rigano L, Lionetti N, Romita P, Giuffrida R, Stingeni L. Sensitization/tolerance profile of betamethasone sodium phosphate in patients with contact allergy to budesonide. Dermatol Ther 2020; 33:e14155. [DOI: 10.1111/dth.14155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 07/30/2020] [Accepted: 07/31/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Katharina Hansel
- Dermatology Section, Department of Medicine University of Perugia Perugia Italy
| | - Rossella Marietti
- Dermatology Section, Department of Medicine University of Perugia Perugia Italy
| | - Marta Tramontana
- Dermatology Section, Department of Medicine University of Perugia Perugia Italy
| | - Leonardo Bianchi
- Dermatology Section, Department of Medicine University of Perugia Perugia Italy
| | - Luigi Rigano
- R&D Department ISPE (Institute of Skin and Product Evaluation) Milan Italy
| | - Nicola Lionetti
- R&D Department ISPE (Institute of Skin and Product Evaluation) Milan Italy
| | - Paolo Romita
- Department of Biomedical Science and Human Oncology, Dermatological Clinic University of Bari Bari Italy
| | - Roberta Giuffrida
- Department of Clinical and Experimental Medicine, Dermatology University of Messina Messina Italy
| | - Luca Stingeni
- Dermatology Section, Department of Medicine University of Perugia Perugia Italy
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Tramontana M, Hansel K, Bianchi L, Foti C, Romita P, Stingeni L. Occupational allergic contact dermatitis from a glue: Concomitant sensitivity to "declared" isothiazolinones and "undeclared" (meth)acrylates. Contact Dermatitis 2020; 83:150-152. [PMID: 32311096 DOI: 10.1111/cod.13569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2020] [Revised: 04/14/2020] [Accepted: 04/17/2020] [Indexed: 01/13/2023]
Affiliation(s)
- Marta Tramontana
- Section of Dermatology, Department of Medicine , University of Perugia, Perugia, Italy
| | - Katharina Hansel
- Section of Dermatology, Department of Medicine , University of Perugia, Perugia, Italy
| | - Leonardo Bianchi
- Section of Dermatology, Department of Medicine , University of Perugia, Perugia, Italy
| | - Caterina Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - Paolo Romita
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - Luca Stingeni
- Section of Dermatology, Department of Medicine , University of Perugia, Perugia, Italy
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Romita P, Guarneri F, De Prezzo S, Dimauro D, Ambrogio F, Bonamonte D, Foti C. Onychomadesis secondary to allergic contact dermatitis to tioconazole contained in a nail lacquer: Description of three cases. Contact Dermatitis 2020; 82:242-243. [DOI: 10.1111/cod.13446] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Accepted: 12/02/2019] [Indexed: 02/02/2023]
Affiliation(s)
- Paolo Romita
- Department of Biomedical Science and Human Oncology, Dermatological ClinicUniversity of Bari Bari Italy
| | - Fabrizio Guarneri
- Section of Dermatology, Department of Clinical and Experimental MedicineUniversity of Messina Messina Italy
| | - Serena De Prezzo
- Department of Biomedical Science and Human Oncology, Dermatological ClinicUniversity of Bari Bari Italy
| | - Dario Dimauro
- Department of Biomedical Science and Human Oncology, Dermatological ClinicUniversity of Bari Bari Italy
| | - Francesca Ambrogio
- Department of Biomedical Science and Human Oncology, Dermatological ClinicUniversity of Bari Bari Italy
| | - Domenico Bonamonte
- Department of Biomedical Science and Human Oncology, Dermatological ClinicUniversity of Bari Bari Italy
| | - Caterina Foti
- Department of Biomedical Science and Human Oncology, Dermatological ClinicUniversity of Bari Bari Italy
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Topical Drugs. Contact Dermatitis 2020. [DOI: 10.1007/978-3-319-72451-5_38-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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9
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Goossens A, Gonçalo M. Contact Allergy to Topical Drugs. Contact Dermatitis 2020. [DOI: 10.1007/978-3-319-72451-5_38-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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10
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Corazza M, Scuderi V, Toni G, Forconi R, Zedde P, Borghi A. Severe vulvovaginal allergic contact dermatitis due to clotrimazole contained in multiple topical products. Contact Dermatitis 2019; 82:57-59. [PMID: 31414484 DOI: 10.1111/cod.13385] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 08/12/2019] [Accepted: 08/13/2019] [Indexed: 01/19/2023]
Affiliation(s)
- Monica Corazza
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Valeria Scuderi
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Giulia Toni
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Riccardo Forconi
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Pierantonia Zedde
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
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