Contact urticaria syndrome: a comprehensive review

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...

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Autores: Giménez Arnau, Anna Maria, Pesqué, David, Maibach, Howard
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2022
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/56110
Acceso en línea:http://hdl.handle.net/10230/56110
http://dx.doi.org/10.1007/s13671-022-00379-0
Access Level:acceso abierto
Palabra clave:Angioedema
Contact urticarial
Dermatitis
Immediate
Inducible urticarial
Occupational
Protein contact dermatitis
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spelling Contact urticaria syndrome: a comprehensive reviewGiménez Arnau, Anna MariaPesqué, DavidMaibach, HowardAngioedemaContact urticarialDermatitisImmediateInducible urticarialOccupationalProtein contact dermatitisPurpose 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.Springer20232022info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/56110http://dx.doi.org/10.1007/s13671-022-00379-0reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésThis version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s13671-022-00379-0info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/561102026-06-12T07:21:37Z
dc.title.none.fl_str_mv Contact urticaria syndrome: a comprehensive review
title Contact urticaria syndrome: a comprehensive review
spellingShingle Contact urticaria syndrome: a comprehensive review
Giménez Arnau, Anna Maria
Angioedema
Contact urticarial
Dermatitis
Immediate
Inducible urticarial
Occupational
Protein contact dermatitis
title_short Contact urticaria syndrome: a comprehensive review
title_full Contact urticaria syndrome: a comprehensive review
title_fullStr Contact urticaria syndrome: a comprehensive review
title_full_unstemmed Contact urticaria syndrome: a comprehensive review
title_sort Contact urticaria syndrome: a comprehensive review
dc.creator.none.fl_str_mv Giménez Arnau, Anna Maria
Pesqué, David
Maibach, Howard
author Giménez Arnau, Anna Maria
author_facet Giménez Arnau, Anna Maria
Pesqué, David
Maibach, Howard
author_role author
author2 Pesqué, David
Maibach, Howard
author2_role author
author
dc.subject.none.fl_str_mv Angioedema
Contact urticarial
Dermatitis
Immediate
Inducible urticarial
Occupational
Protein contact dermatitis
topic Angioedema
Contact urticarial
Dermatitis
Immediate
Inducible urticarial
Occupational
Protein contact dermatitis
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
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dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/56110
http://dx.doi.org/10.1007/s13671-022-00379-0
url http://hdl.handle.net/10230/56110
http://dx.doi.org/10.1007/s13671-022-00379-0
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
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