PMID- 29457485 OWN - NLM STAT- MEDLINE DCOM- 20181218 LR - 20181218 IS - 1615-7109 (Electronic) IS - 1203-4754 (Linking) VI - 22 IP - 4 DP - 2018 Jul/Aug TI - Atopy Associated With Positive Patch Test and Possible Allergic Contact Dermatitis. PG - 405-410 LID - 10.1177/1203475418758988 [doi] AB - BACKGROUND: Atopy is a genetic predisposition to the development of allergic reactions and the increased production of immunoglobulin E (IgE) upon exposure to environmental antigens. Clinical manifestations of atopy include asthma, atopic dermatitis (AD), and allergic rhinoconjunctivitis (ARC). OBJECTIVE: To determine if cutaneous delayed hypersensitivity reactions (CDHRs) as assessed by patch testing are higher among patients with a history of atopy and with a familial predisposition to atopy. METHODS: For this study, we reviewed the patch test database of the UBC Contact Dermatitis Clinic over a 4-year time span. A personal history of asthma, AD, and ARC was recorded. In addition, a family history was obtained and manifestations of atopy in family members were noted. RESULTS: A total of 1515 patients were included in this study. Our data show that the odds ratio (OR) of a positive patch test with a personal history of atopy was 1.39, while the OR of a positive patch test with a family history of atopy was 1.69. Conversely, a personal history of respiratory atopy did not significantly affect the probability of a positive patch test, with an OR of 1.03. CONCLUSION: We conclude from our study that patients with a personal or family history of atopy have an increased risk of allergic contact dermatitis (ACD). These results provide further evidence for the link between atopy and ACD and suggest that children of atopic parents should avoid potential contact allergens and would likely benefit from prophylactic emollient use. FAU - Kirchhof, Mark G AU - Kirchhof MG AD - 1 Division of Dermatology, Department of Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, ON, Canada. FAU - de Gannes, Gillian C AU - de Gannes GC AD - 2 Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada. AD - 3 Division of Dermatology, Department of Medicine, St. Paul's Hospital, Vancouver, BC, Canada. LA - eng PT - Journal Article DEP - 20180218 PL - United States TA - J Cutan Med Surg JT - Journal of cutaneous medicine and surgery JID - 9614685 SB - IM MH - Asthma/complications/epidemiology MH - Dermatitis, Allergic Contact/*complications/*epidemiology MH - Dermatitis, Atopic/*complications/*epidemiology MH - Humans MH - Odds Ratio MH - Patch Tests/*statistics & numerical data MH - Retrospective Studies OTO - NOTNLM OT - allergic contact dermatitis OT - atopic dermatitis OT - atopic triad OT - atopy OT - cutaneous delayed hypersensitivity reaction EDAT- 2018/02/20 06:00 MHDA- 2018/12/19 06:00 CRDT- 2018/02/20 06:00 PHST- 2018/02/20 06:00 [pubmed] PHST- 2018/12/19 06:00 [medline] PHST- 2018/02/20 06:00 [entrez] AID - 10.1177/1203475418758988 [doi] PST - ppublish SO - J Cutan Med Surg. 2018 Jul/Aug;22(4):405-410. doi: 10.1177/1203475418758988. Epub 2018 Feb 18.