Vigan M
Département de dermatologie, hôpital Saint-Jacques, CHU Besançon, 2, place Saint-Jacques, 25030 Besançon cedex, France.
Ann Dermatol Venereol. 2009 Aug-Sep;136(8-9):617-20. doi: 10.1016/j.annder.2009.06.014. Epub 2009 Jul 25.
Younger children tend to be seen as atopic, patch testing is infrequent, and they tend not to be seen as having contact dermatitis. However, 20% of cases of dermatitis observed during childhood are in fact contact dermatitis and children should therefore undergo patch testing. Before the age of six years, children require testing with a suitable, safe standard series. Certain sources of allergens specific for children such as connubial dermatitis must be sought in order to determine the relevance of positive tests. The concentration of metals in the ECDRG standard series makes it unsuitable for young children and open tests may be used instead.
年幼儿童往往被视为特应性体质，很少进行斑贴试验，而且他们往往不被认为患有接触性皮炎。然而，儿童期观察到的皮炎病例中，实际上有20%是接触性皮炎，因此儿童应该接受斑贴试验。6岁之前，儿童需要用合适、安全的标准系列进行测试。必须寻找某些儿童特有的过敏原来源，如配偶性皮炎，以确定阳性试验的相关性。欧洲接触性皮炎研究组（ECDRG）标准系列中的金属浓度使其不适用于幼儿，可改用开放性试验。
