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  • Title: Periorbital dermatitis in 4779 patients - patch test results during a 10-year period.
    Author: Landeck L, John SM, Geier J.
    Journal: Contact Dermatitis; 2014 Apr; 70(4):205-12. PubMed ID: 24325408.
    Abstract:
    BACKGROUND: The thinness of the periorbital skin may facilitate allergen penetration, making this area particularly susceptible to sensitization. MATERIAL AND METHODS: For the cross-sectional study, data were collected by the 57 participating centres of the Information Network of Departments of Dermatology. A total of 101 403 patients patch tested between January 2001 and December 2010 were included. Of these, 4779 patients suffered from periorbital dermatitis. RESULTS: Two major subgroups with different general epidemiological data and sensitization to specific allergens have to be considered: (i) young females with increased rates of skin atopy and allergies, particularly from cosmetic and skin care products; and (ii) older subjects with allergy to topical medications. The prevalence of sensitization to ophthalmic allergens is generally less than that to environmental allergens. CONCLUSIONS: Allergic contact dermatitis is a leading cause of periorbital dermatitis. Patch testing should be considered in all patients with periorbital dermatitis when contact allergy is suspected, in order to identify and avoid offending allergens.
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