Demographic and Clinical Characteristics of Patients with Eyelid Eczema in a Referral Center from 2004 to 2018
Mariana Hafner, Victoria
Elia, Rosana Lazzarini, Ida Duarte
Santa Casa de Sao Paulo -
Hospital and School of medicine, Brazil
Corresponding Author: Ida Alzira Gomes Duarte, Professor, Casa de Sao Paulo-Hospital and
School of medicine, Brazil, Email: iagd54@terra.com.br
Citation: Ida Alzira Gomes Duarte (2020) Demographic and Clinical Characteristics of
Patients with Eyelid Eczema in a Referral Center from 2004 to 2018. Sci
World J Skin Dis Venereol, 1(1); 1-4
Copyright: © 2020, Ida Duarte AG, et al. This is an open-access article
distributed under the terms of the Creative Commons Attribution 4.0
International License, which permits unrestricted use, distribution and
reproduction in any medium, provided the original author and source are
credited
ABSTRACT
Eyelid
eczema have many etiologies, among them contact dermatitis. The investigation
of suspect cases includes patients' history, clinical examination, and patch
tests. The goals of this study were: to determine demographical and clinical
characteristics of patients with eyelid eczema patch tested between 2004 and
2018; to determine established diagnoses; and to identify responsible
allergens. Medical records of patients with eyelid eczema who underwent patch
testing were analyzed. This study
included 228 patients, of which 89.5% were women, with a mean age of 45 years.
Regarding clinical condition, 64.5% presented eczema lesions in other body
parts besides the eyelids, mainly in other facial sites (51.8%). Final
diagnosis was allergic contact dermatitis (ACD) in 61%, atopic dermatitis (AD)
in 12.7%, undefined in 12.3%, irritant contact dermatitis in 7.9%,
superimposing of ACD and AD in 3.1%, and other diagnoses in 3.1% of patients.
Regarding patch tests, 64.4% of patients had at least one relevant positive
allergen, the majorones being: toluene-sulfonamide-formaldehyde resin,
paraphenylenediamine, nickel sulfate, fragrance mix I, neomycin, and Kathon CG.
As main etiologies in ACD cases, nail polish (36%), topical medicaments
(27.2%), non-specified cosmetics (24.5%), hair dye (13.6%), metals (15.6%),
rubber (6.8%), and shampoos (4%) could be identified. Thereby, results
presented compatibility to data in the literature: predominance of women and
most prevalent final diagnosis of cosmetic-related ACD. Thus, when dealing with
patients with eyelid eczema, investigation with patch testing is fundamental.
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