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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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