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Erschienen in:
04.08.2022 | Contact Dermatitis (Brandon Adler and Vincent Deleo, Section editors)
Contact Dermatitis in the Inpatient Hospital Setting–an Updated Review of the Literature
Erschienen in: Current Dermatology Reports | Ausgabe 4/2022
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Purpose of Review
Contact dermatitis (CD) is a common reason for dermatology consultation in hospitalized patients. We provide an updated comprehensive review of CD in the inpatient setting that highlights relevant exposure sources stratified by medical and surgical specialties.
Recent Findings
Contemporary studies show that CD is diagnosed in approximately 2–8% of inpatient dermatology consultations. CD is an important mimicker of cellulitis whose early recognition and treatment can improve patient and health system outcomes. Inpatients are at risk for CD due to exposure to a wide variety of irritants and allergens encountered while undergoing diagnostic methods and medical and surgical treatments. Across specialties, acrylates represent an increasingly common cause of inpatient allergic contact dermatitis because of their widespread use in adhesives. Additional important common exposures include topical medications and metals.
Summary
CD is frequently encountered in the inpatient setting and may be overlooked or misdiagnosed. As members of the multidisciplinary inpatient team, dermatologists play an important role in recognizing CD, which may lead to improved outcomes. Comprehensive patch testing after discharge can identify culprit allergens in order to facilitate subsequent avoidance.