Kadir ÖZTÜRK, Zeynep Şengül EMEKSİZ, İlknur BOSTANCI

Sporcu Adölesanda Allerjik Kontakt Dermatit: Mercaptobenzothiazole ve Mercapto Mix

Allerjik kontakt dermatit daha önce karşılaşılan ve duyarlanma gelişen maddeler ile tekrar karşılaşılması sonrasında ortaya çıkan gecikmiş tip (Tip 4) hipersensitivite reaksiyonudur. Erişkinlerde en çok mesleksel maruziyete bağlı gelişse de çocuklarda hobiler, oyuncaklar, spor malzemeleri de bu klinikle ilişkili olabilir. Kesin tanı koymak ve allerjeni tespit etmek için altın standart yama testidir.13 yaşında erkek hasta iki aydır olan her iki el ayasında ve ayaklarında kaşıntılı lezyonlar nedeni ile kliniğimize başvurdu. Hastanın öyküsünden iki aydır yoğun spor yaptığı, futbol oynarken kaleci eldiveni giydiği ve yüzme sırasında kauçuk terlik kullandığı öğrenildi.Hastada primer olarak kontakt dermatit düşünüldü. Ayırıcı tanıya yönelik Avrupa standart seri ile yama testi yapıldı. Mercaptobenzothiazole ve mercapto mix pozitif olarak değerlendirildi.Bu olgu aracılığıyla çocuklarda allerjik kontakt dermatit tanısında spor aktiviteleri, oyuncaklar ve hobilerin olası allerjen teması açısından iyi sorgulanması gerektiği ve yama testinin tanıdaki öneminin vurgulaması amaçlanmıştır.

Anahtar Kelimeler:

Allerjik kontakt dermatit, Çocuk, Yama testi

Allergic Contact Dermatitis in an Adolescent Athlete: Mercaptobenzothiazole and Mercapto Mix

Allergic contact dermatitis is a delayed type (Type 4) hypersensitivity reaction that occurs after recurrence of previously encountered and sensitizing substances. Although adults have the most occupational exposure, hobbies, toys and sports equipment may also be associated with this clinical picture in children. The patch test is the gold standard to detect the allergy and make a definite diagnosis.A 13-year-old male patient presented to our clinic with pruritic lesions on both hands and feet for the last two months. The history revealed that he had been involved in two months of intense sports, using goalkeeper’s gloves while playing soccer and rubber slippers for swimming.The patient was primarily considered to have contact dermatitis . A patch test was performed with the European standard series for differential diagnosis. Mercaptobenzothiazole and mercapto mix were evaluated as positive.We would like to emphasize through this case that sports activities, toys, and hobbies should be questioned for possible contact allergen in the diagnosis of dermatitis in childhood, and we intended to highlight the importance of the patch test in the diagnosis

Keywords:

Allergic contact dermatitis, Children, Patch test,

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