Our study concerns contact sensitization in children, the frequency of
which is still debated in the literature, even though specific report
s are increasing, During a 7 year period (1988-1994) 670 patients, 6 m
onths to 12 years of age, were patch tested with the European standard
series, integrated with 24 haptens, at the same concentrations as for
adults, We observed positive results in 42% of our patients, Thimeros
al, nickel sulfate, Kathon CG, fragrance mix, neomycin, wool alcohols,
and ammoniated mercury induced most of the positive responses, The hi
ghest sensitization rate was found in children from 0 to 3 years of ag
e, Comments on main positive haptens are reported, Seventy-seven perce
nt of our sensitized patients were atopics, suggesting that atopy repr
esents a predisposing factor for contact hypersensitivity. Patch testi
ng represents a useful diagnostic procedure for the definition of chil
dhood eczematous dermatitis and for the identification of agents induc
ing contact sensitization which is frequently associated with atopic d
ermatitis.