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      Contact Urticaria Syndrome: a Comprehensive Review

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          Abstract

          Purpose of Review

          Contact urticaria syndrome includes contact urticaria and protein contact dermatitis. Underreport, underdiagnosis, or misdiagnosis of entities within the contact urticaria syndrome is believed to be common, especially in the occupational setting. This review provides a structured overview of the entities comprised in this syndrome as well as the diagnostic work-up and management strategies.

          Recent Findings

          Contact urticaria syndrome has been increasingly described due to personal protective equipment and hand sanitizers in the context of the COVID-19 pandemic. The use of legal cannabis products has led to a rise in occupational cases of contact urticaria to cannabis. A declining trend in the evolution of contact urticaria has been described for natural rubber latex allergy due to the use of synthetic gloves. Prick test has been proposed as a screening method, particularly if multiple products are to be tested, instead of the classical sequential scheme.

          Summary

          Physicians should be aware of the growing number of culprit agents leading to contact urticaria syndrome. Clinical presentation may be challenging since it includes immediate urticaria and/or eczema and even more generalized reactions. Diagnosis requires a high degree of suspicion, detailed occupational history, and complementary tests, including skin testing. The best treatment is to avoid contact with the culprit agent and to implement preventive measures.

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          Most cited references36

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          Nordic Occupational Skin Questionnaire (NOSQ-2002): a new tool for surveying occupational skin diseases and exposure.

          B. Olafsson, P Susitaival, Mikael Svensson … (2003)
          Occupational skin diseases are among the most frequent work-related diseases in industrialized countries. Good occupational skin disease statistics exist in few countries. Questionnaire studies are needed to get more data on the epidemiology of occupational skin diseases. The Nordic Occupational Skin Questionnaire Group has developed a new questionnaire tool - Nordic Occupational Skin Questionnaire (NOSQ-2002) - for surveys on work-related skin disease and exposures to environmental factors. The 2 NOSQ-2002 questionnaires have been compiled by using existing questionnaires and experience. NOSQ-2002/SHORT is a ready-to-use 4-page questionnaire for screening and monitoring occupational skin diseases, e.g. in a population or workplace. All the questions in the short questionnaire (NOSQ-2002/SHORT) are included in the long version, NOSQ-2002/LONG, which contains a pool of questions to be chosen according to research needs and tailored to specific populations. The NOSQ-2002 report includes, in addition to the questionnaires, a comprehensive manual for researchers on planning and conducting a questionnaire survey on hand eczema and relevant exposures. NOSQ-2002 questionnaires have been compiled in English and translated into Danish, Swedish, Finnish and Icelandic. The use of NOSQ-2002 will benefit research on occupational skin diseases by providing more standardized data, which can be compared between studies and countries.
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            Evidence-based guidelines for the prevention, identification and management of occupational contact dermatitis and urticaria.

            S English, P Nicholson, … (2010)
            Occupational contact dermatitis is the most frequently reported work-related skin disease in many countries. A systematic review was commissioned by the British Occupational Health Research Foundation in response to a House of Lords Science and Technology Committee recommendation. The systematic review aims to improve the prevention, identification and management of occupational contact dermatitis and urticaria by providing evidence-based recommendations. The literature was searched systematically using Medline and Embase for English-language articles published up to the end of September 2009. Evidence-based statements and recommendations were graded using the Royal College of General Practitioner's three-star system and the revised Scottish Intercollegiate Guidelines Network grading system. Three thousand one hundred and fifty-five abstracts were identified and screened. From these, 786 full papers were obtained and appraised. One hundred and nineteen of these studies were used to produce 36 graded evidence statements and 10 key recommendations. This evidence review and its recommendations focus on interventions and outcomes to provide a robust approach to the prevention, identification and occupational management of occupational contact dermatitis and urticaria, based on and using the best available medical evidence. © 2010 John Wiley & Sons A/S.
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              Clinical Relevance of Cross-Reactivity in Food Allergy

              Amanda Cox, Philippe Eigenmann, Scott H Sicherer (2021)
              Article 0 comments Cited 20 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Ana M. Giménez-Arnau:
                ORCID: http://orcid.org/0000-0001-5434-7753
                anamariagimenezarnau@parcdesalutmar.cat
                Howard I. Maibach:
                ORCID: http://orcid.org/0000-0003-0430-475X
                Howard.Maibach@ucsf.edu
                Journal
                Journal ID (nlm-ta): Curr Dermatol Rep
                Journal ID (iso-abbrev): Curr Dermatol Rep
                Title: Current Dermatology Reports
                Publisher: Springer US (New York )
                ISSN (Electronic): 2162-4933
                Publication date (Electronic): 18 November 2022
                Pages: 1-8
                Affiliations
                [1 ]GRID grid.5612.0, ISNI 0000 0001 2172 2676, Department of Dermatology, Hospital del Mar – Institut Mar d’Investigacions Mèdiques, , Universitat Pompeu Fabra de Barcelona (UPF), ; Barcelona, Spain
                [2 ]GRID grid.7080.f, ISNI 0000 0001 2296 0625, Department of Dermatology, Hospital del Mar – Institut Mar d’Investigacions Mèdiques, , Universitat Autònoma de Barcelona (UAB), ; Barcelona, Spain
                [3 ]GRID grid.266102.1, ISNI 0000 0001 2297 6811, Department of Dermatology, , University of California San Francisco, ; San Francisco, CA USA
                Author information
                http://orcid.org/0000-0001-5434-7753
                http://orcid.org/0000-0002-5821-9780
                http://orcid.org/0000-0003-0430-475X
                Article
                Publisher ID: 379
                DOI: 10.1007/s13671-022-00379-0
                PMC ID: 9672538
                PubMed ID: 36415744
                SO-VID: ebd43410-949c-4c14-b808-2a83240d556f
                Copyright © © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
                License:

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                Date accepted : 27 October 2022
                Categories
                Subject: Contact Dermatitis (B.Adler and V. Deleo, Section editors)

                Keywords: contact urticarial,immediate,protein contact dermatitis,occupational,dermatitis,angioedema,inducible urticarial
                Data availability:
                Keywords: contact urticarial, immediate, protein contact dermatitis, occupational, dermatitis, angioedema, inducible urticarial

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