Analysis of Patch Testing for Allergic Contact Dermatitis in Adults Versus Geriatrics: A 7-Year Retrospective Analysis of 342 Positive Patch Test Cases

    February 2026 in “ Indian Journal of Dermatology
    TN Kumar, N. Srilakshmi, S. G. Chethana, Garehatty Rudrappa Kanthraj
    TLDR Adults are more reactive to allergens than older adults, who are more sensitive to medication-related allergens.
    This study analyzed 342 positive patch test cases of allergic contact dermatitis (ACD) in adults and geriatric patients over 7 years. It found that adults had a higher patch test positivity rate (89%) compared to geriatric patients (11%). Common allergens for adults included potassium dichromate, nickel sulphate, and para-phenylenediamine (PPD), while geriatrics were more sensitive to PPD, potassium dichromate, and neomycin sulphate. The study highlights age-related differences in allergen sensitivity, with geriatrics showing lower reactivity due to immunosenescence and chronic illnesses. The findings emphasize the need for customized testing strategies for accurate diagnosis and treatment, particularly in older adults, who may have delayed hypersensitivity responses and increased sensitization to therapeutic agents.
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