European Society of Contact Dermatitis guideline for diagnostic patch testing – recommendations on best practice

Contact Dermatitis - Tập 73 Số 4 - Trang 195-221 - 2015
Jeanne D. Johansen1, Kristiina Aalto‐Korte2, Tove Agner3, Klaus E. Andersen4, Andreas J. Bircher5, M. Bruze6, Alicia Cannavó7, Ana M. Giménez‐Arnau8, Margarida Gonçalo9, An Goossens10, Swen Malte John11, Carola Lidén12, Magnus Lindberg13, Vera Mahler14, Mihály Matura15, Thomas Rustemeyer16, Jørgen Serup3, Radosław Śpiewak17, Jacob P. Thyssen1, M. Vigan18, Ian R. White19, Mark Wilkinson20, Wolfgang Uter21
1Department of Dermato‐Allergology National Allergy Research Centre, Gentofte Hospital, University of Copenhagen 2900 Hellerup Denmark
2Occupational Medicine, Finnish Institute of Occupational Health, 00250, Helsinki, Finland.
3Department of Dermatology; Bispebjerg Hospital; University of Copenhagen; 2400 Copenhagen Denmark
4Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, 5000, Odense, Denmark.
5Allergy Unit, Department of Dermatology, University Hospital and University of Basel, 4031 Basel, Switzerland.
6Department of Occupational and Environmental Dermatology Skåne University Hospital, Lund University SE‐20502 Malmö Sweden
7Hospital Municipal de Vicente López ‘Profesor Bernard Houssay’ Buenos Aires Argentina
8Department of Dermatology Hospital del Mar, Universitat Autónoma de Barcelona 08003 Barcelona Spain
9Department of Dermatology University Hospital and Faculty of Medicine, University of Coimbra 3000-075 Coimbra Portugal
10Contact Allergy Unit, Department of Dermatology; University Hospital K. U. Leuven; B-3000 Leuven Belgium
11Department of Dermatology, Environmental Medicine, Health Theory; University of Osnabrueck; D-49069 Osnabrueck Germany
12Institute of Environmental Medicine, Karolinska Institutet, SE, 17177, Stockholm, Sweden
13Department of Dermatology University Hospital Örebro SE‐70185 Örebro Sweden
14Allergy Unit, Department of Dermatology, University Hospital Erlangen, 91054 Erlangen, Germany.
15Unit of Occupational and Environmental Dermatology, Centre for Occupational and Environmental Medicine, SLSO, SE-11365 Stockholm, Sweden.
16Department of Dermatology VU University Medical Centre 1081 HV Amsterdam The Netherlands
17Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, 30-688 Krakow, Poland.
18Department of Dermatology CHRU Besançon 25030 Besançon Cedex France
19Department of Cutaneous Allergy; St John's Institute of Dermatology, St Thomas' Hospital; London SE1 7EH UK
20Spire Hospital, Leeds, LS8 1NT UK.
21Department of Medical Informatics, Biometry and Epidemiology University of Erlangen/Nürnberg 91054 Erlangen Germany

Tóm tắt

SummaryThe present guideline summarizes all aspects of patch testing for the diagnosis of contact allergy in patients suspected of suffering, or having been suffering, from allergic contact dermatitis or other delayed‐type hypersensitivity skin and mucosal conditions. Sections with brief descriptions and discussions of different pertinent topics are followed by a highlighted short practical recommendation. Topics comprise, after an introduction with important definitions, materials, technique, modifications of epicutaneous testing, individual factors influencing the patch test outcome or necessitating special considerations, children, patients with occupational contact dermatitis and drug eruptions as special groups, patch testing of materials brought in by the patient, adverse effects of patch testing, and the final evaluation and patient counselling based on this judgement. Finally, short reference is made to aspects of (continuing) medical education and to electronic collection of data for epidemiological surveillance.

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Contact Dermatitis

Tập 73 Số 4

195-221

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