The repeated open application test (ROAT)

Contact Dermatitis - Tập 14 Số 4 - Trang 221-227 - 1986
Matti Hannuksela1, H. Salo1
1Department of Dermatology, University of Oulu, SF-90220 Oulu, Finland

Tóm tắt

Repeated open application tests (ROATs) were performed with common ingredients of vehicles in 86 patients with contact dermatitis. The substances were applied twice daily for 7 days to the flexor aspect of the forearm near the cubital fossa, unless dermatitis appeared earlier. Of the patients with a questionable (?+) patch test result, 44% were positive in ROATs. The corresponding figure was 80% in the patients with B positive (+ or ++) response in the patch lest, when the results of ROAT with propylene glycol were excluded. Only 5 of 14 patients reacting lo 30% or to 10% propylene glycol but not in 15 in water in patch testing, showed a positive result to a cream containing 5% propylene glycol in ROAT. All 5 patients with a positive patch test reaction to 1% propylene glycol reacted to 5% propylene glycol in ROAT.The results suggest that ROATs should be performed more often, especially in patients in whom little known or new allergens are suspected as being the cause of allergic contact dermatitis.

Từ khóa


Tài liệu tham khảo

Cronin E, 1980, Contort dermatitis, 17

Adams R M, 1982, Patch testing‐ 1982, Seminars in Dermatology, 1, 1

10.1007/978-3-642-95416-0

Fisher A A, 1971, Contact dermatitis

Larsen W G, 1983, Dermatology, 284

10.1111/j.1600-0536.1976.tb02994.x

10.1111/j.1600-0536.1976.tb03027.x

Hjorth N, 1962, Skin reactions to preservatives in creams with special regards to paraben esters and sorbic acid, Amer Perf, 77, 146

Stoltze R, 1966, Dermatitis medicamentosa in eczema of the leg, Acta Dermato-venereologica, 46, 54

10.1007/BF00641801

Braun W, 1970, Iatrogene Sensibilisierung und Beinleiden, Medizinische Klinik, 65, 506

Swoboda B, 1978, Zur Rolle des Stearylalkohols bei der sog. Lanolinallergie, Z Hautdr, 53, 485

Ebner H, 1977, Ulcus cruris und allergisches Kontaktekzem. Untersuchungen uber die Haufigkeit lokaltherapeutisch induzierter Kontaktallergien, Wien Klin Wochenschr, 89, 184

10.1111/j.1600-0536.1978.tb04557.x

KeiligW. Inaugural dissertation München 1980(cited in ref. (16)).

Keilig W, 1983, Kontaktallergic auf Cetylstearylalkohol (Lanette O) als therapeutisches Problem bei Stauungsdermatitis und Ulcus cruris, Dermatosen, 31, 50

Shore R N, 1974, Contact dermatitis from stearyl alcohol and propylene glycol, Arch Dermatol, 109, 397, 10.1001/archderm.1974.01630030055015

10.1111/j.1600-0536.1975.tb05346.x

Kilgman A M, 1979, “Reactions” to standard patch test materials, Acta Dermato-venereologica, 59, 101

Gaul L E, 1969, Dermatol from cetyl and stearyl alcohols, Arch Dermatol, 99, 593, 10.1001/archderm.1969.01610230085016

Warshaw T G, 1952, Studies of skin reactions to propylene glycol, J Invest Dermatol, 19, 423, 10.1038/jid.1952.118

Agrup G, 1969, Hand ecema and other hand dermatoses in South Sweden, Acta Dermato-venereologica, 49

Braun W, 1969, Kontaktallergien gegen Polyaethylenglycol, Zentralblatt für Haut- und GeschlechtsKrankheiten, 44, 385

Hannuksela M, 1975, Skin reactions to propylene glycol dermatitis, 1, 112

Fisher A A, 1978, Propylene glycol dermatitis, Cutis, 21, 166

10.1111/j.1600-0536.1981.tb04042.x

10.1111/j.1600-0536.1978.tb03759.x

10.1111/j.1600-0536.1981.tb04107.x

10.1111/j.1600-0536.1982.tb04180.x

Nater J P, 1983, Unwanted effects of cosmetics and drugs used in Dermatology

10.1111/j.1600-0536.1978.tb03719.x

Andersen K E, 1982, Hautreizungen durch Propylenglykol, Hautarzt, 35, 12

10.1016/0015-6264(74)90367-8

10.1111/j.1600-0536.1975.tb05400.x

10.1111/j.1600-0536.1981.tb04071.x

Dooms‐Goossens A, 1983, Allergic contact dermatitis to ingrdents used in topically applied pharmaceutical products and cosmetics

10.1111/j.1600-0536.1985.tb01059.x

10.1111/j.1600-0536.1985.tb01083.x

10.1111/j.1600-0536.1985.tb01057.x

10.1111/j.1600-0536.1979.tb04868.x

10.1111/j.1600-0536.1979.tb04904.x

10.1111/j.1600-0536.1980.tb05585.x

10.1111/j.1600-0536.1982.tb04158.x

10.1111/j.1600-0536.1982.tb04244.x