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PubMed · 10357719

To patch or not to patch: what is your threshold for patch testing?

Abstract

Patch testing is as much art as it is science; we all are influenced by our clinical experience as well as by the literature. In an effort to assist those new to this often underutilized technique, we have solicited comments from five experienced clinicians about when to patch test and when not to patch test. Their responses should be a guide for us all.

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BibTeXRIS

B A Brod, A D Dailey, A F Fransway, A J Scheman, E F Sherertz. 1999. To patch or not to patch: what is your threshold for patch testing?. https://doi.org/10.1016/s1046-199x(99)90007-6

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Dermatitis, Allergic Contact↗

The diagnostic evaluation, treatment, and prevention of allergic contact dermatitis in the new millennium.

Identifying the etiology of allergic contact dermatitis is a rewarding yet challenging endeavor. Not all allergic contact reactions are eczematous in appearance. The most reliable clinical clue to the allergic nature of the dermatitis is its geographic distribution. Once a list of culprit allergens has been identified by patch testing, the practitioner must identify the relevant allergen(s) and counsel the patient in avoidance. For most individuals, allergen avoidance results in resolution of the dermatitis; however, some patients will require continuing symptomatic therapy despite avoidance. For those patients unable to avoid known allergens, immunosuppressant therapies (including phototherapy) or barriers can be beneficial. Currently, hyposensitization is not a viable alternative for the treatment of allergic contact dermatitis.

Dermatitis, Allergic Contact↗