Contact Dermatitis, Patch Testing, and Allergen Avoidance

Nicole M Burkemper, Nicole M Burkemper

Abstract

In patients presenting with a complaint of rash, contact dermatitis is often the underlying diagnosis making it an entity with which health care providers should be familiar. Contact dermatitis can be divided into irritant contact dermatitis and allergic contact dermatitis. In a patient suspected of having allergic contact dermatitis, patch testing can be done to identify specific allergens. Education focused on allergen avoidance and safe products is an integral part of treatment for the contact dermatitis patient. Knowledge of the most common allergens is helpful for clinicians to be able to provide this education.

Figures

Figure 1
Figure 1
Acute contact dermatitis to poison ivy demonstrating erythema, vesiculation and crusting.
Figure 2
Figure 2
Chronic contact dermatitis to a preservative in shampoo demonstrating scaling and lichenification.
Figure 3
Figure 3
Allergen panels being placed on the back of a patient undergoing patch testing.
https://www.ncbi.nlm.nih.gov/pmc/articles/instance/6170075/bin/ms112_p0296f4.jpg

References

    1. Eisen HN, Orris L, Belman S. Elicitation of delayed skin reactions with haptens: the dependence of elicitation on hapten combination with protein. J Exp Med. 1952;95:473.
    1. Kalish RS. Recent developments in the pathogenesis of allergic contact dermatitis. Arch Dermatol. 1991;127:1558.
    1. Wildemore, et al. Evaluation of the histologic characteristics of patch test confirmed allergic contact dermatitis. J Am Acad Dermatol. 2003;49:243–8.
    1. Belsito DV, et al. Patch testing with a standard allergen (“screening”) tray: rewards and risks. Dermatol Ther. 2004;17(3):231–9.
    1. Suneja T, et al. Comparative study of Finn Chambers and T.R.U.E. test methodologies in detecting the relevant allergens inducing contact dermatitis. J Am Acad Dermatol. 2001 Dec;45(6 pt 1):836–9.
    1. Warshaw EM, et al. North American Contact Dermatitis Group patch test results for 2011–2012. Dermatitis. 2015;26(1):49–59.
    1. Abrams R. Fitbit says it will make changes to address complaints about allergic reactions. The New York Times. 2014 Oct 18;:B2.
    1. Rietschel RL, Fowler JF, editors. Fisher’s Contact Dermatitis. 6th ed. Lewiston, NY: BC Decker Inc; 2008. Metals; pp. 641–99.
    1. Rietschel RL, Fowler JF, editors. Fisher’s Contact Dermatitis. 6th ed. Lewiston, NY: BC Decker Inc; 2008. Fragrance allergy; pp. 393–404.
    1. Rietschel RL, Fowler JF, editors. Fisher’s Contact Dermatitis. 6th ed. Lewiston, NY: BC Decker Inc; 2008. Topical antimicrobials; pp. 210–16.
    1. Rietschel RL, Fowler JF, editors. Fisher’s Contact Dermatitis. 6th ed. Lewiston, NY: BC Decker Inc; 2008. Preservatives and vehicles in cosmetics and toiletries; pp. 266–74.
    1. Rietschel RL, Fowler JF, editors. Fisher’s Contact Dermatitis. 6th ed. Lewiston, NY: BC Decker Inc; 2008. Preservatives and vehicles in cosmetics and toiletries; pp. 303–4.
    1. Neeley A, Burkemper NM. Safest personal care products for patients with suspected allergic contact dermatitis. Presented at Saint Louis University Department of Dermatology Research Symposium; June 12, 2014; Saint Louis, MO.

Source: PubMed

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