TY - JOUR
T1 - A Pragmatic Approach to Patch Testing Atopic Dermatitis Patients
T2 - Clinical Recommendations Based on Expert Consensus Opinion
AU - Chen, Jennifer K.
AU - Jacob, Sharon E.
AU - Nedorost, Susan T.
AU - Hanifin, Jon M.
AU - Simpson, Eric L.
AU - Boguniewicz, Mark
AU - Watsky, Kalman L.
AU - Lugo-Somolinos, Aida
AU - Hamann, Carsten R.
AU - Eberting, Cheryl Lee
AU - Silverberg, Jonathan I.
AU - Thyssen, Jacob P.
N1 - Publisher Copyright:
© 2016 American Contact Dermatitis Society. All Rights Reserved.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Allergic contact dermatitis (ACD) may complicate the clinical course of atopic dermatitis (AD), and patch testing remains the criterion standard for diagnosing ACD. To date, there have been no guidelines or consensus recommendations on when and how to patch test individuals with AD. Failure to patch test when appropriate may result in overlooking an important and potentially curable complicating comorbidity. In this article, we present consensus recommendations regarding when to perform patch testing in the AD patient, best practices, and common pitfalls. Patch testing should be considered in AD patients with dermatitis that fails to improve with topical therapy; with atypical/changing distribution of dermatitis, or pattern suggestive of ACD; with therapy-resistant hand eczema in the working population; with adult- or adolescent-onset AD; and/or before initiating systemic immunosuppressants for the treatment of dermatitis. A suggested patch testing algorithm for AD patients is provided.
AB - Allergic contact dermatitis (ACD) may complicate the clinical course of atopic dermatitis (AD), and patch testing remains the criterion standard for diagnosing ACD. To date, there have been no guidelines or consensus recommendations on when and how to patch test individuals with AD. Failure to patch test when appropriate may result in overlooking an important and potentially curable complicating comorbidity. In this article, we present consensus recommendations regarding when to perform patch testing in the AD patient, best practices, and common pitfalls. Patch testing should be considered in AD patients with dermatitis that fails to improve with topical therapy; with atypical/changing distribution of dermatitis, or pattern suggestive of ACD; with therapy-resistant hand eczema in the working population; with adult- or adolescent-onset AD; and/or before initiating systemic immunosuppressants for the treatment of dermatitis. A suggested patch testing algorithm for AD patients is provided.
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U2 - 10.1097/DER.0000000000000208
DO - 10.1097/DER.0000000000000208
M3 - Review article
C2 - 27427820
AN - SCOPUS:84979587708
SN - 1710-3568
VL - 27
SP - 186
EP - 192
JO - Dermatitis
JF - Dermatitis
IS - 4
ER -