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Contact Dermatitis. 2015 Oct;73(4):195-221. doi: 10.1111/cod.12432. Epub 2015 Jul 14.

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

Author information

1
Department of Dermato-Allergology, National Allergy Research Centre, Gentofte Hospital, University of Copenhagen, 2900 Hellerup, Denmark.
2
Occupational Medicine, Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
3
Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, 2400 Copenhagen, Denmark.
4
Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, 5000 Odense, Denmark.
5
Allergy Unit, Department of Dermatology, University Hospital and University of Basel, 4031 Basel, Switzerland.
6
Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, SE-20502 Malmö, Sweden.
7
Hospital Municipal de Vicente López 'Profesor Bernard Houssay', Buenos Aires, Argentina.
8
Department of Dermatology, Hospital del Mar, Universitat Autónoma de Barcelona, 08003 Barcelona, Spain.
9
Department of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.
10
Contact Allergy Unit, Department of Dermatology, University Hospital K. U. Leuven, B-3000 Leuven, Belgium.
11
Department of Dermatology, Environmental Medicine, Health Theory, University of Osnabrueck, D-49069 Osnabrueck, Germany.
12
Institute of Environmental Medicine, Karolinska Institutet, SE-17177 Stockholm, Sweden.
13
Department of Dermatology, University Hospital Örebro, SE-70185 Örebro, Sweden.
14
Allergy Unit, Department of Dermatology, University Hospital Erlangen, 91054 Erlangen, Germany.
15
Unit of Occupational and Environmental Dermatology, Centre for Occupational and Environmental Medicine, SLSO, SE-11365 Stockholm, Sweden.
16
Department of Dermatology, VU University Medical Centre, 1081 HV Amsterdam, The Netherlands.
17
Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, 30-688 Krakow, Poland.
18
Department of Dermatology, CHRU Besançon, 25030 Besançon Cedex, France.
19
Department of Cutaneous Allergy, St John's Institute of Dermatology, St Thomas' Hospital, London, SE1 7EH, UK.
20
Spire Hospital, Leeds, LS8 1NT UK.
21
Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen/Nürnberg, 91054 Erlangen, Germany.

Abstract

The 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.

KEYWORDS:

contact allergy; guideline; patch testing; review

PMID:
26179009
DOI:
10.1111/cod.12432
[Indexed for MEDLINE]

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