Abstract
The distinction between allergic and irritant contact dermatitis is usually made through patch testing. This test procedure is indicated in the investigation of longstanding cases of contact dermatitis and should also be used to exclude contact allergy as a complicating factor in stubborn cases of other eczematous diseases, such as atopic dermatitis, stasis eczema, seborrhoeic dermatitis and vesicular hand eczema. A patch test is the cutaneous application of a small amount of the suspected allergen in a suitable concentration and vehicle. The test site, usually the back, is covered with an occlusive dressing for 2 days. The skin condition, vehicle and concentration, volume of the test substance, size of the test chamber, test site, application time, and the number of readings influence the result, and frequent errors are possible [1–4] (see Chap. 2). The proper performance and interpretation of this bioassay require considerable training and experience.
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References
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Andersen, K.E., White, I.R., Goossens, A. (2001). Allergens from the Standard Series. In: Rycroft, R.J.G., Menné, T., Frosch, P.J., Lepoittevin, JP. (eds) Textbook of Contact Dermatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10302-9_31
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