Clinical correlation of patch testing in suspected Allergic Contact Dermatitis

Yoganand J. Phulari
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Abstract

Allergic contact dermatitis (ACD) is the classic presentation of delayed type hypersensitivity response to exogenous agents.(1) Rapid urbanization, westernization of lifestyles, poor quality of objects available and extremely relaxed vigilance on adherence to product safety guidelines make any developing country like India highly susceptible to allergic contact dermatitis (ACD).(2) ACD affects social, occupational and psychological performance of an individual and adds to the morbidity. It accounts for 20% of the occupational dermatoses encountered in clinical practice . (3) The best treatment for ACD is avoidance of further exposure to the initiating allergen. This makes the identification of the allergen important. Patch test remains the standard test for the diagnosis and identification of ACD . (4) This study was conducted to identify the various presentations of ACD and to correlate the patch test results with the clinically suspected allergen. An attempt was also be made to identify the most common allergen in the study population.
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疑似变态反应性接触性皮炎的临床相关性研究
过敏性接触性皮炎(ACD)是外源性药物延迟型超敏反应的典型表现。(1)快速城市化、生活方式西化、可获得物品质量差以及对产品安全指南依从性极度松懈,使得任何发展中国家如印度都极易发生过敏性接触性皮炎(ACD)。(2)ACD影响个人的社会、职业和心理表现,并增加发病率。它占临床遇到的职业性皮肤病的20%。(3) ACD的最佳治疗方法是避免进一步接触初始过敏原。这使得过敏原的识别变得很重要。斑贴试验仍然是诊断和鉴定ACD的标准试验。(4)本研究旨在鉴别ACD的各种表现,并将斑贴试验结果与临床疑似过敏原联系起来。还试图确定研究人群中最常见的过敏原。
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