American journal of contact dermatitis : official journal of the American Contact Dermatitis Society最新文献

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Patch-testing practices of American Contact Dermatitis Society members: a cross-sectional survey. 美国接触性皮炎协会成员的补丁测试实践:一项横断面调查。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2003-03-01 DOI: 10.2310/6620.2003.38741

Erin M Warshaw, Jane Blowers Moore, David Nelson

Background: Patch testing is an example of how medicine blends art and science, resulting in differences among practitioners in methods of history taking, application of patch tests, and interpretation of results.

Objective: To evaluate the "art" of patch testing (specifically, the prevalence of Thin-Layer Rapid Use Epicutaneous (T.R.U.E.) TEST use, photopatch testing, patch testing to dust mites, and immediate testing for latex allergy) as practiced by American Contact Dermatitis Society (ACDS) members and to compare the results of this survey with those of similar studies among United States dermatologists and allergists.

Methods: A cross-sectional survey of all 322 members of the ACDS.

Results: The response rate was 46%. The largest proportions of respondents were male, had practiced for 11 to 20 years, were located in the northeast United States, and were in private practice. Forty percent of respondents used T.R.U.E. TEST, and 65% performed photopatch testing. Seventy percent of respondents evaluated patients for latex allergy, and 15% patch-tested to dust mites.

Conclusions: As expected, respondents reported significantly higher prevalences of patch testing, photopatch testing, and evaluation for latex allergy than did United States dermatologists generally. Respondents reported significantly lower prevalences of single patch-test readings and use of T.R.U.E. TEST than did either general United States dermatologists or general United States allergists.

背景:斑贴试验是医学如何融合艺术和科学的一个例子，导致从业者在历史记录方法、斑贴试验的应用和结果解释方面存在差异。目的:评价贴片检测的“艺术性”(特别是薄层快速使用表皮贴片(T.R.U.E.))美国接触性皮炎协会(ACDS)成员采用的TEST使用、光贴片测试、对尘螨的贴片测试和对乳胶过敏的即时测试，并将本调查结果与美国皮肤科医生和过敏症专家的类似研究结果进行比较。方法:对322名ACDS会员进行横断面调查。结果:有效率为46%。受访者的最大比例是男性，执业11至20年，位于美国东北部，并在私人执业。40%的受访者使用T.R.U.E. TEST, 65%的受访者进行光贴测试。70%的受访者对患者的乳胶过敏进行了评估，15%的受访者对尘螨进行了斑贴测试。结论:正如预期的那样，受访者报告的贴片测试、光贴测试和乳胶过敏评估的患病率明显高于美国皮肤科医生。受访者报告说，与普通美国皮肤科医生或普通美国过敏症专家相比，单次贴片测试读数和使用T.R.U.E. TEST的流行率明显较低。

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引用次数: 25

Intolerance to topical products may be due to dermographism. 不耐受外用产品可能是由于人口统计学。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2003-03-01 DOI: 10.2310/6620.2003.38772

Kalman L Watsky, Thomas McGovern

Patients with reactions to topical products may be eliciting a physical urticaria, dermographism, by rubbing. These reactions may be misinterpreted as allergic, and three cases demonstrating this phenomenon were reviewed. All patients with reactions to topical products due to dermographism improved with counseling and antihistamine therapy. Repeat open application testing confirmed the safety of previously suspect medications in two of the three cases, preventing unnecessary changes in the medication regimens and inaccurate diagnoses of medication allergy. We observe that intolerance to topical medications due to dermographism can usually be managed without extensive testing or treatment.

对局部产品有反应的患者可通过摩擦引起体理性荨麻疹、皮肤过敏。这些反应可能被误解为过敏，我们回顾了三个证明这种现象的病例。所有因人口统计学原因对外用产品有反应的患者均通过咨询和抗组胺治疗得到改善。重复开放应用试验证实了三例中两例先前怀疑药物的安全性，防止了用药方案的不必要改变和药物过敏的不准确诊断。我们观察到，由于人口统计学导致的局部药物不耐受通常可以在没有广泛测试或治疗的情况下进行管理。

引用次数: 1

Shoe contact dermatitis in Israel. 以色列的鞋子接触性皮炎。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2003-03-01 DOI: 10.2310/6620.2003.38745

Akiva Trattner, Yoshef Farchi, Michael David

Background: Patch testing with the shoe series may be useful for the diagnosis of shoe contact dermatitis.

Objective: The aim of the study was to verify the usefulness of the shoe series and the association of fungal infection with positive results in the shoe series.

Methods: A total of 140 patients with suspected shoe contact dermatitis underwent patch testing with the standard series and shoe series; 41 underwent mycologic examination.

Results: Positive results in the shoe series were noted in 58 patients (41.4%). The most common allergens were potassium dichromate (27.2%), nickel sulfate (11.9%), Kathon CG (10.9%), and 4-tert-butylphenol formaldehyde resin (8.7%). Of the 41 patients with suspected tinea pedis, 13 (32%) had positive mycologic findings and 9 (69.2%) also had a positive response to the shoe series. Of the patients with a negative result on mycologic examination, only 10 (35.7%) had a positive result in the shoe series.

Conclusion: Our study indicates that all patients with foot dermatitis should undergo patch testing with the shoe series. Positive results in the shoe series seem to be more prevalent in patients with a fungal infection.

背景:鞋系列的斑贴试验可能有助于诊断鞋接触性皮炎。目的:本研究的目的是验证鞋系列的有效性和真菌感染与鞋系列阳性结果的关联。方法:对140例疑似鞋接触性皮炎患者采用标准系列和鞋系列进行斑贴试验;41例接受真菌学检查。结果:58例(41.4%)患者鞋系阳性。最常见的过敏原是重铬酸钾(27.2%)、硫酸镍(11.9%)、卡松CG(10.9%)和4-叔丁基酚甲醛树脂(8.7%)。在41例疑似足癣患者中，13例(32%)有真菌学阳性发现，9例(69.2%)对该鞋系列也有阳性反应。在真菌学检查结果阴性的患者中，只有10例(35.7%)鞋系检查结果阳性。结论:本研究提示所有足部皮炎患者均应使用该系列鞋进行斑贴试验。鞋系列的阳性结果似乎在真菌感染的患者中更为普遍。

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引用次数: 18

Stinging nettle dermatitis. 荨麻皮炎。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2003-03-01 DOI: 10.2310/6620.2003.38719

Bryan E Anderson, Christopher J Miller, David R Adams

The stinging nettle (Urtica dioica) is a common weed that can cause a wide range of cutaneous reactions. Contact with the hairs or spines on the stems and leaves of the stinging nettle causes the release of several biologically active substances. The released chemicals act to cause itching, dermatitis, and urticaria within moments of contact. Extracts from the stinging nettle may provide therapeutic value for some inflammatory medical conditions. There is no standard treatment for stinging nettle dermatitis.

荨麻(荨麻)是一种常见的杂草，可引起广泛的皮肤反应。与荨麻茎叶上的毛或刺接触会释放出几种生物活性物质。释放的化学物质在接触的瞬间就会引起瘙痒、皮炎和荨麻疹。荨麻提取物可能对某些炎症性疾病提供治疗价值。荨麻皮炎没有标准的治疗方法。

引用次数: 24

Label dermatitis. 标签皮炎。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2003-01-01 DOI: 10.2310/6620.2003.38449

N. Veien

引用次数: 1

Dermatitis artefacta? 皮炎artefacta吗?

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2003-01-01 DOI: 10.2310/6620.2003.38517

Luis Conde-Salazar, Ruud Valks, María Antonia Pastor, María Elena Gatica, R. Núñez, Berta Perez Tato, C. Iglesias, Manuela Cuevas

A 35-year-old man presented with a 2-month history of intensely pruritic excoriated and crusted linear lesions on the dorsa of the left hand and left forearm (Fig 1). The patient had worked in construction for 2 years, and his job consisted mainly in covering the facades of buildings with cement. The patient was right-handed and used a black rubber glove as a protective measure only on his left hand (Fig 2). He reported that the lesions resolved partially during holidays and weekends and clearly flared in association with his work. There was no history of atopic dermatitis, drug use, or intolerance to metals, rubber, or fruits. On physical examination, linear excoriations with crusts were observed on the dorsa of the left hand, extending to the ventral and dorsal aspects of the forearm, involving the whole area that was in contact with the glove. Lichenified erythematous plaques and excoriations on the dorsal surface of the metacarpophalangeal joints and scaly lesions on the dorsal surfaces of the fingers were also present. On the palm, only discrete hyperkeratosis was seen. The right hand and forearm were free of lesions. He complained of intense pruritus when wearing the rubber glove and admitted to continuous scratching to relieve his discomfort, inducing the linear and excoriated lesions. Treatment with topical corticosteroids was initiated, with progressive resolution of the lesions.

男性，35岁，有2个月的强烈瘙痒史，左手和左前臂背处有剥蚀和结痂的线状病变(图1)。患者从事建筑工作2年，主要工作是用水泥覆盖建筑物外立面。患者为右撇子，仅在左手上戴黑色橡胶手套作为保护措施(图2)。他报告说，病变在假期和周末部分消退，并在工作时明显发作。没有特应性皮炎、药物使用或对金属、橡胶或水果不耐受的病史。体检时，在左手背侧观察到线状磨痕和结痂，延伸到前臂的腹侧和背侧，包括与手套接触的整个区域。掌指关节背表面有地衣样红斑斑块和擦伤，手指背表面有鳞状病变。手掌仅见离散性角化过度。右手及前臂无病变。他抱怨戴橡胶手套时皮肤瘙痒强烈，并承认不断抓挠以缓解不适，导致线状和剥皮病变。开始使用局部皮质类固醇治疗，病变逐渐消退。

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引用次数: 1

Lidocaine hydrochloride. 盐酸利多卡因。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2003-01-01 DOI: 10.2310/6620.2003.11748

Christine L. Mackley, J. Marks

引用次数: 0

Procedures for supplying fragrance information to dermatologists. 向皮肤科医生提供香味信息的程序。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2002-12-01

Glen Roberts, Matthias Vey

引用次数: 0

Clothing tag pruritus. 衣标瘙痒。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2002-12-01

John Zenian

引用次数: 0

Coping with negative test results in patch testing. 处理补丁测试中阴性测试结果。

American journal of contact dermatitis : official journal of the American Contact Dermatitis Society

Pub Date : 2002-12-01

Lisa Garner, Jere Guin, William James, James A Yiannias

引用次数: 0

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