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Patch testing in atopic dermatitis.

Susan T Nedorost1, Denise Babineau

  • 1Department of Dermatology, University Hospitals Case Medical Center, Cleveland, OH, USA.

Dermatitis : Contact, Atopic, Occupational, Drug
|October 6, 2010
PubMed
Summary
This summary is machine-generated.

Patch testing in atopic dermatitis (AD) patients, after antibiotic and azole treatment, shows similar results to non-AD patients. However, AD patients may react more to topical medicament components.

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Area of Science:

  • Dermatology
  • Immunology
  • Allergology

Background:

  • Atopic dermatitis (AD) patients exhibit distinct immunologic responses compared to non-AD individuals, including differences in beta-defensin levels and allergen reactivity.
  • These immunologic variations suggest that patch test responses to standard allergen series might differ between AD and non-AD patient groups.

Purpose of the Study:

  • To compare patch test responses between patients with atopic dermatitis and those without.
  • To determine the significance of specific allergens in the context of atopic dermatitis.

Main Methods:

  • Atopic dermatitis (AD) was defined by a history of childhood flexural dermatitis.
  • Patients with active AD received systemic antibiotics (antistaphylococcal and antiyeast) prior to patch testing, unless contraindicated.
  • All patch test readings were conducted on day 7.

Main Results:

  • The total number of positive patch test results was comparable between AD patients (n=146) and non-AD patients (n=1,003).
  • No significant increase in nickel sensitivity was observed in AD patients.
  • A trend towards increased positive reactions to tixocortol pivalate, Compositae mix, and propylene glycol was noted in AD patients, though not statistically significant.

Conclusions:

  • When pretreated with antibiotics and systemic azoles, AD patients exhibit nearly identical numbers of positive patch test reactions compared to non-AD patients.
  • Patch test reactions to ingredients in topical medicaments may occur more frequently in AD patients than in non-AD patients.