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This book is a compendium of tips on many different aspects of patch testing based on the recommendations of the International Contact Dermatitis Research Group (ICDRG), which is the reference group for all dermato-allergologists. It is intended to complement the book Patch Testing and Prick Testing: A Practical Guide by J.-M. Lachapelle and H. Maibach, which is an official publication of the ICDRG now in its third edition. Among the wide variety of topics covered are pitfalls, legal aspects, patch testing with ultrasonic bath extracts, the role of patch testing in occupational contact dermatitis and atopic dermatitis, semi-open tests, the implications of a negative test, patch testing validity, selection of extra allergens and patch testing in the tropics. Many illustrations are included and all information is completely up-to-date. This book will be of value to all practicing dermatologists.
This volume provides allergy and dermatology specialists with a practical guide to the correct patch test methodology for their day-to-day clinical practice: it includes the latest available hapten series (standard series and integrative series), the golden rules for concentration and conservation of the haptens themselves, and the indispensable test equipment. The book, coming in a handy softcover format, is also nicely illustrated with over 100 full color pictures and tables. The contents focus on the interpretation of the epicutaneous test reading as well, relating to clinical relevance of the reactions and granting a correct management of the allergic patient. Practical Guide to Patch Testing will be of great value to all practicing allergists or dermatologists and professionals related.
Knowledge in the field of allergic contact dermatitis continues to expand rapidly owing to progress in the chemical, immunological, and clinical fields, including improved techniques of patch testing and prick testing. The third edition of this important book, which includes additional color illustrations, has been extensively revised, updated, and expanded to reflect the most recent developments. These include advances in patch testing methodology, in particular the new chambers that are appearing on the market, revision of the baseline series of patch tests to reflect the latest evidence-based work, and additional testing procedures. The result is a superb guide to the current management of positive and negative patch test and prick test reactions that will be invaluable for all practicing dermatologists, from the beginner to the well-trained expert.
Written for daily dermatological practise, this book provides an updated standardized version on patch testing and prick testing procedures. The different techniques, the visual scoring and the pitfalls interpreting positive and/or negative results are covered in detail. Additional tests such as open, semi-open, roat and use tests, photopatch tests and atopy patch tests are described as well. The revised international standard series of patch tests is reviewed, including succinct explanations for each allergen. Combined with the 2nd book of this mini-series "Management of Positive Patch Test Reactions" it gives a comprehensive account on the subject.
The fourth edition of this important book, which includes additional color illustrations, has been extensively revised, updated, and expanded to reflect the most recent developments. These include advances in patch testing methodology, in particular the new chambers that are appearing on the market, revision of the baseline series of patch tests to reflect the latest evidence-based work, and additional testing procedures. Other additions include sections on key allergens and concentrations, with the result is a superb guide to the current management of positive and negative patch test and prick test reactions that will be invaluable for all practicing dermatologists, from the beginner to the well-trained expert. The fourth edition continues the tradition of partnering with the ICDRG (International Contact Dermatitis Research Group). The ICDRG was formed in 1966 to promote the understanding of contact dermatitis. It has had major roles in the standardization of patch testing and the facilitation of regular scientific meetings, for over forty years and thirty five years respectively. It has also been involved in the authorship of a number of publications on contact dermatitis. Both Drs. Maibach and Lachapelle are members and the ICDRG is now comprised of representatives from all over the world, and currently includes members from Belgium, Sweden, Denmark, the United Kingdom, USA, Germany, Singapore, Korea, India, Japan, Canada, Uruguay and Australia. From the reviews of the previous editions:"The aim is to balance brevity and clarity with sufficient details for beginners in the field of diagnostic patch and prick testing. ... the book also will be of use to dermatology residents or anyone wishing to gain better knowledge of contact dermatitis. ... There are many high-quality photographs and useful algorithms and tables. ... It is clearly and concisely written and will serve as an indispensable guide for any dermatologist interested in contact dermatitis." (Renata H. Mullen, Doody’s Review Service, August, 2009)
Practical Patch Testing and Chemical Allergens in Contact Dermatitis covers the most relevant allergens in a concise and algorithmic fashion, with practical tips for patch testing. This book assists practitioners and trainees with educating patients on how to avoid their irritants and allergens to effectively manage contact dermatitis. Clinical pearls for patch testing of certain allergens are clearly outlined in this book to help providers avoid common pitfalls and reduce the risk of incorrect diagnoses, making it an essential reference for all involved in the treatment of contact dermatitis.
How to diagnose allergic contact dermatitis, perform and interpret patch tests, and select the best treatment options Written for a broad range of dermatologic professionals, Common Contact Allergens is a straightforward and useful guide that bridges the gap between detailed reference texts and basic handbooks on contact allergy, making it an ideal addition to general dermatology practices for practical use in the office. The first section of the book leads practitioners through the steps necessary to effectively and accurately perform patch testing. This covers basic immunological knowledge, various ways in which contact allergy can present, patch test techniques, and how to diagnose allergic contact dermatitis. Giving attention to all standard allergens, the second section offers an overview of the current literature on each, with detailed analysis on determining the clinical relevance of a positive patch test reaction. This convenient companion: Offers universally applicable guidance on when and how to perform patch testing, as well as how to interpret test reactions and arrive at accurate diagnoses Characterizes allergens from the Standard 'Baseline' Series, the International Series, and the T.R.U.E. Test Series Profiles allergens such as metals, fragrances, medicaments, rubber chemicals, plant chemicals, hair and clothing dyes, excipients, and resins Contains case reports, clinical images, patch test tips, and more Features color-coded exposure templates for easy consultation Provides key pointers on how to take patient histories and handle challenging cases Introduces new concepts such as 'microhistory' and 'microexamination' Allows access to online supplementary material featuring CAS numbers, toxicology, immunology, prevalence rates, chemical structures, additional case reports, and more Common Contact Allergens is a valuable reference tool for trainee and practicing general dermatologists, dermatology nurses, occupational health physicians, allergists, and other medical professionals with an interest in dermatology.
It is an unusual event for a textbook covering such a national and international networks and the use of highly specialized field as contact dermatitis to be standardized methodology, a highly differentiated published in its fourth edition within a time period picture can now be painted; we know the major p- of 13 years. When the European and Environmental fessions at risk, as well as the influences of age and Contact Dermatitis Research Group was founded in various cofactors. This is a solid basis for preventive 1985,one of the major goals was to edit a textbook of measures. A new allergen, described in one center, high scientific standard written by renown experts can now be tested on a large scale in a short time and keep it regularly updated. The greatest danger period. If the data evaluation shows an unacceptably for a textbook is to become outdated – then it stays high rate of sensitization in the exposed population, on the bookshelf and is rarely consulted. The contin- regulatory measures will be undertaken to protect uous flow of new medicaments, the fascinating the consumer. A recent example is the “methyldib- improvements in diagnostic image analysis and ever- mo glutaronitrile story. ” changing operative procedures are the reasons for These and other issues of importance are covered considerable knowledge deficits in old textbooks, in depth in the newest edition of this textbook.
The patch test (epicutaneous test) and photo patch test are used to clarify the etiology and diagnosis of allergic as well as light-potentiated contact der matitis. The patch test must be correlated with historic data and physical ex amination. Contact dermatitis constitutes a significant proportion (5%-15%) of the dis eases at dermatologic clinics. If the results are to be reliable, patch tests should be performed properly and the technique should not be varied in an arbitrary manner. The examiner should adhere strictly to the standard procedure so as to understand its possibilities and its limitations. Interpretation of the actual patch test reactions places high demands on the experience and skill of the examiner and on his knowledge of chemistry and pharmacology. This monograph is concerned only with the patch test method used to demonstrate the existence of contact allergy and light-potentiated contact allergy. It does not describe the "prophetic patch test" ("predictive patch test"), which is used to demonstrate the sensitizing capacity of a substance. The terminology in the text is that recommended by the International Con tact Dermatitis Research Group. (In this book dermatitis = eczema.) 1.2 Historic Development Joseph Jadassohn devised the epicutaneous test. In 1895 he tested a syphilitic patient who developed a cutaneous eruption after treatment with mercury ointment.
Over the past 20 years, public concerns have grown in response to the apparent rising prevalence of food allergy and related atopic conditions, such as eczema. Although evidence on the true prevalence of food allergy is complicated by insufficient or inconsistent data and studies with variable methodologies, many health care experts who care for patients agree that a real increase in food allergy has occurred and that it is unlikely to be due simply to an increase in awareness and better tools for diagnosis. Many stakeholders are concerned about these increases, including the general public, policy makers, regulatory agencies, the food industry, scientists, clinicians, and especially families of children and young people suffering from food allergy. At the present time, however, despite a mounting body of data on the prevalence, health consequences, and associated costs of food allergy, this chronic disease has not garnered the level of societal attention that it warrants. Moreover, for patients and families at risk, recommendations and guidelines have not been clear about preventing exposure or the onset of reactions or for managing this disease. Finding a Path to Safety in Food Allergy examines critical issues related to food allergy, including the prevalence and severity of food allergy and its impact on affected individuals, families, and communities; and current understanding of food allergy as a disease, and in diagnostics, treatments, prevention, and public policy. This report seeks to: clarify the nature of the disease, its causes, and its current management; highlight gaps in knowledge; encourage the implementation of management tools at many levels and among many stakeholders; and delineate a roadmap to safety for those who have, or are at risk of developing, food allergy, as well as for others in society who are responsible for public health.