斑贴试验是诊断过敏性接触性皮炎的金标准。识别和避免罪魁祸首过敏原在这种疾病的治疗中至关重要。每一年,新的过敏原被认为是新兴的或重要的。作者讨论了常见的过敏原,持久,emergent,不完全认可和有争议的执业过敏症医生和皮肤科医生。本临床管理审查将包括对香料的审查,防腐剂,橡胶,丙烯酸酯,金属,和药物,它们共同的暴露来源,诊断和补丁测试中的争议,管理以及如何避免这些过敏原。该审查还将包括诊断和管理的实际方面,并将提供可用作医生和患者镍的指导资源,MCI/MI,香水,斑贴试验中最常见的过敏原呈阳性。
Patch testing is the reference standard for the diagnosis of allergic contact dermatitis. Identification and avoidance of culprit allergens are essential in the treatment of this disease. Each year, new allergens are identified as emerging or important. The authors discuss allergens that are common, enduring, emergent, incompletely recognized, and controversial for the practicing allergist and dermatologist. This Clinical Management Review will encompass a review of fragrances, preservatives, rubber, acrylates, metals, and medications; their common sources of exposure; controversies in diagnosis and patch testing; management and how to avoid those allergens. This review will also include practical aspects of diagnosis and management and will provide resources that can be used as guidance for physicians and patients on nickel, methylchloroisothiazolinone/methylisothiazolinone, and fragrance, the most common allergens positive on patch testing.