Textbook of Contact Dermatitis

  • Richard J. G. Rycroft
  • Torkil Menné
  • Peter J. Frosch

Table of contents

  1. Front Matter
    Pages I-XXVI
  2. Historical Aspects

    1. Jean-Marie Lachapelle
      Pages 1-8
  3. Basic Features

    1. Front Matter
      Pages 9-9
    2. Rik J. Scheper, B. Mary, E. von Blomberg
      Pages 11-27
    3. Peter J. Frosch
      Pages 28-61
    4. Arto Lahti
      Pages 62-74
    5. Ian R. White
      Pages 75-88
  4. Histopathological and Immunohistopathological Features of Irritant and Allergic Contact Dermatitis

  5. Molecular Aspects of Allergic Contact Dermatitis

    1. Jean-Pierre Lepoittevin, Claude Benezra, Caroline C. Sigman, Donya Bagheri, Rossana Fraginals, Howard I. Maibach
      Pages 103-119
  6. Individual Predisposition to Contact Dermatitis

    1. Torkil Menné, John D. Wilkinson
      Pages 121-130
  7. Epidemiology

    1. Pieter-Jan Coenraads, Jet Smit
      Pages 131-150
  8. Clinical Features

    1. Niels K. Veien
      Pages 151-204
  9. Hand Eczema

    1. Etain Cronin
      Pages 205-218
  10. Noneczematous Contact Reactions

    1. Chee Leok Goh
      Pages 219-236
  11. Diagnostic Tests

    1. Front Matter
      Pages 237-237
    2. Jan E. Wanlberg
      Pages 239-268
    3. Matti Hannuksela
      Pages 287-292
    4. Ian R. White
      Pages 293-305

About this book


10. 1. 1. 1 The Purpose of Patch Testing Patch testing is a well-established method of diagnosing allergic contact dermatitis, a delayed type of hypersensitivity (type IV reaction). Patients with a history and clinical picture of contact dermatitis are reexposed to the suspected allergens under controlled conditions to verify the diagnosis. Besides testing patients with hand, arm, face or leg eczema (stasis dermatitis), testing of other types of eczema (atopic, seborrhoeic dermatitis, nummular eczema) is sometimes indicated, especially when the dermatologist suspects contact allergy to prescribed topical medicaments and their vehicles. Apart from its use to confirm a suspected allergic contact dermatitis, the patch test procedure can also be used before recommending alternative corti­ costeroids, skin care products, cosmetics, gloves, etc. in a particular patient. If the patient does not react to the alternatives tested, it is very unlikely that she or he will react to the products in ordinary use. 10. 1. 1.2 Standardization The first patch tests according to present principles were carried out in 1895 [1], but were preceded by some preliminary experiments [2] (see Chap. 1).


Berufskrankheit Dermatitis Dermatologie Irritancy Occupational Diseases allergen allergens allergy contact dermatitis cosmetics dermatology epidemiology histopathology pathology skin

Editors and affiliations

  • Richard J. G. Rycroft
    • 1
  • Torkil Menné
    • 2
  • Peter J. Frosch
    • 3
  1. 1.St. John’s Institute of DermatologySt. Thomas’s HospitalLondonUK
  2. 2.Department of Dermatology, Gentofte HospitalUniversity of CopenhagenHellerupDenmark
  3. 3.Hautklinik der Städtischen Kliniken Dortmund, Abteilung DermatologieUniversität Witten/HerdeckeDortmundGermany

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-662-03104-9
  • Copyright Information Springer-Verlag Berlin Heidelberg 1995
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-662-03106-3
  • Online ISBN 978-3-662-03104-9
  • About this book