Skip to main content
SpringerLink
Log in
Book cover

Patch Testing and Prick Testing pp 159–170Cite as

Methodology of Open (Non-prick) Testing, Prick Testing, and Its Variants

  • Chapter
  • First Online:

Abstract

An introductory remark needs some explanation. When immunological contact urticaria (ICU) (see Sect. 10.1.2) or protein contact dermatitis (PCD) (see Sect. 10.2) is suspected, it is considered that prick testing is the “key” diagnostic tool to detect the incriminated allergens. Nevertheless, some dermatologists are reluctant to practise prick testing, particularly in cases of ICU when general symptoms have been mentioned by the patient (see Sect. 10.1.1). This attitude is fully justified, and in those cases, it is wise to start the investigation with an open test. A first approach is to use the open test as such (see Sect. 7.2); another way to test is to use a Chamber Test, similar to that recommended in the atopy patch test (see Chap. 9). The results of such investigations need to be carefully interpreted, as they can lead to false-positive reactions.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Basketter D, Lahti A (2011) Immediate contact reactions. In: Johansen JD, Frosch PJ, Lepoittevin J-P (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 137–153

    Chapter  Google Scholar 

  2. Goossens A, Amaro C (2011) Protein contact dermatitis. In: Johansen JD, Frosch PJ, Lepoittevin J-P (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 407–413

    Chapter  Google Scholar 

  3. Bindslev-Jensen C (2011) Skin tests for immediate hypersensitivity. In: Johansen JD, Frosch PJ, Lepoittevin J-P (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 511–517

    Chapter  Google Scholar 

  4. Oranje AP, Van Gysel D, Mulder PGH, Dieges PH (1994) Food-induced contact urticaria in atopic dermatitis patients: reproducibility of repeated and duplicate testing with a skin provocation test, the skin application food test (SAFT). Contact Dermatitis 31:314–318

    Article  PubMed  CAS  Google Scholar 

  5. Position paper (1993) Allergen standardization and skin tests. The European Academy of Allergy and Clinical Immunology. Allergy 48(Suppl 14):48–52

    Google Scholar 

  6. Bourrain J-L (2009) Methodology for rapid readout tests. Ann Dermatol Venereol 136:661–667

    Article  PubMed  Google Scholar 

  7. Poulsen LK, Liisberg C, Bindslev-Jensen C (1993) Precise area determination of skin-prick tests: validation of a scanning device and software for a personal computer. Clin Exp Allergy 36:824–830

    Google Scholar 

  8. Amin S, Lahti A, Maibach HI (2008) Contact urticaria and contact urticaria syndrome (immediate contact reactions). In: Zhai H, Wilhelm K-P, Maibach HI (eds) Marzulli and Maibach’s dermatotoxicology, 7th edn. CRC Press, Boca Raton, pp 525–536

    Google Scholar 

  9. Liccardi G, D’Amato G, Walter Canonica G, Salzillo A, Piccolo A, Passalacqua G (2006) Systemic reactions from skin testing: literature review. J Investig Allergol Clin Immunol 16:75–78

    PubMed  CAS  Google Scholar 

  10. Cantani A, Micera M (2006) The prick by prick is safe and reliable in 58 children with atopic dermatitis and food allergy. Eur Rev Med Pharmacol Sci 10:115–120

    PubMed  CAS  Google Scholar 

  11. Dreborg S, Foucard T (1983) Allergy to apple, carrot and potato in children with birch pollen allergy. Allergy 38:167–172

    Article  PubMed  CAS  Google Scholar 

  12. Niinimaki A (1987) Scratch-chamber tests in food handler dermatitis. Contact Dermatitis 16:11–20

    Article  PubMed  CAS  Google Scholar 

  13. Osterballe M, Scheller R, Stahl-Skov P, Andersen KE, Bindslev-Jensen C (2003) Diagnostic value of scratch-chamber test, skin prick test, histamine release and specific IgE in birch-allergic patients with oral allergy syndrome to apple. Allergy 58:950–953

    Article  PubMed  CAS  Google Scholar 

  14. Calabria CW, Hagen L (2008) The role of intradermal skin testing in inhalant allergy. Ann Allergy Asthma Immunol 101:337–347

    Article  PubMed  Google Scholar 

  15. Henzgen M, Ballmer-Weber BK, Erdmann S et al (2008) Skin testing with food allergens. Guideline of the German Society of Allergology and Clinical Immunology (DGAKI), the Physician’s Association of German Allergologists (ADA) and the Society of Pediatric Allergology (GPA) together with the Swiss Society of Allergology. J Dtsch Dermatol Ges 6:983–988

    Article  PubMed  Google Scholar 

  16. Turjanmaa K, Palosuot T, Alenius H et al (1997) Latex allergy diagnosis: in vivo and in vitro standardization of a natural rubber latex extract. Allergy 52:41–50

    Article  PubMed  CAS  Google Scholar 

  17. Turjanmaa K, Alenius H, Mäkinen-Kiljunen S et al (1995) Commercial skin prick test preparations in the diagnosis of rubber latex allergy (Abstract). J Allergy Clin Immunol 93:S299

    Google Scholar 

  18. Rancé F, Juchet A, Brémont F, Dutau G (1997) Correlations between skin prick tests using commercial extracts and fresh foods, specific IgE, and food challenges. Allergy 52:1031–1035

    Article  PubMed  Google Scholar 

  19. Ale SI, Maibach HI (2000) Occupational contact urticaria. In: Kanerva L, Elsner P, Wahlberg JE, Maibach HI (eds) Handbook of occupational dermatology. Springer, Berlin, pp 200–216

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Dermatology, Catholic University of Louvain, Brussels, Belgium

    Jean-Marie Lachapelle

  2. Department of Dermatology, School of Medicine, University of California, San Francisco, CA, USA

    Howard I. Maibach

Authors
  1. Jean-Marie Lachapelle
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Howard I. Maibach
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Lachapelle, JM., Maibach, H.I. (2012). Methodology of Open (Non-prick) Testing, Prick Testing, and Its Variants. In: Patch Testing and Prick Testing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25492-5_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-25492-5_11

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-25491-8

  • Online ISBN: 978-3-642-25492-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation