RT Journal Article
T1 International survey on skin patch test procedures, attitudes and interpretation.
A1 Tanno, Luciana K
A1 Darlenski, Razvigor
A1 Sánchez-Garcia, Silvia
A1 Bonini, Matteo
A1 Vereda, Andrea
A1 Kolkhir, Pavel
A1 Antolin-Amerigo, Dario
A1 Dimov, Vesselin
A1 Gallego-Corella, Claudia
A1 Aldave Becerra, Juan Carlos
A1 Diaz, Alexander
A1 Bellido Linares, Virginia
A1 Villa, Leonor
A1 Rosenwasser, Lanny J
A1 Sanchez-Borges, Mario
A1 Ansotegui, Ignacio
A1 Pawankar, Ruby
A1 Bieber, Thomas
K1 Allergy
K1 Contact dermatitis
K1 Sensitization
K1 Skin patch test
K1 Survey
K1 Alérgenos
K1 Dermatitis alérgica por contacto
K1 Dermatitis exfoliativa
K1 Haptenos
AB BACKGROUNDSkin patch test is the gold standard method in diagnosing contact allergy. Although used for more than 100 years, the patch test procedure is performed with variability around the world. A number of factors can influence the test results, namely the quality of reagents used, the timing of the application, the patch test series (allergens/haptens) that have been used for testing, the appropriate interpretation of the skin reactions or the evaluation of the patient's benefit.METHODSWe performed an Internet -based survey with 38 questions covering the educational background of respondents, patch test methods and interpretation. The questionnaire was distributed among all representatives of national member societies of the World Allergy Organization (WAO), and the WAO Junior Members Group.RESULTSOne hundred sixty-nine completed surveys were received from 47 countries. The majority of participants had more than 5 years of clinical practice (61 %) and routinely carried out patch tests (70 %). Both allergists and dermatologists were responsible for carrying out the patch tests. We could observe the use of many different guidelines regardless the geographical distribution. The use of home-made preparations was indicated by 47 % of participants and 73 % of the respondents performed 2 or 3 readings. Most of the responders indicated having patients with adverse reactions, including erythroderma (12 %); however, only 30 % of members completed a consent form before conducting the patch test.DISCUSSIONThe heterogeneity of patch test practices may be influenced by the level of awareness of clinical guidelines, different training backgrounds, accessibility to various types of devices, the patch test series (allergens/haptens) used for testing, type of clinical practice (public or private practice, clinical or research-based institution), infrastructure availability, financial/commercial implications and regulations among others.CONCLUSIONThere is a lack of a worldwide homogeneity of patch test procedures, and this raises concerns about the need for standardization and harmonization of this important diagnostic procedure.
PB BioMed Central
SN 1939-4551
YR 2016
FD 2016-03-04
LK http://hdl.handle.net/10668/2188
UL http://hdl.handle.net/10668/2188
LA en
NO Tanno LK, Darlenski R, Sánchez-Garcia S, Bonini M, Vereda A, Kolkhir P, et al. International survey on skin patch test procedures, attitudes and interpretation. World Allergy Organ J.2016; 9:8
NO Journal Article;
DS RISalud
RD Apr 17, 2025