Low Nickel Diet in Allergic Contact Dermatitis to Nickel

Editor: V. Dimov, M.D., Allergist/Immunologist, Cleveland Clinic Florida, Clinical Associate Professor, FAU Charles E. Schmidt College of Medicine



Low Nickel Diet in Allergic Contact Dermatitis to Nickel - Illustrated (click here to enlarge the image).



Low Nickel Diet in Allergic Contact Dermatitis to Nickel (click here to enlarge the image).

References:

Penn State Hershey Medical Group

Published: 07/12/2019
Updated: 09/18/2019

Surgery-Related Contact Dermatitis

Editor: V. Dimov, M.D., Allergist/Immunologist, Cleveland Clinic Florida, Clinical Associate Professor, FAU Charles E. Schmidt College of Medicine

Contact dermatitis can be either irritant or allergic. Surgery can induce both.

Exposure to irritants or allergens can happen before, during or after surgery:

1. Preoperative Contactants: Antiseptics, Skin pen markers, Anesthetics
2. Operative Contactants: Gloves, Metals
3. Postoperative Contactants: Sutures, Tissue adhesives, Staples, Topical antibiotics, Wound dressings (bandages)



Surgery-Related Contact Dermatitis: Contact Irritants and Allergens (click to enlarge the image).

Common causes of contact dermatitis (contactants) are remembered by the mnemonic:
AAAAA BMS

Antiseptics - Not in TRUE/NACDG 65 patch!
Adhesives - Not in TRUE/NACDG 65 patch!
Anesthetics
Antibiotics
Accelerants in rubber gloves
Bandages
Metals
Sutures



Surgery-Related Contact Dermatitis: Contactants Mnemonic (click here to enlarge the image).

References:

Surgery-Related Contact Dermatitis: A Review of Potential Irritants and Allergens
https://www.jaci-inpractice.org/article/S2213-2198(17)30168-X/abstract

Published: 04-25-2019
Updated: 04-25-2019

Patch test for skin allergies (contact dermatitis)

Editor: V. Dimov, M.D., Allergist/Immunologist, Cleveland Clinic

Patch test is a procedure to diagnose allergic contact dermatitis. Diagnosis of irritant contact dermatitis is based on exclusion of an allergic component.

Patch test techniques for diagnosing allergic contact dermatitis have been used for over 100 years. The current test methods are based on the established principle of using a testing material (chemical, food etc.) and a delivery device (chamber).

Patch test attempts to reproduce the allergic reaction on the normal skin on the upper back of the patient. The patches are applied and subsequently removed after 48 hours. Reactions are read after 72 - 96 hours and often, again at 7 days after removal.

The diagnostic value of patch testing depends upon the choice of test substance, the vehicle, the concentration, results interpretation and patient counseling.

Patch tests are comprised of materials that occur in the home, work and/or recreational environment.

Commercial products for patch testing include:

- allergEAZE for Skin Patch Testing

- T.R.U.E. TEST for Skin Patch Testing



Contact Dermatitis - An Approach to Treatment (click to enlarge the image).

References:

Patient guide to patch testing (PDF)
American Contact Dermatitis Society Core Allergen Series (PDF)
A list of allergens in the AllergEAZE test: http://buff.ly/1E6mt2Y
About Patch Testing | SmartPractice http://buff.ly/1E6mEeG

Published: 02-18-2015
Updated: 08-18-2015