Evaluation of the permanence of skin sensitization to allergens in patients with allergic contact dermatitis

Anais Brasileiros de Dermatologia

Ida Duarte¹  Mariana De Figueiredo Silva²  Andrey Augusto Malvestiti²  Beatriz De Abreu Ribeiro Machado²  Rosana Lazzarini² 

[1] ,Santa Casa de São Paulo Faculdade de Ciências Médicas Dermatology ClinicSão Paulo SP ,Brazil

关键词: Dermatitis;    allergic contact;    Dermatitis;    contact;    Diagnosis;    Patch tests;    Skin tests;    Dermatite alérgica de contato;    Dermatite de contato;    Diagnóstico;    Testes cutâneos;    Testes do emplastro;   

DOI  :  10.1590/S0365-05962012000600002

来源: SciELO

【 摘 要 】

BACKGROUND: Background: Patch tests are an efficient method to confirm the etiological diagnosis of allergic contact dermatitis. OBJECTIVES: 1) To determine the permanence of results between two tests performed with an interval of at least one year, in patients with allergic contact dermatitis; 2) To compare the positive results according to rates of intensity; 3) To evaluate the permanence of sensitization according to each substance that was tested. METHODS: Patients with previous diagnosis of allergic contact dermatitis, confirmed by patch tests carried out between the years 2005 and 2008, underwent new testing, using the same methodology, and data was compared. RESULTS: A total of 1470 results of both tests on 49 patients were analyzed. The negative results remained in the second test in a rate of 96%, and 4% became positive (+) without relevance to the clinical history. Moreover, moderately (++) and strongly (+++) positive results were also maintained in, respectively, 86% and 100%. Nevertheless, weakly (+) positive results became negative in 65%. By ignoring all weakly (+) positive tests, the calculation of Kappa Index of Agreement Statistics between the two tests showed a value of 0.88. CONCLUSION: Patch tests showed to be reliable for negative, moderately (++) positive and strongly (+++) positive results, by reproducing the same standard of individual response to allergens. However, for weakly (+) positive results, tests were not reliable.

【 授权许可】

CC BY-NC   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License