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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).
In recent years the field of contact dermatitis has increased greatly in importance in dermatology. The variety of exogenous, environmental ly caused dermatoses has undoubtedly expanded over the past few de cades with the increasing number of potentially toxic chemicals, the changes in lifestyle, and the greater life expectancy in industrialized societies. The value of international cooperation in this field has long been realized and acted upon by the International Contact Dermatitis Re search Group (ICDRG). By 1975 the international journal Contact Dermatitis had been founded under the editorship of C. D. Calnan. Thanks largely to the ICDRG and Contact Dermatitis, there were, by 1986, enou...
The late Arthur Rook established the Textbook of Dermatologyas the most comprehensive work of reference available to thedermatologist and it enjoys instant name recognition. Eachsubsequent edition has been expanded as the subject has developedand the book remains the ultimate source of clinical informationfor the trainee and practising dermatologist alike. Rook's Textbook of Dermatology covers all aspects of skindisease from basic science through pathology and epidemiology toclinical practice. Long recognized for its unparalleled coverage ofdiagnosis, this clinical classic earned its reputation as adefinitive source of information. New features of this Seventh Edition include: Two new Editors, Neil Cox and Christopher Griffiths, join theteam Every chapter is updated and several are completely rewrittenfrom scratch Completely new chapter on AIDS and the Skin Traditional emphasis on diagnosis preserved More coverage of treatment in each of the disease-specificchapters
A highly practical approach to occupational dermatoses combined with the skill and experience of specialists in clinical and experimental dermatology. Great care is taken throughout to provide the information urgently needed for daily patient management, with concise tables, algorithms, and figures on how to optimise the diagnostic procedure for high-quality patient care and expert opinion. This handbook provides the relevant job descriptions, job-specific diagnostic algorithms and a detailed description of allergens and irritants such that readers can master even difficult and unusual problems in occupational dermatology.
The new edition of this established and highly respected text is THE definitive reference in its field. It details methods for the elimination or prevention/control of microbial growth, and features: New chapters on bioterrorism and community healthcare New chapters on microbicide regulations in the EU, USA and Canada Latest material on microbial resistance to microbicides Updated material on new and emerging technologies, focusing on special problems in hospitals, dentistry and pharmaceutical practice Practical advice on problems of disinfection and antiseptics in healthcare A systematic review of sterilization methods, with uses and advantages outlined for each Evaluation of disinfectants and their mechanisms of action with respect to current regulations The differences between European and North American regulations are highlighted throughout, making this a truly global work, ideal for worldwide healthcare professionals working in infectious diseases and infection control.
This third edition is an update on every conceivable aspect of the modern-day management of contact dermatitis. Both irritant and allergic contact dermatitis are covered clearly and comprehensively, special emphasis being given to occupational aspects as well as to prevention, diagnosis and treatment. The Textbook also covers epidemiology, the computerization of patch test data and patient information systems, noninvasive bioengineering measurement techniques, methods of skin testing other than patch testing, the histopathology of both irritant and all ergic contact dermatitis, and subjective reactions.
Written for daily dermatological practise, this book provides an updated standardized version on patch testing and prick testing procedures. The different techniques, the visual scoring and the pitfalls interpreting positive and/or negative results are covered in detail. Additional tests such as open, semi-open, roat and use tests, photopatch tests and atopy patch tests are described as well. The revised international standard series of patch tests is reviewed, including succinct explanations for each allergen. Combined with the 2nd book of this mini-series "Management of Positive Patch Test Reactions" it gives a comprehensive account on the subject.
This handbook provides the concise information needed in dealing with patients in the field of occupational dermatology. It combines a highly practical approach to occupational dermatology with the skills and research experience of specialists in clinical and experimental dermatology. The information is presented in a quick reference format with concise tables, algorithms, and figures on how to optimise the diagnostic procedures for high-quality care.
Written by an internationally recognized group of editors and contributors, Handbook of Elemental Speciation, Volume 2 provides a comprehensive, cross-disciplinary presentation of the analytical techniques involved in speciation. Comprehensive coverage of key elements and compounds in situ Addresses the analysis and impact of these elements and compounds, e.g. arsenic, lead, copper, iron, halogens, etc., in food, the environment, clinical and occupational health Detailed methodology and data are reported, as well as regulatory limits Includes general introduction on the impact in these key areas