Physician-Patient Agreement in the Assessment of Allergen Relevance

Gipson, Katrina; Carlson, Sean; Nedorost, Susan T.

doi:10.2310/6620.2010.10037

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…However, if the patient avoids allergens and sees no improvement in dermatitis, the allergens were not relevant. Gipson et al 2 analyzed relevance as documented by the physician at final patch test reading vs patient opinion of relevance 30 days to 3 years after the final reading and found that there was variable agreement between the 2 groups; percentage agreement for formaldehyde-releasing preservatives was 88%, neomycin was 78%, nickel was 71%, fragrances was 65%, and gold was 56%. These differences underscore the need for ongoing research on patch test methods, determination of relevance, and standards for patient follow-up.…”

Section: Determining Relevancementioning

confidence: 99%

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Patch Testing 101, Part 2: After the Patch Test

Atwater

Reeder

2020

Cutis

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After the patch test, the physician must interpret positive reactions in the clinical context of the patient's dermatitis. Relevance can be graded as current, past, or unknown. Counseling the patient on allergen avoidance is the most important step, and resources such as allergen information sheets and physician-generated safe lists from product databases can be used to help the patient both understand their allergens and avoid further exposure.

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Section: Determining Relevancementioning

confidence: 99%

“…These differences underscore the need for ongoing research on patch test methods, determination of relevance, and standards for patient follow-up. 2…”

Section: Determining Relevancementioning

confidence: 99%

Patch Testing 101, Part 2: After the Patch Test

Atwater

Reeder

2020

Cutis

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Patch Testing Pearls

Uyesugi

Sheehan

2018

Clinic Rev Allerg Immunol

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Nickel Allergy in Adults in the US

Goldenberg¹,

Vassantachart²,

Lin³

et al. 2015

Dermatitis

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Although a significant number of nickel dermatitis cases are seen clinically, most cases are neither patch-tested nor captured in the literature, allowing for a prospering hidden nickel epidemic. We present a qualitative review utilizing the public medical library of peer-reviewed US adult nickel dermatitis cases with the goal of identifying regional variations and trends. Between 1962 and 2015, 18,251 adult patients were reported to be sensitized to nickel. The number of articles has exponentially increased over the past 5.5 decades as 4.3% of total cases were reported between the 1960s and 1990s, 31.3% between 2000 and 2009, and 64.3% were reported between 2010 and 2015. Geographically, 27 US states have had at least 1 reported case of adult nickel dermatitis. Rising rates of US nickel dermatitis noted in our findings further highlight the need for medical professionals, legislators, and manufacturers to advocate for regulation of nickel-containing items.

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Physician-Patient Agreement in the Assessment of Allergen Relevance

Cited by 3 publications

References 9 publications

Patch Testing 101, Part 2: After the Patch Test

Patch Testing 101, Part 2: After the Patch Test

Patch Testing Pearls

Nickel Allergy in Adults in the US

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