Allergic Contact Dermatitis: Test and Diagnosis

The history and clinical picture are guideposts for establishing the diagnosis. 2nd-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification. Epicutaneous test (synonyms: patch test, patch test) – provocation test (allergy test) used to determine whether contact allergy is presentNote: Children < 6 years: testing selectively … Allergic Contact Dermatitis: Test and Diagnosis

Allergic Contact Dermatitis: Drug Therapy

Therapy target Improvement of the symptomatology Therapy recommendations Elimination of the diagnostically identified noxious agent (causative pollutant). Symptomatic therapy (preferably local therapy; this must be oriented to the skin condition). Topical glucocorticoids (agent of first choice)Note: When using glucocorticoids for > 6 weeks → control and review due topossible adverse drug reactions. Tanning agents/tar preparations … Allergic Contact Dermatitis: Drug Therapy

Allergic Contact Dermatitis: Prevention

To prevent allergic contact dermatitis, attention must be paid to reducing individual risk factors. Behavioral risk factors Smoking Other risk factors Exposure to the potentially triggering substance; the following substances are among the most common triggers of allergic contact dermatitis: Fragrances – in about 2%, contact allergy can be detected by epicutaneous test (synonyms: patch … Allergic Contact Dermatitis: Prevention

Allergic Contact Dermatitis: Symptoms, Complaints, Signs

Allergic contact dermatitis can show many different characteristics depending on many factors. The following symptoms and complaints may indicate allergic contact dermatitis: Leading symptoms of acute allergic contact dermatitis. Rapid onset of sharply defined erythema (extensive reddening of the skin) at the site of contact (e.g., hand eczema) with the substance If necessary, with abrinnspuren, … Allergic Contact Dermatitis: Symptoms, Complaints, Signs

Allergic Contact Dermatitis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing) of the skin [Leading symptoms of acute allergic contact dermatitis: Rapid appearance of a sharply defined erythema (extensive reddening of the skin) at the site of contact with the … Allergic Contact Dermatitis: Examination

Allergic Contact Dermatitis: Medical History

Medical history (history of illness) represents an important component in the diagnosis of allergic contact dermatitis. Family history Social anamnesis Current anamnesis/systemic anamnesis (somatic and psychological complaints). What changes in the skin have you noticed? Did they occur only in one place or on the whole body? How long have these changes been present? Was … Allergic Contact Dermatitis: Medical History

Allergic Contact Dermatitis: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Ichthyosis vulgaris – genetic disorder leading to cornification disorder of the skin, usually drunken scaling; two forms are distinguished according to their mode of inheritance. : Autosomal dominant ichthyosis vulgaris. X-linked recessive ichthyosis vulgaris Disease usually begins in the first years of life and continues into puberty, after … Allergic Contact Dermatitis: Or something else? Differential Diagnosis