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Allergy Tests in Atopic Dermatitis

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Abstract

Atopic dermatitis (AD) is one of the most common diseases, with a prevalence of 20 % in several studies. The diagnosis of AD is made using evaluated clinical criteria.

Depending upon the severity of AD, type and strength of management is started. The severity of AD is made using evaluated clinical systems such as SCORAD and EASI. The TIS score shows promise for future use in routine clinical practice. Allergic management of AD may be worthwhile, since allergy may trigger the disease. However, there is not one allergy that is causing the disease. Skin testing is a common diagnostic procedure in food allergy. The skin prick test is the test of first choice for investigating the immediate IgE-mediated reaction. Based on the mechanism of the contact urticaria syndrome (CUS), imitating provocation tests have been developed. The final proof for establishing the diagnosis of food allergy is the double-blind placebo-controlled oral challenge. The role of diet in the cause and treatment of AD is very controversial. Dietary recommendations should be very specific and only prescribed in those children with diagnosed food allergy.

Clinical observations indicate that aeroallergens may be trigger factors in AD patients. Influence of aero-allergy on AD is very limited.

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Authors and Affiliations

  1. Department of Dermatology, Franciscus Gasthuis and Vlietland, Rotterdam/Schiedam, The Netherlands

    Flora B. de Waard-van der Spek MD, PhD

Authors
  1. Flora B. de Waard-van der Spek MD, PhD
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Correspondence to Flora B. de Waard-van der Spek MD, PhD .

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Editors and Affiliations

  1. Rotterdam, The Netherlands

    Arnold P. Oranje

  2. Farwaniya, Kuwait

    Nawaf Al-Mutairi

  3. Department of Dermatology, Henry Ford Hospital, Detroit, Michigan, USA

    Tor Shwayder

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de Waard-van der Spek, F.B. (2016). Allergy Tests in Atopic Dermatitis. In: Oranje, A., Al-Mutairi, N., Shwayder, T. (eds) Practical Pediatric Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-32159-2_4

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  • DOI: https://doi.org/10.1007/978-3-319-32159-2_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-32157-8

  • Online ISBN: 978-3-319-32159-2

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