1 Core Message
The diagnosis of an occupation-related allergic contact dermatitis can be missed in the various stages of the contact-allergy investigation: the history, the clinical symptoms and localization of the lesions, the skin testing, as well as the determination of the relevance of a positive test.
Airborne contact dermatitis is very frequently caused by occupational exposure.
Basic knowledge on the chemicals contacted is essential, which is not obvious in an occupational context.
It is evident that the more experience the investigator has, the more in an accurate way allergens can be identified.
The knowledge needs to be based on a good training, keeping up with the literature, attending courses and meetings, and the use of relevant websites.
2 Introduction
The diagnosis of an allergic contact dermatitis is made on the basis of a clinical examination in which much attention is given to the nature and the location of the lesions,...
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References
Amaro C, Goossens A (2008) Immunological occupational contact urticaria and contact dermatitis from proteins: a review. Contact Dermatitis 58:757–767
Bonamonte D, Foti C, Vestita M, Angelini G (2013) Noneczematous contact dermatitis. Allergy 2013:1–10. https://doi.org/10.1155/2013/361746
Bruynzeel DP, Ferguson J, Andersen K, et al, European Task Force for Photopatch Testing (2004) Photopatch testing: a consensus methodology for Europe. J Eur Acad Dermatol Venereol 18:679–682
Bruze M (1984) Use of buffer solutions for patch testing. Contact Dermatitis 10:267–269
Bruze M (1990) What is a relevant contact allergy? Contact Dermatitis 23:224–225
Bruze M, Trulsson L, Bendsöe N (1992) Patch testing with ultrasonic bath extracts. Am J Contact Dermat 3:1–5
De Groot A (2008) Patch testing. Test concentrations and vehicles for 4350 chemicals, 3rd edn. Acdegroot Publishing, Wapserveen
De Groot A, Frosch PJ (2011) Chapter 56: Patch test concentrations and vehicles for testing contact allergens. In: Johansen JD, Frosch P, Lepoittevin JP (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 1071–1106
Engfeldt M, Goossens A, Isaksson M, Zimerson E, Bruze M (2013) The outcome of 9 years of consecutive patch testing with 4,4′-diaminodiphenylmethane and 4,4′-diphenylmethane diisocyanate. Contact Dermatitis 68:98–102
Goon A, Goh CL (2011) Chapter 22: Non-eczematous contact reactions. In: Johansen JD, Frosch P, Lepoittevin JP (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 415–428
Goossens A (2001) Minimizing the risks of missing a contact allergy. Dermatology 202:186–189
Goossens A, Amaro C (2011) Chapter 21: Protein contact dermatitis. In: Johansen JD, Frosch P, Lepoittevin JP (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 407–414
Goossens A, Drieghe J (1998) Computer applications in contact allergy. Contact Dermatitis 38:51–52
Goossens A, Detienne T, Bruze M (2002) Occupational allergic contact dermatitis caused by isocyanates. Contact Dermatitis 47:304–308
Gruvberger B, Bruze M, Fregert S, Lidén C (2011) Chapter 27: Allergens exposure assessment. In: Johansen JD, Frosch P, Lepoittevin JP (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 493–510
Hannuksela M, Salo H (1998) The repeated open application test: suggestions for a scale of evaluation. Contact Dermatitis 39:95–96
Isaksson M, Bruze M, Björkner B, Hindsen M, Svensson L (1999) The benefit of patch testing with a corticosteroid at a low concentration. Am J Contact Dermat 10:31–33
Johansen JD, Aalto-Korte K, Agner T, Andersen KE, Bircher A, Bruze M, Cannavó A, Giménez-Arnau A, Gonçalo M, Goossens A, John SM, Lidén C, Lindberg M, Mahler V, Matura M, Rustemeyer T, Serup J, Spiewak R, Thyssen JP, Vigan M, White IR, Wilkinson M, Uter W (2015) European Society of Contact Dermatitis guideline for diagnostic patch testing – recommendations on best practice. Contact Dermatitis 73:195–221
Karlberg A-T, Lidén C (1992) Colophony (resin) in newspapers may contribute to hand eczema. Br J Dermatol 126:161–165
Karlberg A-T, Bergström MA, Börje A, Luthman K, Nolsson JLG (2008) Allergic contact dermatitis – formation, structural requirements, and reactivity of skin sensitizers. Chem Res Toxicol 21:53–69
Keegel T, Saunders H, LaMontagne AD, Nixon R (2007) Are material safety data sheets (MSDS) useful in the diagnosis and management of occupational contact dermatitis? Contact Dermatitis 57:331–336
Kerre S, Matura M, Goossens A (2006) Allergic contact dermatitis from a degreaser. Contact Dermatitis 55:117–118
Lachapelle J-M, Maibach HI (2012) Patch testing and prick testing. A practical guide, 3rd edn. Springer, Berlin
Lecoz CJ, Lepoittevin J-P (2011) Dictionary of contact allergens: chemical structures, sources and references. In: Frosch PJ, Menné T, Lepoittevin J-P (eds) Textbook of contact dermatitis, 5th edn. Springer, Berlin, pp 1121–1248
Levin C, Warshaw E (2008) Protein contact dermatitis: allergens, pathogenesis, and management. Dermatitis 19:241–251
Nakayama H (2011) Chapter 19: Pigmented contact dermatitis and chemical depigmentation. In: Johansen JD, Frosch P, Lepoittevin JP (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 377–394
Uter W, Schnuch A, Giménez-Arnau A, Orton D, Statham B (2011) Chapter 54: Databases and networks. The benefit of research and quality assurance in patch testing. In: Johansen JD, Frosch P, Lepoittevin JP (eds) Contact dermatitis, 5th edn. Springer, Berlin, pp 1053–1064
Van Steenkiste E, Goossens A, Meert H, Apers S, Aerts O (2015) Airborne-induced lymphomatoid contact dermatitis from methylisothiazolinone. Contact Dermatitis 72:237–240
Yiannias JA (2004) Facilitation of the management of allergic contact dermatitis via on-line tools. Dermatitis 5:101
Yiannias JA (2007) What ACDS members asked for new functionality of the contact allergen replacement database and more. Dermatitis 18:109
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Goossens, A. (2020). Pitfalls in the Diagnosis of Occupational Contact Dermatitis. In: John, S., Johansen, J., Rustemeyer, T., Elsner, P., Maibach, H. (eds) Kanerva’s Occupational Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-68617-2_83
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