Abstract
Patch testing to gold is best performed with gold sodium thiosulfate 2.0% petrolatum. If negative and if there is a strong suspicion that gold allergy is present, 5.0% petrolatum can be used.
Reading of patch tests to gold is necessary both on day 3 or 4 and on day 7 not to miss contact allergy. Sometimes allergic reactions show up even later, up to 3 weeks after patch testing.
The frequency of gold allergy in dermatitis patients is high, around 10–15%.
The clinical relevance of gold allergy in dermatitis patients is rather low.
Gold allergy is correlated to dental gold.
The more dental gold, the higher the blood level of gold.
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Isaksson, M. (2012). Gold. In: Rustemeyer, T., Elsner, P., John, SM., Maibach, H.I. (eds) Kanerva's Occupational Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02035-3_46
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