Changing Trends and Allergens in the Patch Test Standard Series: A Mayo Clinic 5-Year Retrospective Review, January 1, 2001, Through December 31, 2005

OBJECTIVE To present and interpret results of patch testing with the Mayo Clinic standard series over 5 years. DESIGN Retrospective study. A standardized patch testing technique was used. Data were recorded on a standardized computer program from January 1, 2001, to December 31, 2005, and analyzed....

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Veröffentlicht in:Archives of dermatology (1960) 2008-01, Vol.144 (1), p.67-72
Hauptverfasser: Davis, Mark D. P, Scalf, Leigh Ann, Yiannias, James A, Cheng, Janet F, el-Azhary, Rokea A, Rohlinger, Audrey L, Farmer, Sara A, Fett, Debra D, Johnson, Janis S, Linehan, Diane L. Nordberg, Richardson, Donna M, Schroeter, Arnold L, Connolly, Suzanne M
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container_end_page 72
container_issue 1
container_start_page 67
container_title Archives of dermatology (1960)
container_volume 144
creator Davis, Mark D. P
Scalf, Leigh Ann
Yiannias, James A
Cheng, Janet F
el-Azhary, Rokea A
Rohlinger, Audrey L
Farmer, Sara A
Fett, Debra D
Johnson, Janis S
Linehan, Diane L. Nordberg
Richardson, Donna M
Schroeter, Arnold L
Connolly, Suzanne M
description OBJECTIVE To present and interpret results of patch testing with the Mayo Clinic standard series over 5 years. DESIGN Retrospective study. A standardized patch testing technique was used. Data were recorded on a standardized computer program from January 1, 2001, to December 31, 2005, and analyzed. SETTING Tertiary referral center. PATIENTS Patients who were referred for patch testing. INTERVENTION Patch testing with the “standard series,” ie, a standard series of allergens used by most clinicians to identify the most common offending allergens in patients with allergic contact dermatitis. MAIN OUTCOME MEASURES Number of patients patch tested, allergens used over this period, and rates of allergic patch test reactions to allergens. RESULTS A total of 3854 patients (mean age, 55.1 years; age range, 6.2-99.4 years; 2576 female [66.8%]) were tested. All dermatologists in the department performed patch testing. The mean number of allergens included was 69.3 (range, 6-87). There were 2664 patients with at least 1 positive reaction (69.1%) and 1933 with 2 or more positive reactions (50.2%). Metals, fragrances, topical antibiotics, preservatives, and individual allergens used in hair-care products, topical corticosteroids, glues, plastics, and rubber were still the most common allergen groups associated with allergic patch test reactions. CONCLUSIONS We describe the structure of the patch testing service at our referral center. Ongoing analysis of our patch test reaction rates allows us to recommend broad, clinically relevant, and up-to-date allergens for testing.Arch Dermatol. 2008;144(1):67-72-->
doi_str_mv 10.1001/archdermatol.2007.2
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P ; Scalf, Leigh Ann ; Yiannias, James A ; Cheng, Janet F ; el-Azhary, Rokea A ; Rohlinger, Audrey L ; Farmer, Sara A ; Fett, Debra D ; Johnson, Janis S ; Linehan, Diane L. Nordberg ; Richardson, Donna M ; Schroeter, Arnold L ; Connolly, Suzanne M</creator><creatorcontrib>Davis, Mark D. P ; Scalf, Leigh Ann ; Yiannias, James A ; Cheng, Janet F ; el-Azhary, Rokea A ; Rohlinger, Audrey L ; Farmer, Sara A ; Fett, Debra D ; Johnson, Janis S ; Linehan, Diane L. Nordberg ; Richardson, Donna M ; Schroeter, Arnold L ; Connolly, Suzanne M</creatorcontrib><description>OBJECTIVE To present and interpret results of patch testing with the Mayo Clinic standard series over 5 years. DESIGN Retrospective study. A standardized patch testing technique was used. Data were recorded on a standardized computer program from January 1, 2001, to December 31, 2005, and analyzed. SETTING Tertiary referral center. PATIENTS Patients who were referred for patch testing. INTERVENTION Patch testing with the “standard series,” ie, a standard series of allergens used by most clinicians to identify the most common offending allergens in patients with allergic contact dermatitis. MAIN OUTCOME MEASURES Number of patients patch tested, allergens used over this period, and rates of allergic patch test reactions to allergens. RESULTS A total of 3854 patients (mean age, 55.1 years; age range, 6.2-99.4 years; 2576 female [66.8%]) were tested. All dermatologists in the department performed patch testing. The mean number of allergens included was 69.3 (range, 6-87). There were 2664 patients with at least 1 positive reaction (69.1%) and 1933 with 2 or more positive reactions (50.2%). Metals, fragrances, topical antibiotics, preservatives, and individual allergens used in hair-care products, topical corticosteroids, glues, plastics, and rubber were still the most common allergen groups associated with allergic patch test reactions. 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P</creatorcontrib><creatorcontrib>Scalf, Leigh Ann</creatorcontrib><creatorcontrib>Yiannias, James A</creatorcontrib><creatorcontrib>Cheng, Janet F</creatorcontrib><creatorcontrib>el-Azhary, Rokea A</creatorcontrib><creatorcontrib>Rohlinger, Audrey L</creatorcontrib><creatorcontrib>Farmer, Sara A</creatorcontrib><creatorcontrib>Fett, Debra D</creatorcontrib><creatorcontrib>Johnson, Janis S</creatorcontrib><creatorcontrib>Linehan, Diane L. Nordberg</creatorcontrib><creatorcontrib>Richardson, Donna M</creatorcontrib><creatorcontrib>Schroeter, Arnold L</creatorcontrib><creatorcontrib>Connolly, Suzanne M</creatorcontrib><title>Changing Trends and Allergens in the Patch Test Standard Series: A Mayo Clinic 5-Year Retrospective Review, January 1, 2001, Through December 31, 2005</title><title>Archives of dermatology (1960)</title><addtitle>Arch Dermatol</addtitle><description>OBJECTIVE To present and interpret results of patch testing with the Mayo Clinic standard series over 5 years. DESIGN Retrospective study. A standardized patch testing technique was used. Data were recorded on a standardized computer program from January 1, 2001, to December 31, 2005, and analyzed. SETTING Tertiary referral center. PATIENTS Patients who were referred for patch testing. INTERVENTION Patch testing with the “standard series,” ie, a standard series of allergens used by most clinicians to identify the most common offending allergens in patients with allergic contact dermatitis. MAIN OUTCOME MEASURES Number of patients patch tested, allergens used over this period, and rates of allergic patch test reactions to allergens. RESULTS A total of 3854 patients (mean age, 55.1 years; age range, 6.2-99.4 years; 2576 female [66.8%]) were tested. All dermatologists in the department performed patch testing. The mean number of allergens included was 69.3 (range, 6-87). There were 2664 patients with at least 1 positive reaction (69.1%) and 1933 with 2 or more positive reactions (50.2%). Metals, fragrances, topical antibiotics, preservatives, and individual allergens used in hair-care products, topical corticosteroids, glues, plastics, and rubber were still the most common allergen groups associated with allergic patch test reactions. CONCLUSIONS We describe the structure of the patch testing service at our referral center. 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P</au><au>Scalf, Leigh Ann</au><au>Yiannias, James A</au><au>Cheng, Janet F</au><au>el-Azhary, Rokea A</au><au>Rohlinger, Audrey L</au><au>Farmer, Sara A</au><au>Fett, Debra D</au><au>Johnson, Janis S</au><au>Linehan, Diane L. Nordberg</au><au>Richardson, Donna M</au><au>Schroeter, Arnold L</au><au>Connolly, Suzanne M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changing Trends and Allergens in the Patch Test Standard Series: A Mayo Clinic 5-Year Retrospective Review, January 1, 2001, Through December 31, 2005</atitle><jtitle>Archives of dermatology (1960)</jtitle><addtitle>Arch Dermatol</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>144</volume><issue>1</issue><spage>67</spage><epage>72</epage><pages>67-72</pages><issn>0003-987X</issn><eissn>1538-3652</eissn><coden>ARDEAC</coden><abstract>OBJECTIVE To present and interpret results of patch testing with the Mayo Clinic standard series over 5 years. DESIGN Retrospective study. A standardized patch testing technique was used. Data were recorded on a standardized computer program from January 1, 2001, to December 31, 2005, and analyzed. SETTING Tertiary referral center. PATIENTS Patients who were referred for patch testing. INTERVENTION Patch testing with the “standard series,” ie, a standard series of allergens used by most clinicians to identify the most common offending allergens in patients with allergic contact dermatitis. MAIN OUTCOME MEASURES Number of patients patch tested, allergens used over this period, and rates of allergic patch test reactions to allergens. RESULTS A total of 3854 patients (mean age, 55.1 years; age range, 6.2-99.4 years; 2576 female [66.8%]) were tested. All dermatologists in the department performed patch testing. The mean number of allergens included was 69.3 (range, 6-87). There were 2664 patients with at least 1 positive reaction (69.1%) and 1933 with 2 or more positive reactions (50.2%). Metals, fragrances, topical antibiotics, preservatives, and individual allergens used in hair-care products, topical corticosteroids, glues, plastics, and rubber were still the most common allergen groups associated with allergic patch test reactions. CONCLUSIONS We describe the structure of the patch testing service at our referral center. Ongoing analysis of our patch test reaction rates allows us to recommend broad, clinically relevant, and up-to-date allergens for testing.Arch Dermatol. 2008;144(1):67-72--&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>18209170</pmid><doi>10.1001/archdermatol.2007.2</doi><tpages>6</tpages></addata></record>
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subjects Academic Medical Centers
Adolescent
Adult
Age Distribution
Aged
Allergens
Biological and medical sciences
Child
Cohort Studies
Dermatitis, Allergic Contact - diagnosis
Dermatitis, Allergic Contact - epidemiology
Dermatitis, Allergic Contact - immunology
Dermatology
Female
Forecasting
Humans
Incidence
Male
Medical sciences
Middle Aged
Multivariate Analysis
Patch Tests - standards
Patch Tests - trends
Probability
Retrospective Studies
Risk Factors
Sensitivity and Specificity
Severity of Illness Index
Sex Distribution
title Changing Trends and Allergens in the Patch Test Standard Series: A Mayo Clinic 5-Year Retrospective Review, January 1, 2001, Through December 31, 2005
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