I. Leonard Bernstein, MD; James T. Li, MD, PhD; David I. Bernstein, MD; Robert Hamilton, PhD, DABMLI; Sheldon L. Spector, MD; Ricardo Tan, MD; Scott Sicherer, MD; David B. K. Golden, MD; David A. Khan, MD; Richard A. Nicklas, MD; Jay M. Portnoy, MD; Joann Blessing-Moore, MD; Linda Cox, MD; David M. Lang, MD; John Oppenheimer, MD; Christopher C. Randolph, MD; Diane E. Schuller, MD; Stephen A. Tilles, MD; Dana V. Wallace, MD; Estelle Levetin, PhD; and Richard Weber, MD

/pdf/allergy-diagnostic-testing-an-updated-practice-parameter-21api4satq.pdf

Allergy diagnostic testing: An updated practice parameter

Contact Dermatitis: A Practice Parameter–Update 2015

Dyshidrosis is a common chronic dermatitis of the hands and feet that may cause significant physical discomfort, psychological distress, and occupational impairment. Topics reviewed in this article include epidemiology, clinical findings, quality of life, and therapeutic considerations. Dyshidrosis is often difficult to manage; therefore, extra attention is given in this review article to current treatment options.

Dyshidrosis: epidemiology, clinical characteristics, and therapy.

TABLE OF CONTENTS I. Preface S1 II. Glossary S2 III. Classification of Recommendations and Evidence Category S3 IV. Executive Summary S3 V. Collation of Summary Statements S5 VI. Algorithm and Annotations S7 VII. Clinical Background S9 VIII. Pathophysiology of CD S9 IX. Susceptibility and Genetics of CD S10 X. Clinical Diagnosis of ACD S11 XI. Patch Tests S13 XII. Differential Diagnosis of CD S17 XIII. Special Exposures Associated With CD S17 XIV. ACD in Children S24 XV. Management and Prognosis of ACD S24 XVI. Appendix S27 XVII. Acknowledgments S30 XVIII. References S30

/pdf/contact-dermatitis-a-practice-parameter-qwei4e51nd.pdf

Contact dermatitis: a practice parameter

Acute and recurrent vesicular hand dermatitis.

Fifty patients of both sexes with clinically suspected pompholyx were patch tested with the Indian Standard Patch Test Battery approved by the Contact & Occupational Dermatosis Forum of India (CODFI). Most of these patients were young adults between 20-39 years of age with a mean age of 30 years. The mean duration of symptoms was 4 years. The occupational profile of the patients included students (20%), housewives (16%), housewives engaged in farming (12%), labourers (12%), farmers (12%) and paramedical workers (6%). The miscellaneous group, including salesmen, teachers and photographers, accounted for the remaining 22%. The clinical patterns of presentation of pompholyx included cheiropompholyx (60%), cheiropompholyx and podopompholyx (36%) and podopompholyx alone (4%). Patch test analysis of these patients revealed that, out of the 50 subjects tested, 20 (40%) reacted to one or more allergens. Nickel sulphate was the commonest offending allergen (14%) followed by potassium dichromate and phenylene diamine and nitrofurazone (8% each), fragrance mix (6%) and cobalt chloride (4%), in descending order of frequency. Hence, patch testing may be considered for all patients with recurrent episodes of pompholyx as allergic contact dermatitis may be relatively common in such patients and the avoidance of offending allergens may be of substantial benefit to these patients.

Role of Contact Allergens in Pompholyx

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Role of Contact Allergens in Pompholyx