[Translated article] Dermoscopy in Patch Testing: How Can It Help?

Interpreting patch test reactions is not easy. It requires experience and is characterized by high intraobserver and interobserver variability. It can sometimes be truly difficult to discern between a weak allergic reaction and an irritant reaction. A number of recent studies have investigated the d...

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Bibliographic Details
Authors: Gil-Pallares P, Navarro-Bielsa A, González-Ruiz AA, Silvestre JF
Format: article
Status:Published version
Publication Date:2023
Country:España
Institution:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repository:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p9434
Online Access:https://isabial.portalinvestigacion.com/publicaciones9434
Access Level:Open access
Keyword:Dermatoscopia
Dermoscopy
Epicutaneous patchtesting
Patch tests
Pruebas epicutáneas
Test del parche
Description
Summary:Interpreting patch test reactions is not easy. It requires experience and is characterized by high intraobserver and interobserver variability. It can sometimes be truly difficult to discern between a weak allergic reaction and an irritant reaction. A number of recent studies have investigated the dermoscopic features of patch test reactions. Homogeneous erythema is the main feature observed in patients with a positive allergic reaction, although dotted vessels, vesicles, crusts and yellow-orange areas may also provide clues. These features are somewhat similar to those observed in inflammatory conditions, such as eczema. In patients with an irritant reaction, the most common dermoscopic findings are the pore reaction pattern and perifollicular erythema. Dermoscopy could be useful for establishing a diagnosis in the case of doubtful patch test reactions.