Strip patch test vs. conventional patch test: investigation of dose-dependent test sensitivities in nickel- and chromium-sensitive subjects.
BACKGROUND
Tape stripping the skin prior to patch testing (strip patch test, SPT) may enhance percutaneous penetration of test substances and increase skin reactivity to test substances.


OBJECTIVE
To evaluate the test sensitivity of SPT in compliance with our recently presented practical method vs. conventional patch test (PT) in nickel- and dichromate-sensitive subjects.


METHODS
Thirty subjects participated in the prospective, randomized, controlled, investigator-blind study. Serial dilution tests of nickel sulphate (10,000-50 ppm aq.) and potassium dichromate (1000-5 ppm aq.) were used. Tests were applied in duplicate to both sides of the upper back of the subject, where one, randomly chosen side was tape stripped.


RESULTS
According to the estimated test sensitivities, SPT is more sensitive than PT in nickel- and dichromate-sensitive subjects, regardless of the interindividual different numbers of tape strips. The superiority of the SPT grows with diminishing concentrations of the allergens.


CONCLUSIONS
Test sensitivity of SPT vs. PT is increased. If no positive results are obtained by PT, the SPT could help to detect hidden allergens in case of weak sensitization or low concentration and poor percutaneous penetration of the test substances.
Dickel
H
H
Department of Dermatology and Allergology, Ruhr-University Bochum, Bochum, Germany. dickel@derma.de
Kamphowe
J
J
Geier
J
J
Altmeyer
P
P
Kuss
O
O
D000328:Adult; D000368:Aged; D002857:Chromium / Q000009:adverse effects*; D003877:Dermatitis, Contact / Q000175:diagnosis*; D004305:Dose-Response Relationship, Drug; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009532:Nickel / Q000009:adverse effects*; D010328:Patch Tests / Q000379:methods*; D011192:Potassium Dichromate / Q000009:adverse effects; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D016037:Single-Blind Method
D002857:Chromium; C029938:nickel sulfate; D009532:Nickel; D011192:Potassium Dichromate