title: Dermatotoxicologic clinical solutions: textile dye dermatitis patch testing.
abstract: The authors provide a framework for working up and counseling a patient with suspected textile dermatitis, focusing on identifying which textile materials are most likely to be the cause of the eczematous lesions, the current clinical guidelines, the utility and appropriateness of patch testing, the limitations of these guidelines, and our pro tempore recommendations. While there are many challenges to correctly identify and counsel patients on how to avoid the offending textile products in a patient with suspected textile dye dermatitis, there is value in following the guidelines set forth to help identify the causative textile(s). Although patch tests can be useful, dermatologists should understand the limitations of standardized patch testing for patients with suspected textile dye-induced dermatitis. These guidelines are expected to increase the likelihood of identifying the causative textile(s), so that patch testing can be supplemented with swatch testing and chemical dye extraction to help discover the allergenic dye.
authors.affiliation: University of Utah School of Medicine , Salt Lake City, UT , USA .
authors.forename: Garrett
authors.initials: G
authors.lastname: Coman
authors.forename: Nicholas
authors.initials: N
authors.lastname: Blickenstaff
authors.forename: Ashley
authors.initials: A
authors.lastname: Edwards
authors.forename: Howard
authors.initials: H
authors.lastname: Maibach
mesh_terms: D004396:Coloring Agents / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000209:etiology; D017408:Guidelines as Topic; D006801:Humans; D010328:Patch Tests; D013784:Textiles
chemical_list: D004396:Coloring Agents
keywords: Allergic contact dermatitis; disperse dyes; dye fastness; fibers; guidelines; patch test; textile dye dermatitis; textiles