title: [Skin tests in chronic hand dermatitis].
abstract: Chronic hand dermatitis is often multifactorial but allergic causes are frequent and can complicate atopic dermatitis or irritant dermatitis. The management of patients affected by hand dermatitis includes detailed interrogation and a complete examination of the skin. Allergologic tests must be systematically realized if examination is suggestive of contact dermatitis or protein contact dermatitis, if an occupational origin is suspected but also in all patients in which treatment is ineffective. Skin tests include patch tests with the European standard series, specialized or additional series if necessary. Skin tests may also include personal items used by patients on a daily basis. If protein contact dermatitis is suspected skin tests include prick tests. Only complete and definitive eviction of allergens can allow a complete and definitive cure of chronic hand dermatitis.
authors: Service de dermatologie, CHU de Nantes-Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France. Electronic address: claire.bernier@chu-nantes.fr.
authors: C
authors: C
authors: Bernier
authors: Service de dermatologie, CHU de Nantes-Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: P
authors: P
authors: Gélot
mesh_terms: D000485:Allergens / Q000009:adverse effects; D002908:Chronic Disease; D003358:Cosmetics / Q000009:adverse effects; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis; D009783:Dermatitis, Occupational / Q000175:diagnosis; D004485:Eczema / Q000175:diagnosis* / Q000209:etiology; D004781:Environmental Exposure; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000209:etiology; D006795:Household Products / Q000009:adverse effects; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000150:complications; D007428:Intradermal Tests; D007509:Irritants / Q000009:adverse effects; D010328:Patch Tests; D011506:Proteins / Q000009:adverse effects; D012882:Skin Tests; D017211:Treatment Failure
chemical_list: D000485:Allergens; D003358:Cosmetics; D007509:Irritants; D011506:Proteins
keywords: Chronic hand dermatitis; Contact dermatitis; Dermite de contact aux protéines; Eczéma chronique des mains; Eczéma de contact; Patch tests; Patch-test; Protein contact dermatitis