Abstract
We appreciate the comments of Thyssen et al1Thyssen J.P. Jacob S.E. Nedorost S. A holistic view on dermatitis: patch testing should be considered in patients with atopic dermatitis.J Allergy Clin Immunol. 2013; 132: 771-772Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar about the importance of allergic contact dermatitis in patients with atopic dermatitis. As they note, we include contact dermatitis as a consideration in the differential diagnosis and as a possible adverse effect of topical steroids or their vehicle.2Schneider L. Tilles S. Lio P. Boguniewicz M. Beck L. Lebovidge J. et al.Atopic dermatitis: a practice parameter update 2012.J Allergy Clin Immunol. 2013; 131: 295-299Abstract Full Text Full Text PDF PubMed Scopus (300) Google Scholar In addition, we suggest in Annotation 8 to consider contact dermatitis as a complicating factor.2Schneider L. Tilles S. Lio P. Boguniewicz M. Beck L. Lebovidge J. et al.Atopic dermatitis: a practice parameter update 2012.J Allergy Clin Immunol. 2013; 131: 295-299Abstract Full Text Full Text PDF PubMed Scopus (300) Google Scholar We did not address the evaluation and treatment of contact dermatitis because a practice parameter on contact dermatitis is in preparation. We do agree with the authors that patch testing, in properly selected patients with atopic dermatitis for contact allergens, can be valuable. A holistic view on dermatitis: Patch testing should be considered in patients with atopic dermatitisJournal of Allergy and Clinical ImmunologyVol. 132Issue 3PreviewWith interest we read “Atopic dermatitis: a practice parameter update 2012.”1 Although the authors acknowledge that allergic contact dermatitis (ACD) should be considered in the differential diagnosis of atopic dermatitis (AD) and state that contact allergy to topical corticosteroids should sometimes be ruled out, patch testing for delayed-type hypersensitivity was excluded from the flowchart of the diagnosis and management of AD. Full-Text PDF
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