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Dermatitis : contact, atopic, occupational, drug · 2010

Positivity ratio and reaction index: patch-test quality-control metrics applied to the north american contact dermatitis group database.

СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Warshaw Erin M, Nelsen David D, Sasseville Denis, Belsito Donald V, Maibach Howard I, Zug Kathryn A, Fowler Joseph F, Taylor James S, DeLeo Vincent A, Marks James G, Storrs Frances J, Mathias C G Toby, Pratt Melanie D, Rietschel Robert L

Аннотация

BACKGROUND: The positivity ratio (PR) and reaction index (RI) characterize the ability of patch-test preparations to produce strong (++ or +++) reactions as opposed to weak (+), questionable, or irritant reactions.

OBJECTIVE: This study evaluates these measures for North American Contact Dermatitis Group (NACDG) patch-test preparations.

METHODS: The PR and RI were calculated for 79 NACDG standard allergens tested from 1994 to 2006 (n = 26,479 patients). The median values were used as cutoff values for "acceptable" versus "problematic" preparations.

RESULTS: The top 10 "acceptable" patch-test preparations (PR < or = 55 and RI > 0.46) were mixed dialkyl thioureas 1% in petrolatum (pet), tixocortol-21-pivalate 1% pet, ethylenediamine dihydrochloride 1% pet, sesquiterpene lactone mix 0.1% pet, nickel sulfate 2.5% pet, bacitracin 20% pet, thimerosal 0.1% pet, epoxy resin 1% pet, colophony 20% pet, and mercaptobenzothiazole 1% pet. The most "problematic" patch-test preparations (PR > 55 and RI < or = 0.46) were cocamidopropyl betaine 1% aqueous (aq), benzalkonium chloride 0.1% aq, jasmine absolute 2% pet, iodopropynyl butyl carbamate 0.1% pet, 2-bromo-2-nitropropane-1,3-diol 0.5% pet, methyldibromoglutaronitrile 0.4% pet, methyldibromoglutaronitrile/phenoxyethanol 2% pet and 2.5% pet, dimethylol dihydroxyethyleneurea 4.5% aq, and clobetasol-17-propionate 1% pet.

CONCLUSION: Caution should be used when interpreting reactions to "problematic" patch-test preparations with a high proportion of weak, irritant, and questionable reactions.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты