Coman Garrett, Blickenstaff Nicholas, Edwards Ashley, Maibach Howard
University of Utah School of Medicine , Salt Lake City, UT , USA .
Cutan Ocul Toxicol. 2015 Mar;34(1):68-71. doi: 10.3109/15569527.2014.883403. Epub 2014 Mar 31.
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.
作者提供了一个对疑似纺织品皮炎患者进行检查和咨询的框架，重点在于确定哪些纺织材料最有可能是湿疹性病变的病因、当前的临床指南、斑贴试验的实用性和适用性、这些指南的局限性以及我们的临时建议。虽然在正确识别疑似纺织品染料皮炎患者并就如何避免接触致敏纺织品进行咨询方面存在诸多挑战，但遵循既定指南有助于识别致病纺织品，仍具有重要意义。尽管斑贴试验可能有用，但皮肤科医生应了解标准化斑贴试验对疑似纺织品染料引起的皮炎患者的局限性。这些指南有望提高识别致病纺织品的可能性，从而可以通过样本测试和化学染料提取来补充斑贴试验，以帮助发现致敏染料。
