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KMID : 0363220140520080548
Korean Journal of Dermatology
2014 Volume.52 No. 8 p.548 ~ p.553
Patch Testing to Determine Causative Contact Allergens in Patients with Periocular Dermatitis
Kim Jeong-Min

Kim Gun-Wook
Mun Je-Ho
Song Margaret
Kim Hoon-Soo
Kim Byung-Soo
Kim Moon-Bum
Ko Hyun-Chang
Abstract
Background: Periocular dermatitis (PD) is a common condition and can be classified as either allergic or non-allergic. Because the periocular region is one of the most sensitive areas of the skin, contact with any environmental or therapeutic allergen may give rise to dermatitis.

Objective: The aim of this study was to investigate the clinical usefulness of patch testing to determine sensitivity to contact allergens in PD patients.

Methods: Patch testing was conducted in 29 PD patients using the T.R.U.E. test¨Þ at Pusan National University Hospital. We examined the results of patch testing, the probable cause of PD, and the history of use of ophthalmic medication.

Results: Contact hypersensitivity was detected using the T.R.U.E. test¨Þ in 62.1% (18/29) of the patients, and contact hypersensitivity to specific ophthalmic medications was observed in 33.3% (3/9) of the patients with a history of using ophthalmic medication.

Conclusion: We suggest that patch testing can be utilized to elucidate the relevant contact allergen in patients with PD. Patch testing with specific ophthalmic medications is valuable to determine allergic reactions in patients who have used ophthalmic medications.
KEYWORD
Ophthalmic medication, Patch test, Periocular dermatitis
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