(Un)usual effects of patch testing?

L Kunkeler; S C Bikkers; P D Bezemer; D P Bruynzeel

doi:10.1111/j.1365-2133.2000.03713.x

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(Un)usual effects of patch testing?

L Kunkeler·S C Bikkers·P D Bezemer·D P Bruynzeel

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Abstract

BACKGROUND: Little information is available concerning subjective complaints associated with patch testing. OBJECTIVES: To gather information about the frequency and the nature of such complaints, and to evaluate, if possible, whether the complaints were really caused by patch testing. PATIENTS/METHODS: Four hundred and thirty-three patients took part in a questionnaire study between December 1996 and October 1997. Complaints of itch and other subjective complaints, such as tiredness and feeling unwell, were recorded. RESULTS: From the total group of 433 patients, 379 patients (87%) recorded one or more complaints on day 0. By day 2 this number was 383 patients (88%), with a significant reduction to 326 patients (75%) by days 3-4. Most complaints concerned itch on the back, and to a lesser extent tiredness. Fifty-four patients (54 of 433; 12%) did not report itch or other subjective complaints on day 0; of this group, 36 patients (66%) developed complaints by day 2. By days 3-4, 24 patients (44%) reported complaints: 20 patients from the day 2 group (37%) and four patients (7%) from days 3-4. Again the largest increase in complaints was found for itch on the back, but other complaints were also found to have increased, mainly tiredness, feeling unwell, headache, shakiness and light-headedness. CONCLUSIONS: We conclude that patch testing can, in addition to local skin reaction and itch, also cause other subjective complaints in a number of patients.

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Adolescent Adult Aged Aged, 80 and over Dermatitis, Contact Fatigue Female Headache Humans Male Middle Aged Patch Tests Pruritus Surveys and Questionnaires Time Factors Journal Article

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L Kunkeler, S C Bikkers, P D Bezemer, D P Bruynzeel. 2000. (Un)usual effects of patch testing?. https://doi.org/10.1111/j.1365-2133.2000.03713.x

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