Patch-test results using Korean standard series: a 5-year retrospective review

J Dermatolog Treat. 2017 May;28(3):258-262. doi: 10.1080/09546634.2016.1219015. Epub 2016 Nov 13.

Abstract

Background: There have been few studies regarding the results of the Korean standard patch test.

Objectives: The purpose of this study was to analyze the type and frequency of common contact allergens in Korea and to compare the results with those of previous reports.

Methods: From June 2009 to June 2014, 330 patients with suspected allergic contact dermatitis who visited our clinic were tested using the Korean standard patch test.

Results: The highest sensitization rate was found for nickel sulfate (47.58%). There was a significant gender difference in the prevalence of sensitization to nickel sulfate (OR = 2.41, p = .0004) and wool alcohol (OR = 2.85, p = .0358). Higher sensitization to nickel sulfate (OR = 1.18, p = .0159), 4-phenylenediamine (OR = 1.23, p= .003), tixocortol-21-pivalte (OR 1.48, p = .0212) and lower sensitization to thimerosal (OR = 0.77, p = .0023) were associated with increasing age. Patients with allergic contact dermatitis on the scalp had a significantly higher risk of sensitization to 4-phenylenediamine (OR = 3.07, p = .0013). Patients with allergic contact dermatitis on the hands had significantly higher risks of sensitization to wool alcohol (OR = 3.44, p = .0083), formaldehyde (OR = 2.52, p = .0178), and colophony (OR = 2.05, p = .0499).

Conclusions: These results demonstrate trends in patch test results in Korea and the basis for the presumption of the route of allergen exposure.

Keywords: Allergen; allergic contact dermatitis; patch test.

Publication types

  • Review

MeSH terms

  • Allergens / immunology
  • Dermatitis, Allergic Contact / diagnosis*
  • Dermatitis, Allergic Contact / epidemiology
  • Humans
  • Hydrocortisone / analogs & derivatives
  • Hydrocortisone / immunology
  • Nickel / immunology
  • Odds Ratio
  • Patch Tests*
  • Phenylenediamines / immunology
  • Prevalence
  • Republic of Korea / epidemiology
  • Sex Factors

Substances

  • Allergens
  • Phenylenediamines
  • nickel sulfate
  • tixocortol pivalate
  • Nickel
  • 4-phenylenediamine
  • Hydrocortisone