European photopatch test baseline series: A 3-year experience

Contact Dermatitis. 2019 Jan;80(1):5-8. doi: 10.1111/cod.13118. Epub 2018 Sep 17.

Abstract

Background: In 2012, a consensus was reached regarding a baseline photopatch test series on the basis of the results of a European multicentre study.

Objectives: To describe experience with the European photopatch test series.

Methods: A retrospective analysis of 116 patients tested with the European photopatch test series between 2014 and 2016 was performed.

Results: Fifty-five positive photopatch test reactions in 25 subjects were recorded, most commonly caused by the topical non-steroidal anti-inflammatory drugs ketoprofen, dexketoprofen, and etofenomate. Organic ultraviolet (UV) absorbers constituted the second main category of agents eliciting positive photopatch test reactions. Among UV absorbers, benozophenone-3 and octocrylene were the most frequent photoallergens. UV absorbers that have been introduced more recently rarely elicited positive photopatch test reactions. Positive patch test reactions were less commonly observed than positive photopatch test reactions, namely, 21 reactions in 14 patients.

Conclusions: We present the largest clinical experience with the European photopatch test baseline series hitherto reported. The results are similar to those underlying the above consensus process, reaffirming the usefulness of this series.

Keywords: European photopatch test; UV absorbers; photoallergic contact reactions; topical NSAIDs.

MeSH terms

  • Acrylates / adverse effects
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Benzophenones / adverse effects
  • Dermatitis, Photoallergic / etiology*
  • Europe
  • Female
  • Flufenamic Acid / adverse effects
  • Flufenamic Acid / analogs & derivatives
  • Humans
  • Ketoprofen / adverse effects
  • Ketoprofen / analogs & derivatives
  • Male
  • Middle Aged
  • Patch Tests
  • Sunscreening Agents / adverse effects*
  • Tromethamine / adverse effects
  • Young Adult

Substances

  • Acrylates
  • Anti-Inflammatory Agents, Non-Steroidal
  • Benzophenones
  • Sunscreening Agents
  • Tromethamine
  • octocrylene
  • Flufenamic Acid
  • Ketoprofen
  • oxybenzone
  • etofenamate
  • dexketoprofen trometamol