Study of morphological patterns and identification of contact sensitizers of hand eczema by patch test

Authors

  • Konchok Dorjay Dr. P.N. Behl, Skin Institute and School of Dermatology
  • Premanshu Bhushan Dr. P. N. Behl, Skin Institute and School of Dermatology, Greater Kailash-1, New Delhi 110048.
  • Asok Aggarwal Dr. P. N. Behl, Skin Institute and School of Dermatology, Greater Kailash-1, New Delhi 110048.
  • Govind Srivastava Dr. P. N. Behl, Skin Institute and School of Dermatology, Greater Kailash-1, New Delhi 110048.
  • Tasleem Arif Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India 202002
  • Mohammad Adil Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India 202002

Keywords:

Hand eczema, patch test, morphological pattern

Abstract

Background Hand eczema is a common distressing condition aggravated by a number of endogenous and exogenous factors. Various morphological patterns of hand eczema have been described. Aims To study the morphological patterns of hand eczema and identification of contact sensitizers of hand eczema by patch test. Methods Hundred consecutive patients of hand eczema attending the outpatient department of the institute were recruited over a period of one year from 2013-2014. All the patients were patch tested using Indian standard series. Results Pompholyx was the most common morphological pattern seen in 25% of patients followed by hyperkeratotic palmar eczema in 22%. Positive patch test to one or more allergen was present in 61% of patients. Nickel sulphate was found to be the most common allergens seen in 16%. This was followed by potassium dichromate, parthenium, fragrance mix in 11%, 8%, 8% respectively. The females (57%) were out-numbered by males (43%) with sex ratio of 1.32:1. Housewives (29%) were the most commonly affected. Conclusion Patch testing is a very useful investigative procedure for allergic contact dermatitis (ACD) of hands. The Indian Standard Series is useful but insufficient. Hence, testing with vegetables and other personal care products are suggested especially in housewives along with Standard Series. Thus, a specific patch test series for hand eczema is suggested. 

Author Biographies

Konchok Dorjay, Dr. P.N. Behl, Skin Institute and School of Dermatology

M.B.B.S, D.V.D, D.N.B, Resident Deptt. of Dermatology XMultiCopyPasteTime to upgrade, it’s free!Simply click on the top left of the extension and register to get access to 10 shortcuts. Your email will remain secure, but we might get in touch for your feedback!

Premanshu Bhushan, Dr. P. N. Behl, Skin Institute and School of Dermatology, Greater Kailash-1, New Delhi 110048.

M.B.B.S, M.D, Consultant, Dermatology department XMultiCopyPasteTime to upgrade, it’s free!Simply click on the top left of the extension and register to get access to 10 shortcuts. Your email will remain secure, but we might get in touch for your feedback!

Asok Aggarwal, Dr. P. N. Behl, Skin Institute and School of Dermatology, Greater Kailash-1, New Delhi 110048.

M.B.B.S, M.D, Former Dean & Consultant, Dermatology XMultiCopyPasteTime to upgrade, it’s free!Simply click on the top left of the extension and register to get access to 10 shortcuts. Your email will remain secure, but we might get in touch for your feedback!

Govind Srivastava, Dr. P. N. Behl, Skin Institute and School of Dermatology, Greater Kailash-1, New Delhi 110048.

M.B.B.S, M.D, Dean & Consultant, Dermatology XMultiCopyPasteTime to upgrade, it’s free!Simply click on the top left of the extension and register to get access to 10 shortcuts. Your email will remain secure, but we might get in touch for your feedback!

Tasleem Arif, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India 202002

MBBS, MD, Assistant Professor, Dermatology XMultiCopyPasteTime to upgrade, it’s free!Simply click on the top left of the extension and register to get access to 10 shortcuts. Your email will remain secure, but we might get in touch for your feedback!

Mohammad Adil, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India 202002

MBBS, MD, Senior Resident, Dermatolgy XMultiCopyPasteTime to upgrade, it’s free!Simply click on the top left of the extension and register to get access to 10 shortcuts. Your email will remain secure, but we might get in touch for your feedback!

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Published

2019-10-06

How to Cite

1.
Dorjay K, Bhushan P, Aggarwal A, Srivastava G, Arif T, Adil M. Study of morphological patterns and identification of contact sensitizers of hand eczema by patch test. J Pak Assoc Dermatol [Internet]. 2019Oct.6 [cited 2025Mar.25];29(2):151-8. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/1252

Issue

Vol. 29 No. 2 (2019): April - June

Section

Original Articles

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