Abstract
Purpose of Review
Patch testing is the gold standard evaluation for allergic contact dermatitis, but there are important psychological considerations to be aware of. This review provides a stepwise, holistic approach for addressing patients who present for patch testing.
Recent Findings
It is important to clarify expectations prior to patch testing to mitigate potential disappointment as well as counsel patients on other possible conditions that mimic allergic contact dermatitis. Often, clinical severity does not correlate with the degree to which patients are psychologically distressed by their condition. Common comorbidities, including anxiety and depression, may warrant a psychological referral.
Summary
Patients who present to patch test clinics may benefit from focused psychosocial intervention. Understanding which patients are at high risk for psychological morbidity allows you for stratification to determine the need for referral to appropriate support services. It is important to acknowledge the effect that allergic contact dermatitis and related conditions can have on quality-of-life and speak with patients openly about how their condition has impacted them.
