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Angry backT78.8
Synonym(s)
Epicutaneous reaction false positive; Excited skin syndrome; false positive epicutaneous reaction
DefinitionThis section has been translated automatically.
Occurrence of false positive epicutaneous test reactions due to increased sensitivity, e.g. epicutaneous testing in florid disease. The substances triggering these non-specific test reactions have no clinical relevance.
External therapyThis section has been translated automatically.
Glucocorticoid externa in indifferent bases such as 0.5-1.0% hydrocortisone ointment, 0.1% hydrocortisone butyrate cream (e.g. Alfason), 0.1% betamethasone ointment (e.g. Betagalen, Betnesol), 0.25% prednicarbate ointment(e.g. Dermatop), mometasone furoate ointment(e.g. Ecural).
Internal therapyThis section has been translated automatically.
If necessary, temporary adjustment to an oral antihistamine, such as levocetirizine (e.g. Xusal) 1 tablet/day or desloratadine (e.g. Aerius) 1 tablet/day. Increased effect is seen with i.v. administration, e.g. with dimetindene (e.g. Fenistil) 4-8 mg/day i.v.
In the case of extensive findings, short-term internal use of glucocorticoids in low doses such as prednisolone (e.g. Decortin H) 20-40 mg/day, rapid gradual dose reduction according to clinical findings.
LiteratureThis section has been translated automatically.
- Cockayne SE (2000) Angry back syndrome is often due to marginal irritants: a study of 17 cases seen over 4 years. Contact Dermatitis 43: 280-282
- Duarte I (2002) Excited skin syndrome: study of 39 patients. Am J Contact Dermat 13: 59-65