Table 1.
Characteristics of ICD and ACD from TTS (modified from (2))
ICD | ACD | |
Morphology | Erythematous-papular/vesicular/bullous lesions sharply circumscribed to the area of contact. | Erythematous-papular/vesicular/bullous lesions (vesiculation is more typical) circumscribed to the area of contact but with ill-defined limits. Dissemination of the lesions can occur |
Symptoms | Burning, stinging, itching | Burning, stinging, itching |
Resolution | Characterized by decrescendo phenomenon following patch removal; typically within 48 h | Characterized by crescendo phenomenon. Resolution is slower than ICD |
Clinical diagnosis | On the basis of lesions and clinical course | Patch testing with the individual components of the TTS |