Atopic dermatitis: Coexisting allergic disease and allergy testing recommendations

  • Atopic dermatitis patients have an increased rate of environmental and food allergies, and physicians should assess for these conditions during history taking. If significant concerns for allergy are identified (ie, hives, urticaria, etc) assessment can be undertaken. Allergy testing independent of history is not recommended. 
  • Patch testing should be considered in patients with atopic dermatitis who have persistent/recalcitrant disease and/or a history or physical examination findings consistent with allergic contact dermatitis.

Level of Evidence: II  Strength of Recommendations: B

Navigate section 4 of the AD guideline: Disease flares and adjunctive therapy

Citation note

When referencing this guideline in a publication, please use the following citation: Sidbury R, Tom WL, Bergman JN, Cooper KD, Silverman RA, Berger TG, et al. Guidelines of care for the management of atopic dermatitis: Section 4. Prevention of disease flares and use of adjunctive therapies and approaches. J Am Acad Dermatol. 2014 Dec;71(6):1218-33.


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