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Център за кожно-венерически заболявания EООД - София 
София 1404; ул.”Георги Измирлиев”№8;тел.958 17 23;факс 958 27 07
e-mail: dermdisp@abv.bg
СТАНДАРТНА ЕВРОПЕЙСКА СЕРИЯ ЗА ЕПИКУТАННО ТЕСТУВАНЕ

Име: | | | Год.: |
Адрес: | | |

№

Алерген

Конц.
(%)

Вехикулум

Резултат

| | | 48ч. | 72ч.
1 | Kalium bichromas | 0.5 | Vaselinum album | |
2 | 4- phenylendiamininum | 1.0 | Vaselinum album | |
3 | Thiuram mix | 1.0 | Vaselinum album | |
4 | Neomycinum sulfas | 20.0 | Vaselinum album | |
5 | Cobaltum (II) chloridum | 1.0 | Vaselinum album | |
6 | Benzocainum | 5.0 | Vaselinum | |
| | | album | |
7 | Nickelum (II) sulfas | 5.0 | Vaselinum album | |
8 | Clioquinol (Vioform) | 5.0 | Vaselinum album | |
9 | Colophonium | 20.0 | Vaselinum album | |
10 | Paraben mix | 16.0 | Vaselinum album | |
11 | N-isopropyl-N-phenyl-4-phenylendiaminum | 0.1 | Vaselinum album | |
12 | Lanolin alcohol | 30.0 | Vaselinum album | |
13 | Mercapto mix | 2.0 | Vaselinum album | |

14

Epoxy resin

1.0

Vaselinum
album

15 | Balsamun peruvianum | 25.0 | Vaselinum album | |

16 | 4-tert-Butylphenol formaldehydum | 1.0 | Vaselinum album | |
17 | 2-Mercaptobenzothiazolum (MBT) | 2.0 | Vaselinum album | |
18 | Formaldehydum | 1.0 | Aqua destillata | |
19 | Perfume mix | 8.0 | Vaselinum album | |
20 | Sesquiterpenum mix | 0.1 | Vaselinum album | |
21 | Quaternium 15 | 1.0 | Vaselinum album | |
22 | Primin | 0.01 | Vaselinum album | |
23 | Kathon CG (Cl+Me-isothiazolinonum) | 0.01 | Aqua destillata | |
24 | Budesonidum | 0.1 | Vaselinum album | |
25 | Tixocortol-21-pivalatum | 0.1 | Vaselinum album | |
26 | Methyldibromoglutaronitrilum | 0.5 | Vaselinum album | |
27 | Perfume mix II | 14.0 | Vaselinum album | |
28 | Lyral | 5.0 | Vaselinum album | |
| Контрола (И.Р.) - SLS | 0.25 | Aqua destillata | |
| Други тестувани алергени: | | | |

 -      отрицателна реакция				+      слабо положителна реакция
?      съмнителна реакция				++    силно положителна реакция
И.Р. иритативна реакция				+++  много силно положителна реакция

Заключение: ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................

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