We present the results of a small uncontrolled pilot trial which suggest th
at contact sensitization to dinitrochlorobenzene and repeated weekly applic
ations significantly improve the clinical status of severe atopic dermatiti
s in adults. Although no changes were noted in circulating levels of either
lymphocyte subset populations or the serum cytokines assayed in this trial
, our observations may be due to topical immune modulation by dinitrochloro
benzene. Larger controlled studies of dinitrochlorobenzene treatment in ato
pic dermatitis are warranted.