Topical therapy using contact sensitizers has been practised since the 1960
s to treat conditions associated with an altered immunological state. Dinit
rochlorobenzene, squaric acid dibutyl ester and diphencyprone are most comm
only employed in the therapy of alopecia areata and viral warts. Few dermat
ology departments in the U.K. provide such treatment. This systematic revie
w discusses the various contact sensitizers used for topical immunotherapy,
the methodology of treatment, factors influencing efficacy and likely adve
rse effects.