Large Finn Chamber®, like the normal 8 mm one, is an epicutaneous patch test
device
which provides good occlusion. Made of aluminium, the 12 mm inner diameter provides a 110
mm² test
area and about 70 µl volume.
Finn Chambers are available as such (loose) or mounted on Scanpor® tape,
Actavis Norway AS,
Norgesplaster, with protective paper backing which is easily peeled away. Chambers with
polypropylene coating are available for special purposes.
Allergic reactions to aluminium and Scanpor tape are rare. However, occasional cases of contact
sensitivity to
aluminium e.g. due to vaccination or hyposensitization of hay fever patients with aluminium
precipitated antigens
have been reported.
Due to the incompatibility of aqueous mercuric solutions with aluminium, polypropylene coated
Finn
Chambers should be used when testing mercuric solutions.
Indications
Both the normal and large Finn Chambers can be used for various experimental purposes, such as
irritancy
studies, sensitization of experimental animals, studying the vasoconstrictor effect of corticosteroids or
the
influence of low concentrations of irritants on skin barrier function. As exposure of larger skin areas
may
unnecessarily cause more discomfort to the persons tested, e.g. larger skin reactions, atrophy and scars,
the use of
large chambers should be restricted to those experiments for which 50 mm² area of the
normal Finn
Chamber is not sufficient.
Application of the test substances
Semisolids (e.g. petrolatum as the vehicle) are applied directly into the chamber, filling about or
slightly more
than 2/3 of its volume (about 50 µl of test substance). For liquids a special filter paper disc
(Whatman
31ET, diameter 11 mm) is placed into the chamber and saturated (about 50 µl).
Excess liquid should be
removed e.g. with porous paper. Do not let the filter paper disc dry, because this may result in weak or
false
negative reactions and the disc tends to slip out during application onto the skin.
Placing the tests onto the skin
The tests are applied to healthy skin, which is to be free of ointments and excessive sebum. If
necessary, the
skin can be cleaned e.g. by alcohol.
Apply the tape starting with the lower part and pressing the chambers from below to let the air
escape. After
having applied the tape this way, press each chamber with a semisolid gently with the finger to get an
even
distribution of the test substance. Rub the tape firmly with the palm against the skin, especially on the
corners, to ensure good adherence. The patient should refrain from vigorous activities and taking
showers during
the tests.
Removing the tests
The tests should be removed in the testing laboratory, since the test sites have to be checked
immediately after
removal. A ring-shaped depression around each test verifies the occlusion and validates the test.
Note
The skin may react to the removal of the tests with a slight mechanical irritation, indicated by erythema on the area covered by the tape. In connection with ordinary patch testing this irritation seldom has much significance. However, when repeating the tests several times on the same area during a few days' period, this phenomenon has to be given full consideration and the tests should, if possible, be placed on varying sites.