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Patch Testing

Patch testing has achieved professional recognition and acceptance as a scientific tool in investigating allergic contact dermatitis, an inflamation of the skin developed by some people as a result of their contact with certain substances (allergens).
The advantage of patch testing for suspected allergic contact dermatitis is that the problem allergens can be identified and the patient's rash can be effectively treated.


There are two types of contact dermatitis:

Allergic contact dermatitis which occurs when the skin has become sensitized to a certain substance (allergen) and comes in contact with that substance again.
Allergic contact dermatitis symptoms include:
  • Reddening of the skin (either in patches or all over the body)
  • Intermittent dry, scaly patches of skin
  • Blisters that ooze
  • Burning or itching which is usually intense without visible skin lesions
  • Swelling in the eyes, face and genital area
  • Hives
  • Sun sensitivity
  • Darkened, "leathery" and cracked skin
ACD can be difficult to distinguish from other rashes.
Irritant contact dermatitis which occurs when the skin is repeatedly exposed to a mild irritant, such as detergents or solvents, over a long period of time, or a strong irritant, such as acid, alkali, solvent, strong soap or detergent, which can cause immediate skin irritation.

Irritant contact dermatitis symptoms include:

  • Mild swelling of the skin
  • Stiff, tight feeling skin
  • Dry, cracking skin
  • Blisters
  • Painful ulcers on the skin

Symptoms vary depending upon the cause of dermatitis.

Contact dermatitis can result from normal daily activity or occupational exposure to
these substances.

When to Patch Test

  • When allergic contact dermatitis is suspected
  • When there is evidence of a work related dermatitis
  • When there is any "refractory" or unexplained eczema
  • When there is exposure to causative substances (jewelry, fragrances, plants, medications, etc)
(It is not recommended to patch test during pregnancy for medico-legal reasons.)
 
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