#1 Patch Testing in NYC

Patch Testing

A diagnostic test where allergens are placed on the skin under patches to identify contact allergens
patch testing

What to expect with Patch Testing

1

Initial consultation

Book an appointment with your allergist, who will review your symptoms, exposure history, and suspected triggers to determine which allergens should be included in your patch test.
2

Patches applied to the skin

Small patches containing potential allergens are placed on your back and left in place for 48 hours. This process is painless and does not involve needles.
3

Follow-up readings & diagnosis

You’ll return for one or more follow-up visits so your allergist can examine your skin’s reaction. Based on the results, your allergist will identify the substances causing your contact dermatitis and recommend next steps.

What is Patch Testing?

Patch testing is an allergy test used to identify specific substances that may be causing an allergic reaction on the skin. It is commonly performed to determine the cause of allergic contact dermatitis, which is a type of delayed hypersensitivity reaction.

During patch testing, a series of small patches or panels containing different substances or allergens are applied to the patient’s back. These substances can include chemicals, fragrances, metals, preservatives, and other common allergens. The patches are usually held in place with hypoallergenic tape and left on the skin for a specific period, typically 48 to 72 hours.

Advantages of Patch Testing

Patch testing offers several important advantages over other allergy testing methods, particularly when evaluating skin-related reactions.
Accurate Diagnosis of Skin Allergies
Patch testing is considered the gold standard for diagnosing contact dermatitis. It allows your allergist to accurately identify the specific substances causing your skin reactions, leading to a more precise diagnosis and effective treatment.

Because patch testing pinpoints exact triggers, your allergist can create a customized treatment and avoidance plan tailored to your results. In many cases, this plan can be discussed the same day your test readings are completed.

Patch testing is especially valuable for individuals exposed to allergens on the job. By identifying workplace-related triggers, employers and employees can take preventive measures—such as using protective equipment or substituting hazardous materials—to reduce exposure and prevent future flare-ups.

How to Prepare For Your Patch Test

To prepare for patch testing, inform your allergist about all medications you are currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins. Some medications can interfere with patch testing and may need to be temporarily avoided or adjusted prior to the test.

You should also avoid sun exposure during the week leading up to the patch testing. Sunburn or tanned skin can affect the test results and make it difficult to interpret the reactions. Plus, remember to wear loose-fitting clothing that won’t rub against the test area and potentially dislodge the patches.

Patch Testing Frequently Asked Questions

How Long Does Patch Testing Take?

The patches are usually left on the skin for 48 to 72 hours. However, the exact duration may vary depending on the specific substances being tested and your allergist’s preference.

Can Patch Testing Be Performed On Infants and Young Children?

Yes, patch testing can be performed on infants and young children.

Does Patch Testing Always Produce Accurate Results?

Patch testing is considered a valuable and accurate tool for identifying specific substances that can trigger allergic contact dermatitis in individuals. However, like any medical test, patch testing may not always produce definitive or completely accurate results.

Will Taking Medications Affect Patch Testing?

Generally no, you can take antihistimines but consult your doctor firts.

Can Patch Testing Diagnose Food Allergies?

No, patch testing is primarily used for diagnosing allergic contact dermatitis caused by substances that come into contact with the skin. It is not designed to diagnose food allergies or immediate allergic reactions. Other tests, such as skin prick tests or blood tests, are typically used for diagnosing food allergies.

Can Patch Testing Be Done If I Have Eczema or Active Skin Rashes?

In general, patch testing should not be performed on active skin rashes or areas of significant eczema because it can lead to inaccurate results. If you do have eczema or skin rashes, consult your allergist first.