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Allergy testing - skin


Alternative Names:

Patch tests - allergy; Scratch tests - allergy; Skin tests - allergy; RAST test

How to Prepare for the Test:

Before any allergy testing, the health care provider will ask about:

  • Illnesses
  • Where you live and work
  • Lifestyle
  • Foods and eating habits

Allergy medicines can change the results of skin tests. Your doctor will tell you which medicines to avoid and when to stop taking them before the test.

How the Test will Feel:

Skin tests may cause very mild discomfort when the skin is pricked.

You may have symptoms such as itching, a stuffy nose, red watery eyes, or a skin rash if you allergic to the substance in the test.

In rare cases, people can have a whole-body allergic reaction (called anaphylaxis), which can be life-threatening. This usually only occurs with intradermal testing. Your health care provider will be prepared to treat this serious response.

Why the Test is Performed:

Allergy tests are done to determine what substances are causing your allergy symptoms.

Your doctor may order allergy skin tests if you have:

  • Hay fever (allergic rhinitis) and asthma symptoms that are not well controlled with medicine
  • Hives and angioedema
  • Food allergies
  • Skin rashes (dermatitis), in which the skin becomes red, sore, or swollen after contact with the substance
  • Penicillin allergy
  • Venom allergy

Allergies to penicillin and closely related medicines are the only drug allergies that can be tested using skin tests. Skin tests for allergies to other drugs can be dangerous.

The skin prick test may also be used to diagnose food allergies. Intradermal tests are not used to test for food allergies because of high false-positive results and the danger of causing a severe allergic reaction.

Normal Results:

A negative test result means there were no skin changes in response to the allergen. This negative reaction most often means that you are not allergic to the substance.

In rare cases, a person may have a negative allergy test and still be allergic to the substance.

What Abnormal Results Mean:

A positive result means you reacted to a substance. Your health care provider will see a red, raised area called a wheal.

Often, a positive result means the symptoms you are having are due to exposure to that substance. In general, a stronger response means you are more sensitive to the substance.

People can have a positive response to a substance with allergy skin testing, but not have any problems with that substance in everyday life.

Skin tests are usually accurate. However, if the dose of allergen is large, even people who are not allergic will have a positive reaction.

Your health care provider will consider your symptoms and the results of your skin test to suggest lifestyle changes you can make to avoid substances that may be causing your symptoms.

References:

Bernstein IL, Li JT, Bernstein DI, Hamilton R, et al. American Academy of Allergy, Asthma and Immunology; American College of Allergy, Asthma and Immunology. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.


Review Date: 5/18/2014
Reviewed By: Stuart I. Henochowicz, MD, FACP, Associate Clinical Professor of Medicine, Division of Allergy, Immunology, and Rheumatology, Georgetown University Medical School, Washington, DC. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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