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Patch Testing

Investigating contact allergies through coordinated Allergy and Dermatology care.

Allergy and Dermatology working together

Unify Health offers patch testing through collaboration between our Allergy and Dermatology teams.

Purpose

Patch testing checks for delayed contact allergy: an immune reaction to something touching the skin. It can help investigate recurring eczema or dermatitis linked to metals, fragrances, preservatives, rubber chemicals or personal-care products. Results guide allergen avoidance and treatment. It does not diagnose immediate food allergies and differs from skin-prick testing.

The process

  1. Your clinician reviews your history and selects substances to test.
  2. Small amounts are placed in chambers taped to your back, usually for about 48 hours.
  3. You return for removal and readings over several days, sometimes with a later check. The team confirms your appointment schedule.
  4. Your clinician interprets reactions alongside your history and explains relevant triggers and next steps.

Preparation

  • Bring your medication list and relevant product ingredient labels; ask before bringing samples.
  • Tell the team about pregnancy, breastfeeding, an active back rash, recent sun exposure or phototherapy, and steroid or immune-suppressing treatments. Testing may need rescheduling.
  • Ask when to avoid medicated creams on the test area. Arrive without creams or lotions on your back.
  • Antihistamines usually can continue for patch testing, unlike some skin-prick tests. Follow your specific instructions, particularly if both tests are planned. Do not change prescribed medication without advice.

Restrictions during testing

  • Keep patches and skin markings dry until the team permits washing; avoid swimming and wetting your back.
  • Avoid heavy sweating, strenuous exercise, friction, scratching and sun exposure to the test area.
  • Wear loose, older clothing: ink can stain. Do not remove patches or apply products to the area unless instructed.
  • Attend every reading. Contact the clinic if patches loosen or you develop significant discomfort; photograph and report delayed reactions.

Temporary itching or redness can occur; stronger reactions may blister. Your team will provide individual preparation and aftercare instructions.

Patient information: British Association of Dermatologists and American Academy of Dermatology.

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