Bloomington-Normal Office 309-452-0995
Springfield Office 217-717-4404
Satellite Offices: Carlinville-Morton-Sherman-Jacksonville-Taylorville
Patient Instructions for Chemical Patch Testing
Why is a Chemical Patch Test done?
The purpose of the patch test is to confirm allergens for common chemicals and metals that are suspected to
cause a contact reaction, also known as contact dermatitis, resulting in a rash after even brief exposure to the
skin. The rash that develops typically is delayed by 24 hours or more
after contact to the skin is made. Due to
the delay, it can be difficult to correlate and identify the specific trigger of
the rash with the timing of exposure.
The test is done to confirm what doctors call a “delayed-type” hypersensitivity, not an immediate Type 1
hypersensitivity (which is evaluated by Skin Allergy Prick Test). Up to 40% of patients with Atopic Dermatitis
(Allergic Eczema) also have Contact Dermatitis, which can make it difficult to
control skin symptoms due to
unbeknownst continued exposure to allergens.
How is a Patch test done?
During the patch test, we will apply strips of chambers/wells filled with potential allergens to your back. The
allergens are a
wide variety of chemicals that you may find in cosmetics, fragrances, rubbers, metals, etc. to
things that a person commonly touches. The chambers are attached to your skin by a weak adhesive tape. The
chambers must make constant contact with the skin for at least 48 hours. The chambers cannot get wet. After
at least 48 hours, the chambers are removed and the skin is evaluated for a reaction, which is usually a small
rash under the chamber where the chemical made contact with the skin. The rash may continue to erupt or
grow after the removal of the chambers, even as much as 7 days afterwards. It is important to continue
monitoring the skin areas where the tests are applied for any new rashes, for up to 1 week, and call our office
with any updates.
How will the Test make me feel and are there side effects?
The patches will usually be applied on the back and may occasionally feel uncomfortable, since you will be
wearing many “stickers” on your back for two or more days. You may develop itching under one or more of the
chambers. If itching and/or burning develop, try to avoid scratching----not only can it irritate the skin further, it
may also alter or invalidate test results. Severe allergic or irritant skin reactions may cause blistering in the area
under the patch chamber. Depending on your skin, a scar or pigmentation may develop after the severe rash or
blister heals. Due to the type of allergic reaction that is being testing, anaphylaxis does not occur during this
type of testing. If extreme itching, pain, or other problems occur, please contact our office immediately.
How do I prepare for the Patch test?
Shower and clean and skin before you come for your appointment. Wear loose clothing that is easy to remove
(including your bra), as we will
need you to undress and may utilize your full back to apply the tests. Please do
not apply lotions to the back. You may treat
other areas of rash. Antihistamines are OKAY to take. You must
not be taking any systemic corticosteroids (such as prednisone) for at least 14-21 days prior to the Patch test.
What do I do after the Test is applied?
Keep the area dry during the testing period. Showering or bathing is not allowed unless your doctor has used a
water-resistant covering. Avoid scrubbing, scratching, or rubbing the testing area. Avoid physical activities that
may cause excessive perspiration, or any activities requiring broad arm and should movement, as this could
cause detachment of the test unit. We also recommend that you wear loose clothing (such as a t-shirt) to bed,
© 2019 Dr. Dareen Siri, Midwest Allergy Sinus Asthma 1