Private Patch Test for Contact Allergies

Patch testing is used in the diagnosis of contact allergies - reactions that occur when the skin comes into direct contact with a substance that irritates it, such as cosmetics, metals, scents, and latex, among many others.

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What is patch testing for contact allergies?

Patch testing is used in the diagnosis of contact allergies - reactions that occur when the skin comes into direct contact with a substance that irritates it (allergens).

There are thousands of recognised allergens, and they include synthetic and natural substances. Examples of some of the most common allergens that cause skin contact allergy include nickel in metal jewellery, perfumes, hair dye, rubber chemicals, and lanolin.

Patch testing is usually advised when you or your dermatologist suspect you have a contact allergy, or when this needs to be ruled out. It's sometimes done to investigate allergy to an oral or injected drug, but it isn't a test for food allergy or allergy to inhaled substances such as pollen and animal fur.

Skin contact allergies usually cause dermatitis – a red, itchy rash that lasts for days to weeks or longer. These can be easily overlooked in someone who already has an inbuilt or ‘constitutional’ kind of dermatitis, such as atopic eczema.

At Welbeck, patch testing for contact allergies is performed by our experienced dermatologidsts and allergists in our state-of-the-art Skin Health & Allergy centre.

Paediatrics

We offer appointments to paediatric patients aged 0+. For full information on our paediatrics service, please visit our main Paediatrics page.

What does the test involve?

Normal skin, usually on the upper back or upper arms, is tested with small quantities of different allergens applied on adhesive tape (the ‘patches’) to see if they cause a reaction.

Most people will be tested with between 50 and 100 allergens. The patches need to stay in place for 2 days, and then they are removed, and the skin is examined to see if there has been any reaction.

A second examination is carried out after another 2 days, and this usually concludes the tests. A positive conclusion is made if a reaction appears – a small, raised, itchy swelling about the size of a fingernail.

Patch tests usually involve 3 clinic visits in the same week on a Monday, Wednesday and Friday for application of the allergens and 2 follow-up evaluations as above. It's important to keep the tested area of skin dry throughout this period.

Are there any risks?

Patch testing is a long-established and safe test.

A small number of people may have a strong allergic reaction that leads to blistering of the skin, and this can leave a lasting blemish with altered pigmentation or, very rarely, a scar.

There's also a small risk of becoming allergic to one of the allergens after the procedure.

As the safety of patch tests has not been proven during pregnancy (there are no official trials), they're not usually recommended unless essential. They can otherwise be done at all ages, including young children if needed.

How do I prepare for a patch test?

This test is incredibly straightforward and requires little to no preparation. 

Your consultant may ask you to stop taking certain medications, particularly any antihistamines, as these can affect the results of the test. You will be made aware of any preparation required in advance of your appointment.  

What happens after the test?

You will be informed of the results at the end of the testing, at the second evaluation.

Sometimes the tests are negative, and this can be reassuring as allergies have been ruled out. If allergies are confirmed, you'll be given information about where you are likely to come into contact with the allergen and how to avoid this in the future.

Your dermatologist will also help advise if the allergy is likely to be the cause of your skin complaint. Skin allergies are usually life-long and cannot be reversed by desensitisation, so the focus of tests is to help you identify your allergies, so you then know what to avoid.

How much does a patch test for contact allergies cost?

Please contact our Skin Health & Allergy centre for pricing.


Why choose Welbeck?

At Welbeck, our dermatologists and allergists are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

Booking a private patch test for contact allergies

To book an appointment for a patch test for contact allergies, you must be referred by either your GP or a dermatology or allergy specialist following a consultation with them. Self-referrals are not accepted for this test.

If you would like to schedule a consultation with a Welbeck specialist, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

FAQs

Can a patch test detect all types of contact allergens?

No, patch testing is most effective for identifying delayed-type (type IV) contact allergens over 48 to 96 hours. It may not detect allergies mediated by immediate (type I) reactions, like hives to latex or food.

Will I experience a reaction during the test?

Sometimes you may feel mild itching, redness, or discomfort at the application sites. This is normal and expected when your skin reacts. Your dermatologist will monitor you and interpret which reactions are significant versus mild.

Do I need to avoid showering or sweating during patch testing?

Yes, you’ll need to keep the patches dry, so avoid bathing, swimming, heavy sweating, or applying creams or lotions over the area during the test period. These can interfere with accuracy or dislodge the patches.

Can patch testing be repeated later if no allergies are found?

Yes, if your symptoms persist or new exposures arise, your specialist may order a repeat test or expand the panels of allergens tested to include newer substances or suspected triggers.

What is patch testing for contact allergies?

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Health Insurance

This service or treatment is generally covered by most health insurance policies. You are responsible for checking your insurance policy cover, and you may need a referral letter. Check which insurance companies are covered.

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Self-Pay Available

This treatment is available for self-paying users. If you would like to see more information on pricing visit our pricing and payments page.

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Consultation Required

For this treatment you will need to have a 1-to-1 consultation at OneWelbeck first. To book in with our team of expert clinicians or to find out more about the process contact the relevant centre team.

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Self Referral

No doctor referral needed in order to book this service, although health insurers may require a referral in order for your treatment to be covered.

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Fixed Price Package

For peace of mind, this service or treatment is available for an all-inclusive fixed price package.

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Paediatric Patients Aged 0+ Seen

This service is also available to paediatric patients aged 0+