Medical Centric

Allergy Skin Tests: All You Need to Know

Allergy Skin Tests

  • Allergy testing is a procedure carried out by a trained allergy specialist to check if your body shows an allergic response to a specific known substance.
  • An allergy exists when the body’s immune system shows an unexpected reaction to something in the environment.
  • Allergies can prove to be minor inconveniences to potentially life-threatening, which makes it important to know what substances you are allergic to.
  • The allergens can be quite common and may seem quite harmless, such as pollen which causes symptoms such as a running nose, sneezing, itchy and watery sinuses, along blocked sinuses.
  • Allergy skin tests can be done on the skin, the blood, or an elimination diet.
  • Let’s look at allergy skin tests in detail:

What Are Allergy Skin Tests?

  • Skin tests for allergy are quite common and are used to identify several allergens.
  • It can help test for airborne, contact, and food-borne allergens by checking for changes and reactions in skin cells.
  • There are three types of allergy skin tests, and an allergy specialist is likely to try all of them to get a proper look at the body’s reactions to allergens.
  • Let’s look at all of them in turn:

Scratch Test

  • A doctor is likely to start allergy skin tests with a scratch test.
  • The test uses an allergen placed in a liquid that is spread onto the skin using a tool that also punctures the skin slightly to let the allergen move inside.
  • The exposure is followed by thorough monitoring to see how the skin reacts.
  • An allergy is deduced if there is localized redness, swelling, itchiness, and elevation on the exposed part of the skin.

Intradermal Test

  • If the scratch test is not conclusive, your doctor may follow up with an intradermal test.
  • The test follows the same principle as a scratch test, however, the liquid with the allergen is injected into the dermis layer of the skin.
  • This is followed by monitoring to check for any reactions.

Patch Test

  • Patch tests are longer than scratch and intradermal tests. They include applying patches with the allergen on different parts of the body.
  • The patches remain on the body when you leave your doctor’s office.
  • They are first monitored 48 hours after application, and then at 72 and 96 hours as well.

How to Prepare for Allergy Skin Tests?

  • A doctor is likely to ask about your family and medical history before conducting the procedure.
  • They will ask you to stop taking the following medications:
  1. Antihistamines
  2. Medicine for heartburn treatment
  3. Anti-IgE monoclonal antibodies for the treatment of asthma
  4. Tricyclic antidepressants
  5. Benzodiazepines
  • Allergy skin tests may cause itching, redness, and mild swelling.
  • They can also cause small bumps to appear on the skin, with these symptoms lasting for a few hours to a few days.
  • Strong allergic reactions are rare but need immediate medical attention as they can be life-threatening.