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Question answered:27/12/08
According to the AllergyCases.org:
The most established test for contact dermatitis is skin patch testing. The patient is advised to take a shower the day before the test. Two patches are placed on the back. The patient should not take a bath of the whole body until test is read 48-72 hours later.
The patient should remove the patch at home before driving to the clinic. This time period of 30-60 minutes allows the surrounding nonspecific erythema (from the patch) itself to subside. The test area should be examined again 72-96 hours later to detect any delayed skin reaction.
See full article (link below) for lots of background to the question.
See also the extensive CKS guideline on contact dermatitis http://cks.library.nhs.uk/dermatitis_contact/view_whole_topic (which also reports patch testing as the gold standard)
Source: http://allergycases.org/2008/07/how-to-diagnose-contact-dermatitis.html
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