Are You Allergic?

Allergists use a variety of diagnostic techniques to determine if a person is allergic. Unfortunately, the safest and often the most effective tests are not completely reliable by themselves in identifying if a substance is the cause of a patient's symptoms.

The most common test, the scratch test, consists of applying a diluted extract of the possible allergen to the back or arm, and then scratching the skin with a needle. If the patient develops a certain degree of swelling or redness in the scratched area, the existence of IgE antibodies to that allergen is indicated. Blood tests are another avenue of diagnostics, especially in small children. With small children, the scratch test is used less often because the possible allergens used in the test may actually trigger a reaction in a child who has not been exposed to that substance before. Neither the scratch test nor the blood test is 100 percent accurate, but the results, taken together with a patient's medical history, can help the doctor or allergist with a diagnosis and treatment plan.