Finding Hospitals for Patch Testing for Hand Cracking Issues - Dermatology

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Cracked hands follow-up?


Hello Dr.
Cheng: Last time I asked you about the issue of cracked hands, and you mentioned that it might be contact dermatitis, with the allergen possibly being metal.
You suggested that I visit a nearby hospital's dermatology department for an allergen patch test.
I have visited Kaohsiung Medical University Hospital, Pingtung Christian Hospital, and Pingtung Hospital, but none of them performed the patch test.
Could you please inform me which medical institutions provide this service? Thank you.

Jimmy Yu, 40~49 year old female. Ask Date: 2000/12/22

Dr. Zheng Lizhen reply Dermatology


According to the data collected by the Dermatological Society, the dermatology departments conducting patch tests include National Taiwan University Hospital, Taoyuan General Hospital (formerly Taoyuan Provincial Hospital), Cathay General Hospital, Mackay Memorial Hospital, and China Medical University Hospital in Taichung.
Other hospitals have not provided information to the society, so we cannot ascertain their status.
It is speculated that you may be residing in the Kaohsiung-Pingtung area.
You may want to call Kaohsiung Chang Gung Memorial Hospital, Kaohsiung Veterans General Hospital, and Pingtung Mackay Memorial Hospital to inquire if they perform patch testing.
If they do, it would be a better option to have the test done nearby, as you will need to return for results two days and four days after the application of the allergens.

Reply Date: 2000/12/22

More Info


When dealing with hand cracking issues, especially if you suspect contact dermatitis, patch testing is indeed a crucial step in identifying potential allergens. Contact dermatitis can be triggered by various substances, including metals, chemicals, and even certain plants. Patch testing helps determine which specific allergens may be causing your symptoms, allowing for more effective management and treatment.

In the United States, many dermatology clinics and hospitals offer patch testing as part of their services. Typically, this procedure involves applying small amounts of various allergens to your skin, usually on your back, and observing the reactions over a few days. The most common allergens tested include nickel, fragrances, preservatives, and various chemicals found in personal care products.

If you are looking for hospitals or clinics that provide patch testing, here are some suggestions:
1. University Hospitals: Many university-affiliated hospitals have dermatology departments that offer comprehensive allergy testing, including patch tests. These facilities often have access to the latest research and treatments.

2. Dermatology Clinics: Specialized dermatology clinics often provide patch testing. Look for clinics that focus on allergic skin conditions or contact dermatitis.

3. Allergy and Immunology Centers: Some allergy clinics also perform patch testing. They may have dermatologists on staff who specialize in skin allergies.

4. Local Hospitals: While you mentioned that certain hospitals in your area do not offer patch testing, it may be worth checking with larger hospitals or medical centers, as they often have more resources and specialists available.

5. Referral from Your Primary Care Physician: If you're having trouble finding a facility that offers patch testing, consider asking your primary care physician for a referral. They may know of local specialists or clinics that provide this service.

6. Online Resources: Websites like the American Academy of Dermatology (AAD) or the American Contact Dermatitis Society (ACDS) can help you find certified dermatologists and clinics that perform patch testing in your area.

In addition to finding a facility, it’s essential to prepare for your patch test. You may be advised to avoid certain medications, topical treatments, or even specific skin care products before the test to ensure accurate results.
Once you have the patch test done, the results will help guide your treatment plan. If an allergen is identified, your dermatologist will work with you to develop a strategy to avoid exposure and manage any symptoms effectively. This may include recommendations for specific skin care products that are free from the identified allergens, as well as treatments to help heal your skin.

In summary, patch testing is a valuable tool in diagnosing contact dermatitis and identifying allergens that may be causing your hand cracking issues. By seeking out the right medical facilities and specialists, you can take significant steps toward managing your condition effectively. If you have any further questions or need assistance in finding a specific location, feel free to ask.

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