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Dermatology · Dermatitis: patch testing
Sample itemWhich condition is confirmed by patch testing?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Allergic contact dermatitis
Patch testing detects type IV delayed hypersensitivity to contact allergens, with patches removed at 48 hours and read at 48 and 72 to 96 hours. It identifies allergens such as nickel, fragrances and rubber chemicals.
Option by option
A. Atopic dermatitis
Atopic dermatitis is diagnosed clinically; prick tests are not diagnostic.
B. Bullous pemphigoid
Pemphigoid is diagnosed by biopsy and immunofluorescence.
C. Allergic contact dermatitis (correct)
Correct. Patch testing identifies the contact allergen.
D. Chronic urticaria
Urticaria is evaluated by history and sometimes prick tests, not patch testing.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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