What is the significance of a positive skin scratch test?

May 30, 2025 Source: Cainiu Health
Disease description:

I am a 28-year-old male. I recently underwent a skin scratch test at the hospital, and the result was positive. I'm not entirely sure what this result means. Could you please explain the significance of a positive skin scratch test?

Doctor's answer (1)
Dr. Liu Wenmin

A positive skin prick test typically indicates the presence of an allergic reaction. This test involves gently pricking the skin and applying a drop of a potential allergen to observe whether a reaction, such as redness, swelling, or itching, occurs. A positive result suggests that the individual has mounted an immune response to the tested allergen, with the release of mediators such as histamine, leading to localized skin inflammation. This indicates that the individual is sensitive to the allergen and may experience allergic symptoms upon future exposure to the substance.

If the skin prick test yields a positive result, it is recommended to avoid contact with known allergens, which is an effective way to prevent allergic reactions. In daily life, it is important to observe and record substances that may trigger allergies and to avoid them when possible. If necessary, antihistamine medications may be used under a doctor's guidance to alleviate allergic symptoms. Additionally, regular allergy testing is recommended to monitor any changes in one's allergic status. In the event of a severe allergic reaction, such as difficulty breathing or generalized hives, immediate medical attention should be sought for emergency treatment. Maintaining good communication with a healthcare provider and developing a personalized allergy management plan can help improve quality of life.