Skin Conditions

I Got My Patch Test Results — Now What?

A short guide to reading your results and turning them into safer product choices

I Got My Patch Test Results — Now What?

Key Takeaways

  • Positive reactions are marked with +, ++, or +++ — your report explains what each means
  • The hard part is matching clinical allergen names to what appears on cosmetic labels
  • Enter your positives into AllerNote once, then scan products before you buy
  • Patch testing diagnoses allergy; apps like AllerNote help you use that information for shopping
  • See our full shopping guide for deeper detail on CARD, INCI names, and routines
Infographic: I Got My Patch Test Results — Now What?

Five steps from patch test paper to shopping safely

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You are not alone

If you just got patch test results, you may feel overwhelmed by codes, Latin names, and plus signs. This page is a practical next step: how to turn that paper into everyday decisions. It is not a substitute for your dermatologist’s interpretation.

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Medical disclaimer

AllerNote is an educational tool. It does not diagnose allergies. Always follow your clinician’s advice.

What your results usually show

Most reports list allergens (often with both a common name and a chemical name) and a reaction grade for each:

GradeTypical meaning
+Weak positive
++Strong positive
+++Very strong positive

Your clinic may use slightly different wording. If something is unclear, ask your dermatologist or nurse before you change products.

Step 1: Understand the plus system

Focus on what you reacted to, not every line on the form. Your team will tell you which positives matter most for cosmetics vs occupational exposures.

Step 2: Learn the ingredient names that matter for shopping

Patch tests use clinical names (e.g. “fragrance mix II”, “nickel sulfate”). Product labels use INCI names and synonyms (“Parfum”, “Nickel salts”). That mismatch is why shopping feels hard — you are translating between two vocabularies.

Step 3: Enter your positives into AllerNote

Create a free account and add each positive allergen to My Allergies. You can search by common name; we map many synonyms used on labels. If something is missing, add it as a custom allergen — we still flag it on scans.

Optional: Use Import from patch test (photo of your result sheet or paste text) to speed this up — always review suggestions before saving.

Step 4: Scan products before you buy

Use Scan with a photo of the ingredient list or paste the INCI text. You get Safe, Warning, or Avoid based on your profile — not a generic “clean” score.

Step 5: Build a routine over time

Start with one category (e.g. moisturizer or sunscreen). Save products that pass as safe in the app. Add reactions in the tracker if something flares — that history helps you and your clinician.

Go deeper

For a full walkthrough — shopping strategies, how CARD-style thinking fits in, and tips for hair dye and occupational allergens — read our After Your Patch Test: A Complete Shopping Guide.

Comparison: I Got My Patch Test Results — Now What?

Confusing INCI label versus app checklist

Commonly Found In

Any cosmetic or personal care product you apply to skin or nails

Common Symptoms

Itching, redness, or rash where products contact the skin

Look for these names on ingredient lists:

Epicutaneous testing follow-upAllergen panel results

Quick Summary

Avoid if you have:You have positive patch test reactions to contact allergens
Risk level:high
Common in:Anyone who completed patch testing for allergic contact dermatitis

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