Score | Interpretation | Tips and advice |
- | Negative reaction | |
? or +/- | Doubtful reaction, faint erythema | Caution with interpretation, especially with less common allergens. Consider repeat testing or follow-up with ROAT testing. |
+ | Weak reaction, erythema, slight infiltration | Erythema should be palpable and occupy >50 percent of patch test site. |
++ | Strong reaction, erythema, infiltration, vesicles | Look for microvesicles to occupy at least 50 percent of the patch test site. |
+++ | Extreme, bullous, ulcerative | Confluent vesicles. |
IR | Irritant reactions | There is a broad range. Mild irritant reactions have a glazed appearance. Moderate reactions are follicular (pustular in atopics). Extreme reactions can be ulcerative. |
NT | Not tested | |