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  Choose from Two Types of Tests  
  A skin prick? Or a blood or RAST test? Just what is the difference?  
     
The skin prick test or a blood test, such as the RAST (or radioallergosorbent test), is commonly used to begin to determine if an allergy exists. (The RAST is sometimes called the CAP-RAST or ImmunoCap test.)

A skin prick test is usually less costly and can be done in the doctor's office. The doctor places a drop of the substance being tested on the patient's forearm or back and pricks the skin with a needle, allowing a tiny amount to enter the skin. If the patient is allergic to the substance, a wheal (mosquito bite-like bump) will form at the site within about 15 minutes.

A RAST test requires a blood sample. The sample is sent to a medical laboratory, where tests are done with specific foods to determine whether the patient has IgE antibodies to that food. The results are usually received within one week.

Which test is better?

Although both tests are reliable, there are instances where one is better than the other. Many doctors use a RAST for young children or for patients who have eczema or other skin problems that would make if difficult to read the results of a prick skin test. The results of either test are combined with other information, such as a history of symptoms and a food challenge, to determine whether a food allergy exists.

   
 
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