Skin Patch Testing

Comprehensive Skin Health Care

Maintain and restore your skin’s health with our full range of medical dermatology services. From diagnosing and treating skin conditions to providing ongoing care, our experienced team delivers personalized solutions for all ages. We combine advanced techniques with compassionate care to help you achieve healthy, comfortable, and confident skin.

Break the Cycle of Irritation, Itchiness, Redness, and Other Skin Problems to Enjoy Life-Changing Benefits with Help from Omaha’s Elkhorn Dermatology

Imagine this: You’ve been battling persistently irritated, itchy, and red skin for months—or maybe even years. You’ve tried everything, including prescription creams, harsh steroids, oral immunosuppressants with serious side effects, countless over-the-counter lotions, and even desperate home remedies. None has brought any kind of lasting relief. Every time you think you’ve found a solution, the symptoms ultimately return with a vengeance. The discomfort consumes your day, interferes with your sleep, and diminishes your confidence. You need to break the cycle. You need skin patch testing at Omaha’s Elkhorn Dermatology.

Arrange a consultation to get started with skin patch testing at Omaha’s Elkhorn Dermatology. Call 531-777-2752 or send a message online.

A Dermatology Patient’s Desperate Struggle

You’ve been told it is eczema or dermatitis and that you should just “manage” it. But deep down, you ask yourself, “Why won’t my skin heal?” This is the reality for many dermatology patients, stuck in an endless cycle of misdiagnosis and incorrect treatments that only temporarily mask symptoms and never truly addressing the deeper issue.
The Danger of the Misdiagnosis Trap
Misdiagnosis in dermatological care is alarmingly common. Even worse is an incomplete diagnosis. For many patients with chronic skin issues, conditions like allergic contact dermatitis are mistakenly labeled as eczema or atopic dermatitis due to overlapping symptoms such as redness, itching, and inflammation.
5/5

“Allergic contact dermatitis is often underestimated and frequently mislabeled as other skin conditions. Skin patch testing allows us to uncover hidden allergens and provide targeted treatment for lasting relief.”

Why does this happen?

  • Overlapping Symptoms: Many skin conditions share visible signs, making it easy for providers to assume they are looking at a common problem, such as eczema.
  • Inadequate Diagnostic Tools: A rushed examination or reliance on general clinical observation often overlooks critical information. Tools like skin patch testing, which identify hidden triggers, are significantly underutilized.
  • Bias Toward Atopic Conditions: Dermatology often focuses on systemic conditions like atopic dermatitis. As a result, external allergen-driven issues, such as allergic contact dermatitis, are misclassified and mismanaged.

The result? Without competent skin patch testing, patients are prescribed generic treatments, such as topical steroids that provide fleeting relief, or invasive biological therapies laden with risks—all while the true underlying cause remains unaddressed.

The Price Patients Pay

Living with a misdiagnosis or ineffective treatment is more than just frustrating. It’s profoundly damaging on multiple levels:

  • Recurring Flare-Ups and Pain: Symptoms persist, trapping patients in an exhausting cycle of flare-ups, itching, and discomfort that seem unending.
  • Long-Term Skin Damage: Prolonged use of corticosteroids can lead to skin thinning, increased susceptibility to infections, and hormonal imbalances. Persistent inflammation may result in scarring and pigmentation changes, impacting both appearance and self-esteem.
  • Impairment of Daily Life: Chronic skin conditions disrupt sleep, erode confidence, and interfere with social and professional relationships, affecting every aspect of a patient’s routine.
  • Psychological Toll: The constant struggle leads to frustration, feelings of helplessness, and mental health challenges like depression. Many patients feel abandoned by healthcare systems unwilling or unable to provide effective solutions.
  • Escalation of Sensitivity: Repeated exposure to unidentified allergens or irritants can worsen skin sensitivity over time, triggering more severe reactions and complicating future treatment strategies.

Patients often lose years chasing ineffective solutions, searching for answers, and advocating for proper care while their condition steadily deteriorates.

From Frustration to Freedom: Meet Our Clinic Expert, Dr. Brett Kettelhut

With more than three decades of dedicated experience, Dr. Brett Kettelhut is one of the nation’s leading authorities on allergic contact dermatitis and other allergic contact skin conditions. His unparalleled expertise has earned him recognition as a top specialist in identifying and treating chronic inflammatory skin issues.

Dr. Kettelhut offers both standard and highly specialized extended contact testing—also known as skin patch testing—meticulously designed to uncover the root cause of stubborn skin conditions. Through comprehensive consultations and evaluations, he crafts individualized plans to manage allergic skin diseases effectively, delivering solutions tailored to each patient’s unique needs.

At Omaha’s Elkhorn Dermatology, we believe you deserve more than temporary symptom relief. You deserve answers and lasting results. What sets us apart is our commitment to being more than just dermatologists. Instead, we’re investigative experts combining dermatology with cutting-edge allergy and immunology approaches. By integrating allergy and immunology insights, we connect the dots between your immune system, allergens, and skin symptoms, helping you achieve true healing, not just temporary relief.

5/5

“Many patients diagnosed with atopic dermatitis are actually dealing with allergic contact dermatitis. Skin patch testing is vital in identifying the true source of their symptoms so we can guide them toward effective care.”

Brett Kettelhut MD, Patients’ Reviews

5/5

Dr. Kettelhut is very thorough. He listens to your health concerns and has a wealth of knowledge and experience. I immediately felt at ease during my appointments. Very kind and caring. And he solved my allergy issues when no one else was able to over the last two years.

4/5

Dr. Kettelhut never makes me feel rushed during a visit. I was a mess when I first saw him and over the years. My asthma and allergies are now under control. He has a great sense of humor and I feel we are good friends as well. I have recommended him to friends who have also been pleased with his care.

5/5

Dr. Kettelhut is professional and personable. He's been very knowledgeable and helpful providing care for my recent EoE diagnosis.

5/5

I've been seeing Dr. Kettlehut for a year and half now. I see him for allergy shots and asthma. All the staff are very nice and friendly. I love this place.

5/5

Dr. Kettelhut is always knowledgeable, kind, and friendly. He’s an excellent doctor!

5/5

I have a college soccer player who suddenly had trouble breathing. After 6 months of trying to get her help, we came to Dr Kettelhut. Suffice to say we’re on the right track now! He spent the time she needed, was easy to talk to and did I mention that he’s got a pretty darn good sense of humor?! Very grateful to have found his practice I’d give him 6 stars if I could!

5/5

Extremely knowledgeable and excellent patient care!

Take the Next Step Toward Healthy Skin:

You might need to visit an immunologist-allergist for your skin care if:

  • You have been diagnosed with eczema, atopic dermatitis, or other types of dermatitis, but treatments haven’t worked.
  • Your symptoms worsen whenever you use certain products (e.g., soaps, lotions) or encounter specific environments.
  • You’ve experienced recurring flare-ups without understanding the triggers.
  • You suspect an allergic or immune-related cause for your skin irritation.

We understand how chronic skin problems affect every facet of your life, and we’re here to help you break free from the cycle of frustration.

Schedule a consultation with Elkhorn Dermatology today. Let’s change your story from frustration to freedom, one step at a time.

5/5

"Proper diagnosis is critical for treating skin disorders. Skin patch testing empowers us to distinguish allergic contact dermatitis from similar conditions, preventing years of ineffective treatments and unnecessary suffering."

Why Accurate Diagnosis of Contact Allergic Dermatitis Through Skin Patch Testing Matters

Skin patch testing is the most effective way to diagnose allergic contact dermatitis, offering long-term relief and improved quality of life. Unlike repeated visits to dermatologists that may only address symptoms, skin patch testing identifies the root cause, saving time, frustration, and money. By pinpointing specific allergens and creating personalized avoidance strategies, skin patch testing:
  • Reduces the need for prescriptions and frequent doctor visits
  • Enhances the well-being of patients with chronic skin issues.
  • Is far more cost-effective than ongoing trial-and-error treatments.

Accurate diagnosis via skin patch testing is key to empowering patients to manage their condition effectively, delivering lasting results over temporary solutions.

Skin Patch Testing Visits

  • Hypoallergenic patches containing small quantities of suspected allergens are applied to the patient’s back.
  • These patches are secured with hypoallergenic tape and left in place for 48 hours.
  • The tape and patches are removed.
  • Initial readings are taken to examine any early reactions.
  • A second, more definitive reading is performed to assess delayed reactions.

Frequently Asked Questions

Skin patch testing is the gold standard for diagnosing allergic contact dermatitis (ACD) and offers clarity that other methods, such as prick allergy testing, cannot. Unlike prick tests that detect immediate, IgE-mediated allergies (e.g., hay fever, asthma, food allergies), skin patch testing targets delayed-type, cell-mediated hypersensitivity reactions that cause ACD. Comprehensive skin patch testing is a highly specialized procedure that requires the expertise and advanced training of a skilled physician to ensure accurate results and effective treatment.

Dr. Kettelhut uses skin patch testing to uncover the causes of skin problems, like redness, swelling, blisters, or irritation. This test helps him tell the difference between allergic reactions and irritation from everyday products or chemicals. By reviewing the test results alongside your personal history, what you’ve been exposed to, and a physical exam, he identifies which substances are clinically important—meaning they’re most likely responsible for your skin issues—and helps you figure out how to avoid them.

By reproducing allergic reactions in a safe, controlled environment, skin patch testing ensures high specificity and reliability. It enables Dr. Kettelhut to develop targeted recommendations and eliminate sources of irritation, making it a transformative tool for patients suffering from allergic contact dermatitis. Stop the endless cycle of symptom treatments and opt for skin patch testing—a cost-effective, long-lasting solution that gets to the heart of the problem.

Don't wait to take charge of your skin's health. To arrange a consultation for skin patch testing at Omaha’s Elkhorn Dermatology, schedule your visit today by calling 531-777-2752 or send a message online. Whether you’re seeking preventive strategies or treatment solutions, our team is ready to provide personalized care and guidance tailored to your unique needs. Let us partner with you in achieving healthier, radiant skin.

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As effective as BOTOX® Cosmetic can be for minimizing dynamic lines, it is only one option from our extensive and highly curated menu of services, which also includes wrinkle-relaxing Jeuveau® and Leybo®, laser skin resurfacing, chemical peels, microneedling, and more. We will work with you to develop a plan that involves treatments that make sense for you: your schedule, your budget, your skin, and your life.

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The staff was welcoming, and the doctors were highly professional and attentive. They thoroughly explained each step of my treatment, ensuring I felt comfortable and confident. The results exceeded my expectations—natural and subtle, just as I wanted.

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After my chemical peel, my skin looks radiant and smooth! The clinic provided excellent care and tailored the treatment to my needs. I highly recommend them!

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The laser hair removal treatments have been life-changing! No more constant shaving, and my skin feels so smooth. The clinic’s staff was professional and made the whole experience easy.

Price Guide

Simple, flat rate pricing for all our beauty services

Face Cosmetology

  • Face cleaning $100
  • Face lifting $950
  • Laser skin rejuvenation $320
  • Depigmentation therapy $320
  • Regenerative therapy $320
  • Acne therapy $200

Injections

  • Contour plastic lips $250-350
  • Complex face modeling $600-800
  • Biorevitalization $150-300
  • Mesotherapy for eye area $150
  • Lipolitics $350
  • Mesotherapy $150
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CONTACT INFORMATION

Discover more about Elkhorn Dermatology and our experienced providers, and learn why families throughout our community trust us for personalized, high-quality dermatologic care.

Office Hours

Monday – Friday:

10:00 AM – 6:00 PM