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Comparison between skin testing and in vitro testing for diagnosis of allergen in asthmatic children.

Identifieur interne : 002304 ( Main/Corpus ); précédent : 002303; suivant : 002305

Comparison between skin testing and in vitro testing for diagnosis of allergen in asthmatic children.

Auteurs : R B Tang ; K G Wu ; B. Hwang

Source :

RBID : pubmed:7982135

English descriptors

Abstract

BACKGROUND

This study was designed to compare the skin testing and in vitro testing for the diagnosis of most common inhalant allergens in asthmatic children.

METHODS

Sixty-two asthmatic children positive to most common allergens in the area of skin tests and multiple allergosorbent chemiluminescent assay (MAST-CLA) were subjected to another Pharmacia CAP test (CAP).

RESULTS

The agreement between the results of MAST-CLA and CAP was variable. The correlation coefficient for CAP with MAST-CLA was significant for five allergens except candida, dog dander and Willow pollen when the diagnostic levels of MAST-CLA and CAP were compared with skin test reactions. For all the allergens tested, MAST-CLA showed a sensitivity of 51%, a specificity of 84% and an efficiency of 73%, compared with 57%, 80% and 74%, respectively, in the CAP analysis.

CONCLUSIONS

MAST-CLA and CAP can be used as a screening test to measure allergen IgE level. Both MAST-CLA and CAP were comparable in their ability to diagnose of allergy to tested allergens.


PubMed: 7982135

Links to Exploration step

pubmed:7982135

Le document en format XML

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<name sortKey="Tang, R B" sort="Tang, R B" uniqKey="Tang R" first="R B" last="Tang">R B Tang</name>
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<nlm:affiliation>Department of Pediatrics, Veterans General Hospital, Taipei, Taiwan, R.O.C.</nlm:affiliation>
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<name sortKey="Wu, K G" sort="Wu, K G" uniqKey="Wu K" first="K G" last="Wu">K G Wu</name>
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<name sortKey="Hwang, B" sort="Hwang, B" uniqKey="Hwang B" first="B" last="Hwang">B. Hwang</name>
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<name sortKey="Wu, K G" sort="Wu, K G" uniqKey="Wu K" first="K G" last="Wu">K G Wu</name>
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<name sortKey="Hwang, B" sort="Hwang, B" uniqKey="Hwang B" first="B" last="Hwang">B. Hwang</name>
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<term>Asthma (immunology)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Luminescent Measurements (MeSH)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Radioallergosorbent Test (MeSH)</term>
<term>Sensitivity and Specificity (MeSH)</term>
<term>Skin Tests (MeSH)</term>
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<keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en">
<term>Allergens</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Asthma</term>
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<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Asthma</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Humans</term>
<term>Luminescent Measurements</term>
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<b>BACKGROUND</b>
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<p>This study was designed to compare the skin testing and in vitro testing for the diagnosis of most common inhalant allergens in asthmatic children.</p>
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<div type="abstract" xml:lang="en">
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<b>METHODS</b>
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<p>Sixty-two asthmatic children positive to most common allergens in the area of skin tests and multiple allergosorbent chemiluminescent assay (MAST-CLA) were subjected to another Pharmacia CAP test (CAP).</p>
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<p>
<b>RESULTS</b>
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<p>The agreement between the results of MAST-CLA and CAP was variable. The correlation coefficient for CAP with MAST-CLA was significant for five allergens except candida, dog dander and Willow pollen when the diagnostic levels of MAST-CLA and CAP were compared with skin test reactions. For all the allergens tested, MAST-CLA showed a sensitivity of 51%, a specificity of 84% and an efficiency of 73%, compared with 57%, 80% and 74%, respectively, in the CAP analysis.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>MAST-CLA and CAP can be used as a screening test to measure allergen IgE level. Both MAST-CLA and CAP were comparable in their ability to diagnose of allergy to tested allergens.</p>
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