Value of the case history in the diagnosis of allergic state and the detection of allergens
Details
Serval ID
serval:BIB_0884EEEC763C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Value of the case history in the diagnosis of allergic state and the detection of allergens
Journal
Clinical Allergy
ISSN
0009-9090 (Print)
Publication state
Published
Issued date
03/1983
Volume
13
Number
2
Pages
141-7
Notes
Comparative Study
Journal Article --- Old month value: Mar
Journal Article --- Old month value: Mar
Abstract
Detailed histories taken in eighty-one patients suffering from perennial asthma and rhinitis were analysed independently by three trained allergists and their conclusions were compared to the results of three tests: (1) concentration of total serum IgE; (2) skin tests and (3) radioallergosorbent test (RAST). In eleven patients (14%), the three investigators disagreed when estimating the allergic nature of the symptoms. Ten out of forty-four patients (23%), unanimously predicted not to be allergic, had high levels of total serum IgE and skin tests and RAST clearly positive for one or more allergens. The allergists suspected 47% of the allergens detected by skin tests and 55% of those detected by RAST. The case history was the test which most often gave information at odds with that suggested by the other three tests. Our study indicates therefore that a case history not even suggestive of allergy should be complemented by additional tests.
Keywords
Adolescent
Adult
Aged
Allergens/*analysis
Asthma/*diagnosis/immunology
Humans
Immunoglobulin E/analysis
*Medical History Taking
Middle Aged
Radioallergosorbent Test
Rhinitis, Allergic, Perennial/*diagnosis/immunology
Skin Tests
Pubmed
Web of science
Create date
28/01/2008 12:58
Last modification date
20/08/2019 13:30