Value of the case history in the diagnosis of allergic state and the detection of allergens

Détails

ID Serval
serval:BIB_0884EEEC763C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Value of the case history in the diagnosis of allergic state and the detection of allergens
Périodique
Clinical Allergy
Auteur(s)
Pecoud  A., Bonstein  H. S., Frei  P. C.
ISSN
0009-9090 (Print)
Statut éditorial
Publié
Date de publication
03/1983
Volume
13
Numéro
2
Pages
141-7
Notes
Comparative Study
Journal Article --- Old month value: Mar
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 12:58
Dernière modification de la notice
20/08/2019 13:30
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