[Skin tests for trophallergens and asthma].

Allergie et immunologie Pub Date : 2002-12-01
C Delacourt
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Abstract

The place of trophallergens in the allergy investigation of asthmatic children is controversial. Asthma is only rarely the isolated manifestation of food allergy. The clinical history is essential for research of the associated signs that reveal a food allergy. In the absence of these associated signs, the presence of a positive test for trophallergens only rarely reflects a true food allergy, of which the presence can only be assured by a double blind oral provocation test. In addition, in nurslings, the presence of a positive skin test to a trophallergen indicates atopy in the infant, but is only a mediocre predictive factor of eventual asthma, in the absence of an associated clinical allergy.

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[皮肤过敏原和哮喘试验]
营养过敏原在哮喘儿童过敏调查中的地位存在争议。哮喘很少是食物过敏的孤立表现。临床病史对于研究食物过敏的相关症状至关重要。在没有这些相关症状的情况下,营养过敏原检测呈阳性很少反映出真正的食物过敏,这只能通过双盲口服激发试验来确定。此外,在婴儿中,对滋养过敏原的皮肤试验呈阳性表明婴儿有特应性,但在没有相关临床过敏的情况下,这只是最终哮喘的一般预测因素。
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