E S Ovsiankina, T V Serebriakova, M F Gubkina, M M Averbakh
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引用次数: 0
摘要
对218名感染结核分枝杆菌的4至18岁儿童和青少年进行了检查。确定患者及其亲属是否有过敏反应史。复杂的诊断研究在验证伴随过敏性疾病的存在方面具有重要价值。儿童病史中过敏反应的发生率本身并不能决定过敏状态发展的可能性。Mantoux(结核菌素)试验在过敏儿童不导致恶化的基础疾病缓解。15.8%的变应性疾病患者和42.9%的过敏史患儿有过敏缓解表现。这支持了过敏专科医生随访和治疗的质量,以及对大部分过敏儿童进行2 TE PPD-L的Mantoux试验的充分反应。使用抗组胺药作为测试的准备,可以推断出大多数过敏患者和有过敏表现史的人的真实感染和对结核菌素的敏感性。
[Tuberculin diagnosis in children with a family history of allergy].
Two hundred and eighteen Mycobacterium tuberculosis-infected children and adolescents aged 4 to 18 years were examined. Whether the patients and their relatives had a history of allergic reactions was ascertained. A complex of diagnostic studies is of great value in verifying the presence of concomitant allergic diseases. The rate of allergic reactions in the child's history does not itself determine the likelihood of development of allergic states. The Mantoux (tuberculin) test in allergic children does not lead to an exacerbation of the underlying disease at remission. The remission manifestations of paraallergy are noted in 15.8% of the patients with allergic diseases and in 42.9% of the children having allergic reactions in the history. This supports the quality of a follow-up and treatment by an allergist, as well as an adequate response to a Mantoux test with 2 TE of PPD-L in the bulk of allergic children. The use of antihistamines as preparation for the test allows an inference about true infection and the sensitivity to tuberculin in both the most of allergic patients and persons with a history of allergic manifestations.