Pupil P, Berna M
Ann Anesthesiol Fr. 1976;17(2):199-208.
The variability in time of the cutaneous response, resulting from morbid and specially from therapeutic physiological interferences, restrains the credibility of cutaneous allergological investigations. The authors present the first results, established on control population considered as normal, of an approach to cutaneous reactivity by means of a non-specific histamine liberation, induced by a tween: 48/80 coupled with appreciation of the reactivity to histamine injected by the intra-dermal route. The study objectively demonstrates the variability in the response in terms of the doses injected, age, and especially in terms of drug interferences which usually, go in the direction of a hyporeactivity. On the contrary, hyper-reactivity is frequently observed in certain morbid conditions, in particular in spasmophilia. In conclusion, before including the 48/80 and histamine tests in the battery of allergological investigations, it seems indispensable to specify the limits in normal subjects and to better aprehend interferences which modify its expression.
由疾病尤其是治疗性生理干扰导致的皮肤反应时间变异性,限制了皮肤变态反应学研究的可信度。作者呈现了通过吐温:48/80诱导的非特异性组胺释放以及对皮内注射组胺的反应性评估来研究皮肤反应性的首批结果,这些结果是在被视为正常的对照人群中得出的。该研究客观地证明了在注射剂量、年龄方面,尤其是在药物干扰方面反应的变异性,药物干扰通常会导致反应性降低。相反,在某些疾病状态下,特别是在痉挛素质中,经常观察到高反应性。总之,在将48/80和组胺试验纳入变态反应学研究系列之前,明确正常受试者的限度并更好地理解改变其表现的干扰因素似乎是必不可少的。