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[血凝试验与食物过敏的诊断]

[Hemagglutination test and the diagnosis of food allergy].

作者信息

López F M, Mateos M A

出版信息

Allergol Immunopathol (Madr). 1975 Sep-Oct;3(5):333-8.

PMID:1243848
Abstract

We have studied 50 children suspected to have food allergy. Their clinical diagnoses included the following: digestive trouble (prolonged diarrhoea or vomiting), abdominal pain, repetitive urticaria, angioneurotic edema, eczema. The aim of thie study has been to value the results obtained with the hemagglutination test according to Boyden, comparing them with skin tests carried out through intradermal techniques. 113 hemagglutination and skin tests with varying foods have been carried out. Nearly all the children have been tested with milk, white and yolk of egg, the most suspected foods, and also other foods depending on the data found through anamnesis. With milk (47 cases) we have obtained positivity in 12 hemagglutination tests, and in 3 skin tests. With egg (41 cases) the hemagglutination test has been positive in 14 cases, and the skin test in 5 cases. Conjunctly in the 113 cases we have obtained positive hemagglutination test in 44 cases, and positive skin test in 14 cases. In 65 cases both tests have been negative. This fact points to the necessity to realize other diagnostic tests, as well the possibility that these children have no allergic disease. Summarizing, these results support the superior value of the hemagglutination Boyden test in comparison with the skin test as diagnosic proof in food allergy.

摘要

我们研究了50名疑似食物过敏的儿童。他们的临床诊断包括以下几种:消化问题(长期腹泻或呕吐)、腹痛、反复性荨麻疹、血管神经性水肿、湿疹。本研究的目的是评估根据博伊登血凝试验所获得的结果,并将其与通过皮内技术进行的皮肤试验结果进行比较。我们对不同食物进行了113次血凝试验和皮肤试验。几乎所有儿童都接受了牛奶、蛋清和蛋黄(最可疑的食物)以及根据病史发现的数据所确定的其他食物的检测。对于牛奶(47例),我们在12次血凝试验和3次皮肤试验中获得了阳性结果。对于鸡蛋(41例),血凝试验在14例中呈阳性,皮肤试验在5例中呈阳性。在113例中,血凝试验阳性44例,皮肤试验阳性14例。65例中两种试验均为阴性。这一事实表明有必要进行其他诊断试验,同时也表明这些儿童可能没有过敏性疾病。总之,这些结果支持了博伊登血凝试验在食物过敏诊断证据方面比皮肤试验具有更高价值的观点。

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