Bauer Cynthia L, Hensel Patrick, Austel Michaela, Keys Deborah
Department of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, GA, USA.
Vet Dermatol. 2010 Apr;21(2):192-7. doi: 10.1111/j.1365-3164.2009.00797.x.
Irritant threshold concentration (ITC) for intradermal testing (IDT) was determined in 31 healthy, clinically nonallergic dogs. Twenty-three allergens were tested at five variable concentrations ranging from 1000 to 8000 PNU/mL. To distinguish irritant reactions from subclinical IgE-mediated hypersensitivities, serum allergy testing was performed. ITCs were determined by evaluating the lowest concentration to which no dogs (0% cut-off) and to which at least 10% of dogs (> or = 10% cut-off) reacted. ITCs at the 0% cut-off were: 1000 PNU/mL (Johnson grass), 2000 PNU/mL (Ash, Lamb's Quarter and Bermuda), 3000 PNU/mL (Bahia, Rye, Pig Weed and Virginia Oak), 4000 PNU/mL (Marsh Elder and Maple), 5000 PNU/mL (Sorrel sheep) and 7000 PNU/mL (Cocklebur and Black Willow). ITC for Dog Fennel, Box Elder and Red Cedar was <1000 PNU/mL. ITCs at the > or = 10% cut-off were: 2500 PNU/mL (Johnson), 3000 PNU/mL (Box Elder), 5000 PNU/mL (Bahia), 6000 PNU/mL (Pigweed and Marsh Elder) and 8000 PNU/mL (Virginia Oak and Black Willow). For all other allergens, the ITC was >8000 PNU/mL and could not be determined. No significant agreement between positive values was found for the same allergen on IDT and serum allergy testing for each dog suggesting reactions caused by the determined ITCs are less likely subclinical IgE-mediated reactions. These results suggest that ITCs may vary, also they may be very high for the allergens tested and that higher test concentrations may be used for IDT for the tested allergens without inducing an irritant reaction. Further studies are needed to evaluate the benefit of higher IDT concentrations in atopic dogs.
在31只健康、临床无过敏反应的犬只中测定了皮内试验(IDT)的刺激阈值浓度(ITC)。对23种变应原进行了测试,浓度范围为1000至8000 PNU/mL,共五个可变浓度。为了区分刺激反应与亚临床IgE介导的超敏反应,进行了血清过敏试验。通过评估无犬只出现反应的最低浓度(0%临界值)以及至少10%的犬只出现反应的最低浓度(≥10%临界值)来确定ITC。0%临界值时的ITC分别为:1000 PNU/mL(约翰逊草)、2000 PNU/mL(白蜡树、藜和百慕大草)、3000 PNU/mL(巴伊亚草、黑麦、马齿苋和弗吉尼亚栎)、4000 PNU/mL(沼地接骨木和枫树)、5000 PNU/mL(酸模羊)和7000 PNU/mL(苍耳和黑柳)。狗茴香、三叶杨和红雪松的ITC<1000 PNU/mL。≥10%临界值时的ITC分别为:2500 PNU/mL(约翰逊草)、3000 PNU/mL(三叶杨)、5000 PNU/mL(巴伊亚草)、6000 PNU/mL(马齿苋和沼地接骨木)和8000 PNU/mL(弗吉尼亚栎和黑柳)。对于所有其他变应原,ITC>8000 PNU/mL,无法确定。在每只犬的IDT和血清过敏试验中,未发现同一变应原的阳性值之间存在显著一致性结果,这表明由所确定的ITC引起的反应不太可能是亚临床IgE介导的反应。这些结果表明,ITC可能会有所不同,对于所测试的变应原,其值可能非常高,并且对于所测试的变应原,在不引起刺激反应的情况下,可以使用更高的测试浓度进行IDT。需要进一步研究来评估在特应性犬中使用更高IDT浓度的益处。