Department of Otorhinolaryngology, Rize University Faculty of Medicine, Rize, Turkey.
Clin Exp Otorhinolaryngol. 2011 Dec;4(4):174-6. doi: 10.3342/ceo.2011.4.4.174. Epub 2011 Dec 15.
To investigate the incidence of skin prick test (SPT) positivity in patients with eczematous external otitis.
Forty-six patients with eczematous external otitis and forty-four healthy volunteers were included in the study. All the patients were skin-tested by prick test. Reactions were assessed by the degree of redness and swelling and the size of the wheal produced.
According to SPT positivity and total immunoglobulin E values, the difference between the study and the control groups was statistically significant (P<0.05). The most common skin reactions were against to mites and grasses in this study.
Eczematous external otitis is perhaps the most difficult to treat of all forms of external otitis because the provocative agents usually remain undiagnosed. Patients suffering from eczematous external otitis symptoms should be investigated for allergens and be informed for prevention of the causative agents. SPT might be performed in cases of prolonged or treatment-resistant external otitis.
调查湿疹性外耳道炎患者皮肤点刺试验(SPT)阳性的发生率。
本研究纳入了 46 例湿疹性外耳道炎患者和 44 名健康志愿者。所有患者均进行皮肤点刺试验。通过红斑和肿胀程度以及风团大小来评估反应。
根据 SPT 阳性和总免疫球蛋白 E 值,研究组和对照组之间的差异具有统计学意义(P<0.05)。本研究中最常见的皮肤反应是针对螨虫和草。
湿疹性外耳道炎可能是所有外耳道炎中最难治疗的一种,因为诱发因素通常未被诊断。患有湿疹性外耳道炎症状的患者应进行过敏原检查,并告知预防病因。对于迁延不愈或治疗抵抗的外耳道炎,可能需要进行 SPT。