Weissenbach T, Wüthrich B, Weihe W H
Allergiestation der Dermatologischen Universitätsklinik Zürich.
Schweiz Med Wochenschr. 1988 Jun 18;118(24):930-8.
The nature, frequency and symptoms of laboratory animal allergies (LAA) were explored in 110 persons having contacts with laboratory animals and working in research laboratories at Zürich University Hospital and institutes. 20.9% of these persons were actually suffering from a laboratory animal allergy, a percentage corresponding to international reports in the literature (12-27%). 82.6% of persons with LAA were atopic subjects. In a group without LAA we found an atopic disposition only in 25.3%. The commonest signs of LAA were a combination of rhinoconjunctivitis with bronchial asthma and with contact urticaria in 43.5% over-all. Rats and mice were the laboratory animals most contacted and they represented the largest number of sensitizations. The interval between the beginning of exposure and onset of the symptoms of LAA ranged between a few months and many years. In general, the time space is much shorter in atopic subjects than in non-atopic persons. Skin tests gave better and more precise results in the detection of a LAA than in vitro examinations. This means that investigations with RAST (PHARMACIA) were less sensitive than the prick multitest (STALLERGENES). The last-mentioned can be recommended as very good for serial allergological examinations. The new Phadiatop-test (PHARMACIA)--in the study we obtained positive results in 38.5%--is a sound and most specific examination for discrimination between atopic and non-atopic disposition. Determination of total IgE was of less value.
对苏黎世大学医院及各研究所的110名接触实验动物并在研究实验室工作的人员,探讨了实验动物过敏(LAA)的性质、频率及症状。这些人员中20.9%实际患有实验动物过敏,该百分比与文献中的国际报告相符(12 - 27%)。LAA患者中82.6%为特应性个体。在无LAA的一组中,我们仅发现25.3%有特应性倾向。LAA最常见的体征总体上是鼻结膜炎合并支气管哮喘以及接触性荨麻疹,占43.5%。大鼠和小鼠是接触最多的实验动物,也是致敏数量最多的动物。从开始接触到LAA症状出现的间隔时间从几个月到多年不等。一般来说,特应性个体的时间间隔比非特应性个体短得多。皮肤试验在检测LAA方面比体外检查给出的结果更好、更精确。这意味着用RAST(PHARMACIA)检测不如点刺多项试验(STALLERGENES)敏感。可以推荐后者用于系列变态反应学检查。新的Phadiatop试验(PHARMACIA)——在本研究中我们得到38.5%的阳性结果——是区分特应性和非特应性倾向的可靠且最具特异性的检查。总IgE的测定价值较小。