Lelong M, Fauquert J L, Bras C, Thelliez P
Service de Pédiatrie, Centre Hospitalier, Lens.
Allerg Immunol (Paris). 1986 Nov;18(9):28-30.
Among 76 eczematous children, we realized a RAST test for whole milk and milk specific proteins: lactalbumin, lactoglobulin and casein. One of these RAST tests, at least, was positive for 27 children. Whole milk RAST test is the most frequently positive (77%) but some non specific reactions seem to interfere: only three children are clinically milk sensitive. Among specific proteins, lactalbumin is more frequently positive (59%) than lactoglobulin (51%) and casein (18%). Eczematous children with positive milk RAST tests, if compared to other eczematous children, have currently more mite allergies and positive egg RAST tests. They have a tendency (non significative) to be more frequently breast fed. The positivity of milk RAST tests seems to belong to a polysensitization and infrequently concerns a clinical allergy.
在76名患湿疹的儿童中，我们对全脂牛奶及牛奶特异性蛋白（乳白蛋白、乳球蛋白和酪蛋白）进行了放射变应原吸附试验（RAST）。这些RAST试验中，至少有一项对27名儿童呈阳性。全脂牛奶RAST试验阳性最为常见（77%），但似乎有一些非特异性反应产生干扰：临床上只有3名儿童对牛奶敏感。在特异性蛋白中，乳白蛋白阳性率（59%）高于乳球蛋白（51%）和酪蛋白（18%）。与其他患湿疹的儿童相比，牛奶RAST试验呈阳性的患湿疹儿童目前对螨虫过敏及鸡蛋RAST试验呈阳性的情况更多。他们更倾向于（无统计学意义）接受母乳喂养。牛奶RAST试验呈阳性似乎属于多致敏状态，很少涉及临床过敏。
