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使用单克隆抗IgE抗体对犬特应性皮炎的两种诊断测试的比较。

Comparison of two diagnostic tests for canine atopy using monoclonal anti-IgE antibodies.

机构信息

Veterinary Clinic, Düsseldorf, Germany.

CMG Laboratories, Fribourg, Switzerland.

出版信息

Vet Dermatol. 1998 Sep;9(3):191-199. doi: 10.1046/j.1365-3164.1998.00110.x.

Abstract

In 66 dogs of various races consulting the veterinary clinic for skin problems suspicious of atopic dermatitis, parallel skin tests with two commercial brands of allergens and serological tests with the CMG IMMUNODOT system and with an ELISA assay using monoclonal anti-IgE antibodies were performed. The most frequent sensitivities found were towards house dust (44%) and storage mites (50%). Depending upon the cut-off point chosen, the CMG IMMUNODOT test was shown to have sensitivity, in respect to the skin test, varying from 54 to 100%, in an inverse relationship to specificity. The ELISA assay was found to be slightly less sensitive. These investigations also revealed some major discrepancies in skin test results among allergen extracts of different origins, confirming that skin test results should no longer be considered as the sole 'gold standard' in diagnosis of IgE-mediated allergy. The experience gained confirms that modern serological tests using monoclonal anti-IgE antibodies for detection of allergen-specific IgEs in the dog are useful in the diagnosis of dog allergy.

摘要

在66只因皮肤问题疑似患特应性皮炎而到兽医诊所就诊的不同品种犬中,进行了两种商业品牌变应原的平行皮肤试验,以及使用CMG免疫斑点系统和单克隆抗IgE抗体ELISA检测法的血清学检测。最常见的致敏原是屋尘(44%)和粉尘螨(50%)。根据所选的临界值,CMG免疫斑点试验相对于皮肤试验的敏感性为54%至100%,与特异性呈反比关系。ELISA检测法的敏感性略低。这些研究还揭示了不同来源变应原提取物的皮肤试验结果存在一些重大差异,证实皮肤试验结果不应再被视为IgE介导过敏诊断的唯一“金标准”。所获得的经验证实,使用单克隆抗IgE抗体检测犬变应原特异性IgE的现代血清学检测法对犬类过敏的诊断很有用。

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