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通过鼻激发试验证实由屋尘螨(粉尘螨)引起的常年性鼻炎的诊断。

The diagnosis of perennial rhinitis due to house dust mite (Dermatophagoides pteronyssinus) demonstrated by nasal provocation tests.

作者信息

Clarke P S

出版信息

Ann Allergy. 1987 Jul;59(1):25-8.

PMID:3605794
Abstract

The paper describes a simple clinical method of performing allergic nasal challenges. It was found to give no complications in over 1,000 challenges with D. pteronyssinus solution. It requires no special apparatus. Reasons for not measuring nasal airways resistance are given. In 1,167 challenges, positive nasal challenges agreed with positive skin prick tests 943 times (81%). Twenty-five positive nasal tests had negative skin tests (2%). One hundred and ninety-nine negative nasal tests had positive skin tests (17%). In 60 patients who had positive RAST (Fadel-Nalebuff modification), 14 (23%) nasal challenges were negative. Five positive nasal challenges had negative RASTS (8%). This is the largest series of mite nasal challenges correlated to skin and RAST tests that has been published.

摘要

本文描述了一种进行变应性鼻激发试验的简单临床方法。在使用粉尘螨溶液进行的1000多次激发试验中,未发现该方法有任何并发症。它不需要特殊设备。文中给出了不测量鼻气道阻力的原因。在1167次激发试验中,鼻激发试验阳性与皮肤点刺试验阳性相符943次(81%)。25次鼻激发试验阳性但皮肤试验阴性(2%)。199次鼻激发试验阴性但皮肤试验阳性(17%)。在60例RAST(法德尔-纳勒布夫改良法)阳性的患者中,14例(23%)鼻激发试验阴性。5次鼻激发试验阳性但RAST试验阴性(8%)。这是已发表的与皮肤试验和RAST试验相关的最大规模的螨鼻激发试验系列。

相似文献

1
The diagnosis of perennial rhinitis due to house dust mite (Dermatophagoides pteronyssinus) demonstrated by nasal provocation tests.通过鼻激发试验证实由屋尘螨(粉尘螨)引起的常年性鼻炎的诊断。
Ann Allergy. 1987 Jul;59(1):25-8.
2
Diagnosis of nasal allergy to the house dust mite.对屋尘螨的鼻部过敏诊断
Rhinology. 1991 Jun;29(2):117-23.
3
Skin prick reaction and nasal provocation response in diagnosis of nasal allergy to the house dust mite.皮肤点刺反应和鼻激发试验在诊断对屋尘螨的鼻过敏中的应用
Ann Allergy Asthma Immunol. 1997 Nov;79(5):427-30. doi: 10.1016/S1081-1206(10)63038-4.
4
[Nasal provocation tests with house dust mite in patients with perennial rhinitis].常年性鼻炎患者的屋尘螨鼻激发试验
Otolaryngol Pol. 2003;57(1):69-74.
5
[Frequency of sensitization to D. pteronyssinus or D. farinae in children with perennial bronchial asthma].[常年性支气管哮喘患儿对屋尘螨或粉尘螨致敏的频率]
Monatsschr Kinderheilkd. 1985 Apr;133(4):214-8.
6
[Studies of skin test on diagnosis of nasal allergy induced house dust and mites].[皮肤试验对屋尘和螨诱发的鼻过敏诊断的研究]
Arerugi. 1990 Apr;39(4):410-7.
7
Improved diagnosis and treatment of allergic rhinitis by the use of nasal provocation tests.通过使用鼻激发试验改善变应性鼻炎的诊断和治疗。
Ann Allergy. 1988 Jan;60(1):57-60.
8
House-dust mite nasal provocation: a diagnostic tool in perennial rhinitis.屋尘螨鼻腔激发:常年性鼻炎的诊断工具。
Am J Rhinol Allergy. 2010 Mar-Apr;24(2):133-6. doi: 10.2500/ajra.2010.24.3441.
9
[Correlation between nasal polyposis and perennial allergy exemplified by house dust mite and house dust allergy].[以屋尘螨和屋尘过敏为例探讨鼻息肉与常年性过敏之间的相关性]
HNO. 1991 Aug;39(8):307-10.
10
[Skin tests, RAST and provocation tests with a purified acarian extract (Pharmalgen) in respiratory hypersensitivity].[皮肤试验、放射变应原吸附试验以及使用纯化螨提取物(Pharmalgen)进行的激发试验在呼吸道超敏反应中的应用]
Schweiz Med Wochenschr. 1984 Dec 1;114(48):1769-70.

引用本文的文献

1
Environmental assessment and exposure control of dust mites: a practice parameter.尘螨的环境评估与暴露控制:实践参数
Ann Allergy Asthma Immunol. 2013 Dec;111(6):465-507. doi: 10.1016/j.anai.2013.09.018.
2
Epidemiology of dust-mite-related disease.尘螨相关疾病的流行病学
Exp Appl Acarol. 1992 Nov;16(1-2):141-51. doi: 10.1007/BF01201497.