Skoda-Türk R, Horak F
Wien Klin Wochenschr. 1980 Feb 29;92(5):157-61.
The nasal resistance and the temperature were measured in both nasal lumina immediately before and 20 minutes after an allergological skin test in 75 patients admitted to the allergy ward because of suspected allergic rhinitis. The measurements were carried out by means of a passive anterior rhinomanometer according to van Dishoeck and the results served as parameters of the reaction of the nasal mucous membrane. In order to secure the allergy diagnosis, the skin tests were supplemented by a carefully taken case history as well as by RIST and RAST. The 100 skin test series carried out in this investigation showed an increase in the resistance and in the temperature in most of those patients whose positive skin test result corresponded to the final diagnosis. These reactions were most pronounced in the screening tests, and were also confirmed by the herb, tree and mould tests. Furthermore, the temperature in the nasal lumen increased sooner than the resistance. Thereby it was possible to prove that in allergological skin tests the shock organ, i.e. the nasal mucous membrane in the cases discussed in this paper, shows a marked concomitant reaction if there is a manifest allergy to the allergens used in the test.
对因疑似变应性鼻炎入住过敏病房的75例患者,在变应性皮肤试验前及试验后20分钟,立即测量双侧鼻腔的鼻阻力和温度。测量采用范迪朔克被动前鼻测压计进行,测量结果作为鼻黏膜反应的参数。为确保变应性疾病诊断,皮肤试验辅以详细的病史采集以及放射性变应原吸附试验(RIST)和放射变应原吸附试验(RAST)。本研究中进行的100例皮肤试验系列显示,大多数皮肤试验结果阳性且与最终诊断相符的患者,其鼻阻力和温度升高。这些反应在筛查试验中最为明显,草药、树木和霉菌试验也证实了这一点。此外,鼻腔内温度比鼻阻力升高得更早。由此可以证明,在变应性皮肤试验中,如果对试验中使用的变应原存在明显过敏,休克器官,即本文所讨论病例中的鼻黏膜,会出现明显的伴随反应。