Corominas Sánchez M, Torres Rodríguez J M, Barbera Salva G, Aixala Abello S, Mestre Playa M, Buendia Gracia E
Allergol Immunopathol (Madr). 1982 Jul-Aug;10(4):269-76.
Of the techniques which are usually used for the in vitro etiologic diagnosis of determined allergic processes, it is the RAST technique which is most widely used for determining specific antibodies of the IgE class. On the other hand, also of interest is the quantification of total IgE in these patients. We have studied 80 allergic and non allergic patients in order to evaluate the possible correlation between the Prick and the RAST tests applied to different allergens such house dust. Dermatophagoides pteronyssinus and Dermatophagoides farinae. The patients were distributed in four groups in relation to the clinical history and serum levels of total IgE, as follows: Group I: Patients with positive clinical history and increases levels of total IgE. Group II: patients with positive history and normal values of total IgE. Group III: patients with negative history and increased levels of serum IgE, and Group IV with non atopic subjects with normal values of IgE. The results show a high correlation between both tests for house dust mite allergens in the group I. The relation to inferior in the group II. As far as house dust is concerned, there is no correlation between the cutaneous test in the RAST test even in the group with positive clinical history. The data observed with house dust mites suggest a relation between the clinical history and the cutaneous test and also between the RAST and the levels of total serum IgE. These relations are not fund with house dust. It is discussed the validity and applications of both tests to the diagnosis of immediate hypersensitivity reactions to house dust mites and house dust.
在通常用于某些特定过敏反应体外病因诊断的技术中,放射性变应原吸附试验(RAST)是用于测定IgE类特异性抗体最广泛使用的技术。另一方面,对这些患者血清总IgE的定量也很有意义。我们研究了80名过敏和非过敏患者,以评估针对不同过敏原(如屋尘、粉尘螨和户尘螨)进行的点刺试验和RAST试验之间可能存在的相关性。根据临床病史和血清总IgE水平,将患者分为四组,如下:第一组:临床病史阳性且血清总IgE水平升高的患者;第二组:临床病史阳性但血清总IgE值正常的患者;第三组:临床病史阴性但血清IgE水平升高的患者;第四组:IgE值正常的非特应性受试者。结果显示,第一组中针对屋尘螨过敏原的两种试验之间具有高度相关性;第二组中的相关性较低。就屋尘而言,即使在临床病史阳性的组中,点刺试验和RAST试验之间也没有相关性。关于屋尘螨的数据表明,临床病史与点刺试验之间以及RAST试验与血清总IgE水平之间存在关联。而对于屋尘,并未发现这些关联。本文讨论了这两种试验在诊断对屋尘螨和屋尘的速发型超敏反应中的有效性和应用。