Juhlin L
Z Hautkr. 1978 May 15;53(10):335-40.
The following in vitro methods are predominantly discussed: Specific IgE determination (RAST). The test can be used to detect allergies of the immediate type such as anaphylactic shock and urticaria. Antibodies can be detected to a limited number of drugs such as penicillin, ACTH, TSH, insulin, asparaginase and proteins of animal sources. Degranulation of basophil leucocytes and histaminliberation have been used for many years. The practical value of the test has been limited but improved methods for analysis have given the tests hopes for a come-back. Cellular tests like lymphocyteproliferation and macrophage inhibition test (MIF) do not yet give such information which make them helpful as practical tests to detect drug allergy.
特异性IgE测定(放射变应原吸附试验)。该试验可用于检测速发型过敏反应,如过敏性休克和荨麻疹。可检测针对有限数量药物的抗体,如青霉素、促肾上腺皮质激素、促甲状腺激素、胰岛素、天冬酰胺酶以及动物源性蛋白质。嗜碱性白细胞脱颗粒和组胺释放试验已使用多年。该试验的实用价值有限,但改进的分析方法为其卷土重来带来了希望。淋巴细胞增殖和巨噬细胞抑制试验(MIF)等细胞试验尚未提供有助于检测药物过敏的实用信息。