Relationships between Skin Prick Test and Fluoro-enzyme-immunoassay for Specific IgE in Paitents with Allergic Rhinitis |
Gi Chul Kim, MD, Sun Man Hong, MD, Jae Hwan Kwon, MD, Chang Yong Han, MD, Jung Ae Jang, RN, MD, Gi Ho Park, MD, and Joong Hwan Cho, MD |
Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll General Hospital, Pusan, Korea |
알레르기성 비염 환자에서 형광효소면역측정법과 피부반응검사와의 관계 |
김기철 · 홍순만 · 권재환 · 한창용 · 장정애 · 박기호 · 조중환 |
메리놀병원 이비인후과 |
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ABSTRACT |
The investigation for suspected allergic rhinitis included a detailed clinical history, a physical examination and use of in-vivo or vitro testing to determine the allergens that provocating the symptoms. Among the diagnosis of allergic rhinitis, the skin test is a useful diagnostic test to document the specific IgE reactivity, but some patients cannot be performed. So in such a patients, in-vitro test has been advocated as a method for measuring allergen specific IgE antibodies. Recently, newly developed fluoroenzyme immunoassay(CAP system) has been used. The CAP system is new assay for serum specific IgE characterized by a new solid phase (hydrophilic polymer encased in a capsule), utilizing a solid phase capable of binding more antigen than conventional methods, and proved to be simpler, safer, faster, easier, more specific, and more sensitive than conventional method. The CAP results were compared to those of the skin prick test performed in 228 subjects with 13 common inhalant allergens. Total agreement rate of 13 allergens between skin prick test and CAP system was 63.1%, each agreement rates were 86.8% in D. pteronyssinus, 85.5% in D. farinae, 19.4% in Cat epithelium, 15.1% in Dog dander, 71.4% in Cockroach, 80.4% in Alder, 81.0% in Birch, 79.4% in Hazel, 74.2% in Oak, 82.1% in Beech, 69.2% in Mugwort, 39.0% in Chrysanthemum, 29.3% in Ragweed(Table 16). These results suggested that the CAP system is a clinically useful assay for specific IgE and appears to be a clear advancement for invitro tests technology.
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Keywords:
Skin testㆍCAP SystemㆍSpecific IgE. |
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