[食物过敏的皮肤测试(皮肤点刺试验)]。

Pablo Torres Córdova
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引用次数: 0

摘要

食物过敏的皮试(也称点刺试验)仅限于 IgE 介导的食物过敏,其结果只能勉强说明对某种食物过敏,并不一定提示食物过敏。在进行任何类型的食物过敏皮试之前,患者的临床情况都是决定性因素;将患者的临床症状与 IgE 介导的过敏免疫机制联系起来,可以更好地选择适合每个病例的过敏试验。应更谨慎地解释阳性检测结果,并考虑到在幼儿期,一些患者血液中食物过敏原的特异性血清 IgE 检测结果为阴性,而皮肤检测结果为阳性,这种情况很常见。皮肤检测可以使用标准化的食物层进行,但并非所有食物都能使用,有些食物还很不稳定。皮肤试验甚至可以用生食品进行,使用刺对刺技术对新鲜食品(尤其是水果或蔬菜)或其他非市售产品进行穿刺。皮肤点刺试验是在滴入过敏原提取物或新鲜食物后,用标准的柳叶刀进行穿刺的试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Skin test (Skin Prick Test) in food allergy].

Skin tests, also known as prick tests, in food allergies are restricted to IgE-mediated food allergies, with results that barely indicate sensitization to a certain food and do not necessarily suggest food allergy. The clinical context of the patient is the decisive point before performing any type of food allergy skin test; Contextualizing and relating the patient's clinical picture with the immunological mechanism of IgE-mediated allergies will allow a better selection of the allergy test for each case. Positive tests should be interpreted more carefully, and consider that during early childhood it is common that several patients may have negative specific serum IgE tests in the blood for food allergens compared to those performed on the skin, which are positive. Skin testing can be carried out with standardized strata of foods, but they are not always available for all foods and some are very unstable. Skin tests can even be performed with raw foods, using the prick to prick technique to perform the puncture with fresh foods (especially fruits or vegetables) or other products that are not commercially available. The skin prick test is a test where, after having placed the allergenic extract in drops or with fresh food itself, the puncture must be carried out with a standardized lancet.

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