Source:http://linkedlifedata.com/resource/pubmed/id/15482519
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2004-10-14
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pubmed:abstractText |
The diagnostic accuracy of the skin prick test (SPT) in food allergy is controversial. We have developed diagnostic cut-off levels for SPT in children with allergy to cow milk, egg and peanut. Based on 555 open food challenges in 467 children (median age 3.0 yr) we defined food-specific SPT weal diameters that were '100% diagnostic' for allergy to cow milk (>or=8 mm), egg (>or=7 mm) and peanut (>or=8 mm). In children < 2 yr of age, the corresponding weal diameters were >or=6 mm, >or=5 mm and >or=4 mm, respectively. These SPT cut-off levels were prospectively validated in 90 consecutive children <or=2 yr with challenge-proven food allergy. In young infants under 6 months of age who have not previously been exposed to a particular food item, the SPT were often negative or below the diagnostic cut-off but reached the diagnostic cut-off at the time of challenge in the second year of life. We assessed the diagnostic agreement between food-specific immunoglobulin E (IgE) antibody levels and SPT in a cohort of 820 infants and children under 2 yr of age (median age 13.1 months) with suspected allergy to cow milk, egg or peanut. When applying published 95%-positive predictive CAP values, the diagnostic accuracy of SPT and IgE antibody levels was similar for cow milk, but SPT was more sensitive in diagnosing allergy to egg (p < 0.0001) and peanut (p < 0.0001). Further studies are required to define age-specific diagnostic IgE antibody and SPT cut-off levels use in infants under 2 yr of age with suspected food allergies.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0905-6157
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
435-41
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pubmed:dateRevised |
2008-5-28
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pubmed:meshHeading |
pubmed-meshheading:15482519-Age Factors,
pubmed-meshheading:15482519-Child,
pubmed-meshheading:15482519-Child, Preschool,
pubmed-meshheading:15482519-Female,
pubmed-meshheading:15482519-Food Hypersensitivity,
pubmed-meshheading:15482519-Humans,
pubmed-meshheading:15482519-Immunoglobulin E,
pubmed-meshheading:15482519-Infant,
pubmed-meshheading:15482519-Male,
pubmed-meshheading:15482519-Radioallergosorbent Test,
pubmed-meshheading:15482519-Reference Values,
pubmed-meshheading:15482519-Sensitivity and Specificity,
pubmed-meshheading:15482519-Skin Tests
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pubmed:year |
2004
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pubmed:articleTitle |
The diagnostic value of skin prick testing in children with food allergy.
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pubmed:affiliation |
Department of Allergy, Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia. allergy.clinic@rch.org.au
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pubmed:publicationType |
Journal Article,
Comparative Study
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