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Titolo:
LATEX ALLERGY AND LATEX SENSITIZATION IN CHILDREN AND ADOLESCENTS WITH MENINGOMYELOCELE
Autore:
SHAH S; CAWLEY M; GLEESON R; OCONNOR J; MCGEADY S;
Indirizzi:
2B-29,1600 ROCKLAND RD WILMINGTON DE 19899 THOMAS JEFFERSON UNIV PHILADELPHIA PA 19107 DUPONT HOSP CHILDREN,NEMOURS FDN,ALFRED I DUPONT INST WILMINGTON DE 19801
Titolo Testata:
Journal of allergy and clinical immunology
fascicolo: 6, volume: 101, anno: 1998,
parte:, 1
pagine: 741 - 746
SICI:
0091-6749(1998)101:6<741:LAALSI>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPINA-BIFIDA PATIENTS; RISK-FACTORS; IGE; HYPERSENSITIVITY; PREVALENCE; REACTIVITY; HEALTH; SKIN; ANAPHYLAXIS; PERSONNEL;
Keywords:
LATEX; CLINICAL ALLERGY SENSITIZATION; AGE; SURGICAL PROCEDURES; ATOPIC STATUS; SKIN PRICK TEST; ALA STAT REST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
S. Shah et al., "LATEX ALLERGY AND LATEX SENSITIZATION IN CHILDREN AND ADOLESCENTS WITH MENINGOMYELOCELE", Journal of allergy and clinical immunology, 101(6), 1998, pp. 741-746

Abstract

Background: The high prevalence of clinical latex allergy and latex sensitization in children with meningomyelocele has been widely reported. It has also been noted that these same children have a higher than expected prevalence of atopic disease. It would be useful to have a safe, sensitive, and specific skin test to detect latex sensitivity and to know how web this test compares with available in vitro tests. It would likewise be helpful to know as fully as possible the characteristics ties of the individual and to evaluate the relative importance of factors suspected to contribute to clinical latex allergy and latex sensitization in this population. Methods: A group of 116 children and adolescents 1 to 20 years of age were recruited for the study, An extensive history of latex allergy, atopic diseases, and surgical procedures was taken on all subjects. Each subject had either a latex skin testor an in vitro study for latex-specific IgE, and 67 subjects had bothtests simultaneously. Eighty-five subjects had epicutaneous skin tests to a panel of environmental allergens. Results: Overall, 25 of 116 (21.5%) subjects had a history of clinical latex allergy, and 51 of 116(44%) were sensitized to latex. The sensitivity and specificity of skin tests for clinical latex allergy were slightly greater than for thein vitro test (100% vs 95.8% and 82.3% vs 68.9%, respectively). The positive predictive value and negative predictive value of skin testingfor clinical latex allergy were also greater (67.6% vs 50% and 100% vs 98.1%, respectively). Age was found to be a significant variable forboth latex allergy and latex sensitization. The number of surgical procedures undergone and the presence of positive skin test responses toenvironmental allergens were significantly correlated with latex sensitization but not with clinical allergy to latex. Conclusions: A sensitive, specific, and safe skin test for latex sensitivity appears superior to in vitro testing for latex allergy. Age, number of surgical procedures, and the presence of positive allergen skin test responses aresignificantly correlated with latex sensitization. Age alone is significantly correlated with clinical allergy to latex.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 12:42:41