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- W2003059178 abstract "RationaleFood allergy is a common disease that often causes anaphylaxis. The diagnosis is problematic. 20% of the population believe they have food allergy when only 2% are diagnosed with IgE mediated allergy response. In this study we use basophile response to allergen to diagnose food allergy.MethodsWe investigated atopic subjects with (n = 5) or without (n = 3) peanut allergy. Whole blood was mixed with peanut allergen or negative control and specific fluorescence labelled mouse antibodies against CD63 and CD203c. The response was evaluated in flow cytometry (basophile activation test/BAT). IgE allergy responses were also tested with immunoCAP method (Pharmacia) and skin prick tests (SPT) (Greer).ResultsRatio of positively labelled cells in the BAT test increased significantly, from 4.19 ± 0.6% to 60.88 ± 31.9% (p = 0.008) for those who had peanut allergy but not for the control group, (from 4,22 ± 0,75% to 7,43 ± 5,05% (p = 0,700). Significant correlation was found between BAT and SPT (R = 0,817; p = 0,013) but correlation between BAT and specific IgE was not significant (R = 0,602; p = 0,102). Specificity and sensitivity for each test when compared with allergist diagnosed peanut allergy was 100% and 100% for BAT, 100% and 83% for SPT, 75% and 100% for IgE >0.35 kUA/L and 100% and 56% for IgE >15 kUA/L, respectively.ConclusionThe basophile activation test is helpful in diagnosing peanut allergy and demonstrated in this study higher specificity and sensitivity rates than skin prick test and IgE measured with immunoCAP. RationaleFood allergy is a common disease that often causes anaphylaxis. The diagnosis is problematic. 20% of the population believe they have food allergy when only 2% are diagnosed with IgE mediated allergy response. In this study we use basophile response to allergen to diagnose food allergy. Food allergy is a common disease that often causes anaphylaxis. The diagnosis is problematic. 20% of the population believe they have food allergy when only 2% are diagnosed with IgE mediated allergy response. In this study we use basophile response to allergen to diagnose food allergy. MethodsWe investigated atopic subjects with (n = 5) or without (n = 3) peanut allergy. Whole blood was mixed with peanut allergen or negative control and specific fluorescence labelled mouse antibodies against CD63 and CD203c. The response was evaluated in flow cytometry (basophile activation test/BAT). IgE allergy responses were also tested with immunoCAP method (Pharmacia) and skin prick tests (SPT) (Greer). We investigated atopic subjects with (n = 5) or without (n = 3) peanut allergy. Whole blood was mixed with peanut allergen or negative control and specific fluorescence labelled mouse antibodies against CD63 and CD203c. The response was evaluated in flow cytometry (basophile activation test/BAT). IgE allergy responses were also tested with immunoCAP method (Pharmacia) and skin prick tests (SPT) (Greer). ResultsRatio of positively labelled cells in the BAT test increased significantly, from 4.19 ± 0.6% to 60.88 ± 31.9% (p = 0.008) for those who had peanut allergy but not for the control group, (from 4,22 ± 0,75% to 7,43 ± 5,05% (p = 0,700). Significant correlation was found between BAT and SPT (R = 0,817; p = 0,013) but correlation between BAT and specific IgE was not significant (R = 0,602; p = 0,102). Specificity and sensitivity for each test when compared with allergist diagnosed peanut allergy was 100% and 100% for BAT, 100% and 83% for SPT, 75% and 100% for IgE >0.35 kUA/L and 100% and 56% for IgE >15 kUA/L, respectively. Ratio of positively labelled cells in the BAT test increased significantly, from 4.19 ± 0.6% to 60.88 ± 31.9% (p = 0.008) for those who had peanut allergy but not for the control group, (from 4,22 ± 0,75% to 7,43 ± 5,05% (p = 0,700). Significant correlation was found between BAT and SPT (R = 0,817; p = 0,013) but correlation between BAT and specific IgE was not significant (R = 0,602; p = 0,102). Specificity and sensitivity for each test when compared with allergist diagnosed peanut allergy was 100% and 100% for BAT, 100% and 83% for SPT, 75% and 100% for IgE >0.35 kUA/L and 100% and 56% for IgE >15 kUA/L, respectively. ConclusionThe basophile activation test is helpful in diagnosing peanut allergy and demonstrated in this study higher specificity and sensitivity rates than skin prick test and IgE measured with immunoCAP. The basophile activation test is helpful in diagnosing peanut allergy and demonstrated in this study higher specificity and sensitivity rates than skin prick test and IgE measured with immunoCAP." @default.
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- W2003059178 date "2008-02-01" @default.
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- W2003059178 title "Basophil Activation Test for Diagnosis of Food Allergy" @default.
- W2003059178 doi "https://doi.org/10.1016/j.jaci.2007.12.989" @default.
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