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[Exploration of respiratory allergies and prevention]
G Pauli1, F de Blay, J C Bessot
1Service de Pneumologie, Hôpital civil, Strasbourg.
Abstract:
Respiratory allergies are found in more than 50% of the asthmatics. Allergen sources and their secondary reservoirs are better known. The different methods of exploration of allergic asthma consist of clinical history, skin tests, and in vitro tests particularly measurement of specific serum IgE. Specific challenge tests are realized with nebulized allergenic extracts as well as in the realistic manner with substances in occupational environment. It is equally important to evaluate the allergenic environment, especially by simple but informative techniques such as the Acarex test for mites. The eviction methods are the same for primary prevention (to prevent sensitization) as well as for the secondary prevention (to reduce the disease exacerbation in the patients already sensitized). The eviction methods mainly concern the allergens of mites, domestic animals, cockroaches and the molds.