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Updated: Aug 14, 2026

An In Vitro Skin Irritation Test (SIT) using the EpiDerm Reconstructed Human Epidermal (RHE) Model
Published on: July 13, 2009
[Positive skin test and age]
W C Forte1, F F Júnior, W D Filho
1Santa Casa de São Paulo, SP, Brazil.
Insights
Allergen skin test reactivity in children with asthma and rhinitis increases with age. Positive responses are evident by 12 months and significantly increase from age 4 onwards.
Area of Science:
- Pediatric Allergy and Immunology
- Clinical Immunology
Background:
- Asthma and rhinitis are common allergic conditions in children.
- Assessing immediate hypersensitivity to allergens is crucial for diagnosis and management.
Purpose of the Study:
- To evaluate the age-related positive skin test responses to common allergens in children with asthma and rhinitis.
- To determine the age at which significant allergen sensitization becomes apparent.
Main Methods:
- A cohort of 713 children with asthma and rhinitis were grouped by age (6 months to 15 years).
- Skin prick tests were performed using fifteen diverse allergens.
- Statistical analysis was conducted using the chi-square test.
Main Results:
- Significant differences in skin test reactivity were observed across age groups.
- Allergen sensitization was progressively acquired with increasing age.
- Positive skin test reactivity was detectable as early as 12 months of age.
Conclusions:
- Skin test reactivity to allergens develops gradually throughout childhood.
- A significant increase in positive skin test responses is noted from 4 years of age onwards.
- Early detection of allergen sensitization aids in managing pediatric allergic diseases.
Abstract:
OBJECTIVE: To evaluate positive responses to skin tests for immediate hypersensitivity to allergens in children with asthma and rhinitis at different ages. METHOD: We observed positive skin test reactivity in prick tests using fifteen allergens of same origin (total dust and Dermatophagoides sp.; Dermatophagoides pteronyssinus; Dermatophagoides farinae; Blomia tropicalis; Penicillium sp; Alternaria alternata; Cladosporium herbarium; Aspergillus fumigatus; Bermuda grass; forage grass; dog and cat epithelia; feathers; Blatella germanica and wool). We placed 713 selected patients into different age groups - Group I: 6 to 11 months; Group II: 1 to 3 years and 11 months; Group III: 4 to 8 years and 11 months; and Group IV: 9 to 15 years. We used the chi-square test for statistical analysis. RESULTS: The total significant differences between these groups were: I to II = 5; II to III = 5; II to IV = 5; III to IV = 6; I to III = 10; and I to IV = 10. CONCLUSION: Skin test reactivity is acquired progressively with age, and can be observed as early as at 12 months. Reactivity is significantly more positive from the age of 4 on.
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