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Related Experiment Videos

Delayed hypersensitivity skin testing: response rates in a surgical population.

T G Jensen, D M Englert, S J Dudrick

    Journal of the American Dietetic Association
    |January 1, 1983
    PubMed
    Summary

    For accurate skin test results, measure responses at 24 and 48 hours, looking for 5 mm induration. Relying only on 48-hour readings can lead to missed positive skin test reactions.

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    Area of Science:

    • Immunology
    • Dermatology
    • Infectious Disease

    Background:

    • Skin testing is a common method for assessing cell-mediated immunity.
    • Standardized protocols for interpreting skin test responses are crucial for accurate diagnosis.

    Purpose of the Study:

    • To determine optimal timing for measuring skin test responses.
    • To establish appropriate criteria for defining a positive skin test reaction.

    Main Methods:

    • Patients received injections of multiple antigens, including streptokinase-streptodornase, mumps, and trichophyton.
    • Skin test responses were evaluated for induration and erythema at both 24 and 48 hours post-injection.

    Main Results:

    • A positive skin test response is defined as induration >= 5 mm at either 24 or 48 hours.

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  • Measuring responses only at 48 hours risks a significant percentage of false-negative results.
  • Streptokinase-streptodornase, mumps, and trichophyton showed the highest response rates, detecting 94% of positive reactions.
  • Conclusions:

    • Skin test responses should be assessed at both 24 and 48 hours for reliable interpretation.
    • Current 48-hour-only measurement practices are inadequate and may lead to underdiagnosis.
    • Further research is needed to explore erythema as a potential indicator of reactivity.