固定药物喷发的现场贴片试验和重复的开放应用试验:一个多中心研究
Hélène Traineau1, Brigitte Milpied2, Angèle Soria3
1Médecine Sorbonne Universiy, Dermatology and allergology department, Hôpital Tenon, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.
The journal of allergy and clinical immunology. In practice
|October 20, 2023
概括
标准化的过敏检查,包括现场补丁测试 (PTs) 和重复开放应用测试 (ROATs),可靠地诊断固定的药物爆发 (FDE). 这种连续的方法,包括药物挑战 (DCs),证明安全有效地识别FDE的原因.
科学领域:
- 皮肤病学 皮肤病学
- 过敏学 过敏学
- 临床免疫学临床免疫学
背景情况:
- 固定的药物爆发 (FDE) 诊断缺乏广泛的基于人口的过敏处理研究.
- 识别致病原体对于患者管理和预防复发至关重要.
研究的目的:
- 评估固定药物喷发结构化过敏检查的诊断灵敏度.
- 在本工作组内评估现场重复开放应用试验 (ROAT) 的有效性.
主要方法:
- 一项回顾性多中心研究分析了FDE的3步过敏检查:现场补丁测试 (PT),现场ROAT和药物挑战 (DC).
- 在现场ROAT涉及每天在7天内将可疑药物应用于受影响的部位.
主要成果:
- 在61名完整康复的患者中,57名确诊为阳性. 常见的罪祸首包括黄醇,β-乳糖胺和NSAIDs.
- 诊断确认率:在现场PT (31.5%),在现场ROAT (35%) 和DC (26%).
- 在现场测试表明,在诊断FDE时,灵敏度超过50%.
结论:
- 一次性的过敏检查,包括现场PT,现场ROAT和DC,是诊断FDE的可靠和安全方法.
- 在现场诊断方法显示出有希望的灵敏度,用于识别固定药物爆发中的药物触发因素.
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