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Validity of Skin Prick Test to Bermuda Grass in a desert environment
BACKGROUND AND AIM: Skin prick test (SPT) with a wheal diameter of >3 mm, generally accepted as a positive, is most commonly use diagnostic tool for Allergic rhinitis. Aim was to validate wheal size of Skin Prick Test for the Bermuda grass, in desert environment, with positive Bermuda grass Nasal...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Mattioli 1885
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477090/ https://www.ncbi.nlm.nih.gov/pubmed/34487076 http://dx.doi.org/10.23750/abm.v92i4.11461 |
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author | Mona, Al-Ahmad Edin, Jusufovic Nermina, Arifhodzic Jasmina, Nurkic |
author_facet | Mona, Al-Ahmad Edin, Jusufovic Nermina, Arifhodzic Jasmina, Nurkic |
author_sort | Mona, Al-Ahmad |
collection | PubMed |
description | BACKGROUND AND AIM: Skin prick test (SPT) with a wheal diameter of >3 mm, generally accepted as a positive, is most commonly use diagnostic tool for Allergic rhinitis. Aim was to validate wheal size of Skin Prick Test for the Bermuda grass, in desert environment, with positive Bermuda grass Nasal challenge in same environment. METHODS: In 53 adults, mean age 33.43 ± 9.36 years, both gender (females: 33.96%), SPT positive on Bermuda grass with cut off wheal longest diameter of 3 mm, Bermuda grass nasal challenge test (bgNCT) was carried out. Response was assessed subjectively (scored) and objectively (PNIF). Safety profile was assessed by PEF measurement. RESULTS: Mean weal size of SPT (mm) was bigger in bgNCT positive patients (n=47; 88.68%) 8 [4, 15] vs 5 [3, 6] (p<0.0001). ROC analysis showed Bermuda Grass SPT at the threshold of >6.5mm enabled identification of Bermuda challenge with sensitivity of 82.98% and specificity of 100.0% (area under the curve 0.9326, standard error 0.03528; 95% confidence interval (CI): 0.8635 to 1.002; p=0.0006203). CONCLUSIONS: A SPT wheal size ≥6.5mm might be considered as an appropriate wheal size for confirming Bermuda grass allergy in adults with SAR, avoiding the demanding, time consuming and often unavailable bgNCT, especially in patients eligible for allergen immunotherapy. In these patients, bgNCT is recommended if SPT wheal size is <6.5 mm. (www.actabiomedica.it) |
format | Online Article Text |
id | pubmed-8477090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Mattioli 1885 |
record_format | MEDLINE/PubMed |
spelling | pubmed-84770902021-10-08 Validity of Skin Prick Test to Bermuda Grass in a desert environment Mona, Al-Ahmad Edin, Jusufovic Nermina, Arifhodzic Jasmina, Nurkic Acta Biomed Original Article BACKGROUND AND AIM: Skin prick test (SPT) with a wheal diameter of >3 mm, generally accepted as a positive, is most commonly use diagnostic tool for Allergic rhinitis. Aim was to validate wheal size of Skin Prick Test for the Bermuda grass, in desert environment, with positive Bermuda grass Nasal challenge in same environment. METHODS: In 53 adults, mean age 33.43 ± 9.36 years, both gender (females: 33.96%), SPT positive on Bermuda grass with cut off wheal longest diameter of 3 mm, Bermuda grass nasal challenge test (bgNCT) was carried out. Response was assessed subjectively (scored) and objectively (PNIF). Safety profile was assessed by PEF measurement. RESULTS: Mean weal size of SPT (mm) was bigger in bgNCT positive patients (n=47; 88.68%) 8 [4, 15] vs 5 [3, 6] (p<0.0001). ROC analysis showed Bermuda Grass SPT at the threshold of >6.5mm enabled identification of Bermuda challenge with sensitivity of 82.98% and specificity of 100.0% (area under the curve 0.9326, standard error 0.03528; 95% confidence interval (CI): 0.8635 to 1.002; p=0.0006203). CONCLUSIONS: A SPT wheal size ≥6.5mm might be considered as an appropriate wheal size for confirming Bermuda grass allergy in adults with SAR, avoiding the demanding, time consuming and often unavailable bgNCT, especially in patients eligible for allergen immunotherapy. In these patients, bgNCT is recommended if SPT wheal size is <6.5 mm. (www.actabiomedica.it) Mattioli 1885 2021 2021-09-02 /pmc/articles/PMC8477090/ /pubmed/34487076 http://dx.doi.org/10.23750/abm.v92i4.11461 Text en Copyright: © 2021 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License |
spellingShingle | Original Article Mona, Al-Ahmad Edin, Jusufovic Nermina, Arifhodzic Jasmina, Nurkic Validity of Skin Prick Test to Bermuda Grass in a desert environment |
title | Validity of Skin Prick Test to Bermuda Grass in a desert environment |
title_full | Validity of Skin Prick Test to Bermuda Grass in a desert environment |
title_fullStr | Validity of Skin Prick Test to Bermuda Grass in a desert environment |
title_full_unstemmed | Validity of Skin Prick Test to Bermuda Grass in a desert environment |
title_short | Validity of Skin Prick Test to Bermuda Grass in a desert environment |
title_sort | validity of skin prick test to bermuda grass in a desert environment |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477090/ https://www.ncbi.nlm.nih.gov/pubmed/34487076 http://dx.doi.org/10.23750/abm.v92i4.11461 |
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