Medicus, Vol. 20 No. 2_Alergije, 2011.
Review article
Assessment of Atopic Status in Patients with Allergic Disorders of the Respiratory System
Davor Plavec
; Dječja bolnica Srebrnjak
Mirjana Turkalj
; Dječja bolnica Srebrnjak
Damir Erceg
; Dječja bolnica Srebrnjak
Abstract
The assessment of allergic status is an obligatory and very important diagnostic procedure in patient suspect of suffering from respiratory allergy. Assessment of allergic status has both diagnostic and differential diagnostic values with high predictive diagnostic value for asthma and allergic rhinitis, although not fully specific and sensitive especially for asthma. It is also important in the assessment of possible triggers for the attacks or exacerbations or in indicating of specific immunotherapy. Nowadays in the routine clinical practice we use in-vivo (skin-prick tests) and in-vitro methods (measurement of specific IgE) but medical history and skin-prick test still are the “gold standard” for identification of clinically relevant allergy. Positive results of these tests and without supporting history and clinical presentation suggest sensitization and not allergic disease, while the negative one does not exclude the diagnosis. Elevated levels of total IgE or eosinophilia are nonspecific markers and in this case other reasons for these results should be excluded.
Keywords
allergy; diagnostics; skin-prick test; IgE
Hrčak ID:
81075
URI
Publication date:
19.12.2011.
Visits: 9.514 *