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Original Research

Ann Med Res. 2016; 23(3): 288-292


Contribution of the method of diagnosis and the range of IgE -non IgE at cow's milk allergy in daily practice

Gulsah Duyuler Aycin, Derya Ufuk Altintas.




Abstract
Cited by 4 Articles

Aim: It is aimed to evaluate the place of the diagnosis method in routine practice and the ISA patients range according to the types of immune reactions.
Materials and Methods: 54 patients were taken among patients considered cows milk allergy and also consulted at ÇUTF children allergy immunology clinic between April 2014 and December 2014. As a laboratory evaluation the amount of eosinophils, milk spesific IgE, skin prick test, prick to prick test, patch test and provocation performed.
Results: 50% (n:27) of patients were male and 50% (n:27) were female. All patients ages average was 38,3±37,9 month. 66,6% (n:36) of patients were IgE referenced, 14% (n:8) mix type, 18,5% (n:10) Non IgE referenced. Provocation is done 88,8% of patients amoung 36 IgE referenced patients. The test was positive at 34,3% (n:11). The provocation test was done 5 patients among 8 patients mix group, the 40% of patients results were positive. At Non IgE referenced group, test is done on 7 patients among 10 and no positive results were found.
Conclusion: In this study, we encountered more IgE referenced diagnosis (66,6%) when compared to Non IgE and mix group. Eosinophils showed no difference between groups. It can be guessed that while milk specific IgE was high in IgE referenced group, it was high in SPT mix group, too. Patch test at IgE referenced group was 30%, at mix group was 12%, on the other hand there was no positive result at Non IgE group patients. In this study, there are two striking results: Patch test are found positive at IgE and mix group when it is guessed it may be possitive at Non IgE group and at IgE referenced group, the patients whose patch test ’are positive had also positive provocation tests.

Key words: Milk Allergy; Patch Test; Provokasyon.






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