Clinical & Experimental Allergy

The diagnosis of hypersensitivity to ingested foods

Reliability of skin prick testing and the radioallergosorbent test with different materials

Authors

  • K. AAS

    Corresponding author
    1. The Allergy Institute, Voksentoppen, and The Allergy Unit, Paediatric Research Institute, Rikhospitalet, University of Oslo, Oslo, Norway
      Dr Kjell Aas, The Allergy Unit, Paediatric Department, Rikshospitalet, Oslo 1, Norway.
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Dr Kjell Aas, The Allergy Unit, Paediatric Department, Rikshospitalet, Oslo 1, Norway.

Summary

The diagnostic reliability in food allergy of skin prick tests (SPT) and the radioallergosorbent test (RAST) was investigated in pasdiatric patients with respiratory and skin allergies. SPT and RAST were found to be reliable for the diagnosis of allergy to codfish, peas, nuts, peanuts and egg white. Positive SPT and RAST to cereals were common, but were most often without clinical significance or were correlated with respiratory allergy to the inhalation of flour dust. SPT and RAST were only partly reliable with regard to allergy to cow's milk, and were mostly reliable when used together and showing corresponding results. Experimental allergosorbents for RAST with soy beans and white beans were not reliable. The study shows the need to improve the diagnostic materials and to establish the diagnostic reliability of the material and tests used for each food item in question.

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