The current status and progress of laboratory diagnosis technology of allergens in childhood allergic diseases
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摘要: 过敏性疾病(allergic diseases)由于其起病年龄早、临床表型复杂多样等特点,已成为全球公共卫生关注的热点。开展过敏原实验室诊断不仅可以帮助临床医生尽早明确引发过敏性疾病发生的环境诱因,也为下一步制定针对性治疗提供一定依据。过敏原实验室诊断主要包括体内试验、体外试验2种方法,前者主要观察过敏原进入患者机体后引发的皮肤反应性,而后者主要测定的是患者血清中游离的过敏原特异性IgE分子,过敏原实验室诊断应以病史为基础,选择适合的体内试验和/或体外试验以及选择恰当的过敏原种类,参考有指导意义的诊断流程,最终做出高准确率的特异性过敏原诊断。过敏原组分诊断立足于已确切的致敏蛋白组分,将会对于确认真正过敏原诱因、评估症状严重度以及预测未来结局转归等多方面提供证据,势必将成为未来过敏原实验室诊断的新方向。因此,本文就过敏原实验室诊断技术在儿童过敏性疾病中的应用现状、意义解读以及最新研究进展进行综述。Abstract: Allergic diseases with their early onset and clinical complexity have been increasing in prevalence worldwide and have now become a serious public health problem. The laboratory diagnosis of allergen is pivotal for clinicians to the identification of the environmental causes of allergic diseases, in addition to provide a rational basis for personalized treatments. The laboratory diagnosis technology of allergens includes in vivo test (Epicutaneous skin test) and in vitro testing (Quantitative measurement of circulating IgE antibody). Once a reasonable suspicion is established, a laboratory confirmation with a high accuracy can be obtained utilizing a proper laboratory diagnosis technology (in vivo tests and/or in vitro test), the right types of allergens (seasonal or perennial allergens) as well as a complete medical history. Component resolved diagnostics (CRD) utilizes individual natural or recombinant allergenic components that are contained in the whole complex allergen source. By focusing on the individual major or minor allergens and controlling for allergen concentration, CRD promises a more precise and individualized (clinically relevant for the patient) measurement of allergen-specific IgE antibodies. Therefore, this article reviews the application status, clinical interpretation and latest research progress on laboratory diagnosis technology of allergens in children allergic diseases.
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Key words:
- Childhood /
- Allergen /
- Laboratory diagnosis /
- Allergic diseases /
- Immunoglobulin E
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