The incidence of atopy in adults with recurrent secretory otitis media: screening with Phadiatop.
OBJECTIVE
This is a preliminary report of a relatively new method, Phadiatop, in screening atopic adult patients with recurrent secretory otitis media (SOM). The sensitivity and specificity, and its use in atopic adult patients with recurrent SOM were evaluated.


METHODS
Eighty-four patients (54 females, 30 males; mean age 36.7; range 19 to 62 years) who were diagnosed as recurrent SOM were included in the study. The patients were evaluated with respect to history, laboratory tests, skin-prick test, and total IgE. Patients with at least one positive skin-prick test result and/or a high total IgE level with a positive history were considered to be in atopic status.


RESULTS
According to certain criteria, atopy was detected in 31 of 84 patients. Negative Phadiatop values were found in all non-atopic patients as well as in one atopic patient. Among 31 patients having atopy, 30 patients showed positive Phadiatop values (specificity 1.00, sensitivity 0.97, positive predictive value 1.00, negative predictive value 0.98).


CONCLUSIONS
These results indicate that Phadiatop is an effective test to detect atopy in patients with recurrent SOM.
Firat
Yezdan
Y
Department of Otolaryngology, Ankara Numune Training and Research Hospital, Ankara, Turkey. yezdanf@yahoo.com
Koç
Can
C
Olcay
Işil
I
Selçuk
Adin
A
Firat
Ahmet Kemal
AK
Ozdem
Cafer
C
D000328:Adult; D003876:Dermatitis, Atopic / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010034:Otitis Media with Effusion / Q000150:complications* / Q000473:pathology; D011237:Predictive Value of Tests; D012008:Recurrence; D012680:Sensitivity and Specificity; D012882:Skin Tests / Q000592:standards*; D014421:Turkey / Q000453:epidemiology
D007073:Immunoglobulin E