Use of Phadiatop Infant in diagnosis of specific sensitization in young children with wheeze or eczema.
Wheezing and eczema are common symptoms in young children and it is important to disclose sensitization for correct management. The objective of this study was to assess the diagnostic values of Phadiatop Infant, an in vitro test for graded determination of immunoglobulin E (IgE) antibodies to food and inhalant allergens. One-hundred and forty-nine children (median age 1.4 yr) with symptoms of wheezing (51%) eczema (28%) or a combination of both (21%) were classified as atopic or non-atopic based on case history, atopic history, physical examination and determination of IgE antibodies. The clinical performance of Phadiatop Infant was evaluated for 145 children against this classification in a blinded manner to the allergist. Fifty-one children were classified as atopic of which Phadiatop Infant identified 49. Ninety-four were non-atopic of which the test identified 90. This resulted in a sensitivity of 96%, a specificity of 96%, a positive and a negative predictive value of 94% and 98%, respectively. Logistic regression showed that probability had to be assessed as atopic increased with increasing Phadiatop Infant values. These results suggest that Phadiatop Infant can be recommended as an adjunct to the clinical information in the differential diagnosis on IgE-mediated allergy in young children. The test thus provides an opportunity for early correct diagnosis and identification of subjects at risk for whom intervention may be necessary.
Lau
Susanne
S
Charité Medical University, Department of Pediatric Pneumology and Immunology, Berlin, Germany. susanne.lau@charite.de
Nilsson
Monika
M
Sulser
Claudia
C
Schulz
Gabriele
G
Borres
Magnus P
MP
Wahn
Ulrich
U
D002675:Child, Preschool; D004485:Eczema / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007114:Immunization; D007073:Immunoglobulin E / Q000097:blood* / Q000276:immunology; D007223:Infant; D008297:Male; D011237:Predictive Value of Tests; D012135:Respiratory Sounds / Q000175:diagnosis* / Q000276:immunology; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013548:Sweden
D007073:Immunoglobulin E