title: Six Mantoux tuberculin skin tests with 1, 2, 5, 10, 20, and 50 units in a healthy male without side-effects - is skin reaction a linear function of tuberculin dose?
abstract: BACKGROUND
  Tuberculosis remains a serious disease worldwide. Anti-tuberculosis campaigners many times face negative tuberculin skin tests after Bacille Calmette Guérin vaccination. Increasing tuberculin units might be a solution. However, is skin reaction a linear function of tuberculin dose? Are there any side-effects when higher tuberculin doses are administered?
  
  
  METHODS
  Six simultaneous Mantoux tuberculin skin tests, using 1, 2, 5, 10, 20, and 50 tuberculin units (88 altogether) of purified protein derivative RT23 per 0.1 mL were applied in a healthy male Greek 35-years-old, with known natural Mycobacterium tuberculosis primary infection since five years. Skin indurations 72 hours later were 15, 22, 23, 19, 23, and 27 mm respectively.
  
  
  CONCLUSIONS
  No linear relation between tuberculin dose and skin reaction observed; skin reaction increased as tuberculin dose increased but with a decreasing rate, especially after 2 TUs, which seem correctly defined for detection of natural infection. No side-effects occurred.
authors: Department of Hygiene & Epidemiology, Ioannina University Medical School, University campus, 45110, Ioannina, Greece. idimoliatis@gmail.com.
authors: Ioannis Dk
authors: ID
authors: Dimoliatis
authors: Christos A
authors: CA
authors: Liaskos