Skin prick test: the only predictive tool of anaphylaxis? A case report.
Currently, in the literature there is a lack of definite predictive values parameters to identify patients with the risk to develop anaphylaxis. The controlled oral food challenge remains the gold standard for food allergy diagnosis. We report a case of a girl allergic to cow's milk with low levels of specific IgE and large skin prick test wheal sizes for cow's milk. In some cases the high diameter of skin prick test wheal may be more reliable than specific IgE levels in predicting an anaphylactic reaction.
Pediatric Unit, Department of Gynecologic, Obstetric and Pediatric Sciences, University of Bologna, Bologna, Italy.
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Giannetti
Research Centre, Department of Pediatric Allergy, San Pietro Hospital - Fatebenefratelli, Rome, Italy.
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Meglio
Pediatric Unit, Department of Gynecologic, Obstetric and Pediatric Sciences, University of Bologna, Bologna, Italy. giampaolo.ricci@unibo.it.
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Ricci
D000328:Adult; D000707:Anaphylaxis / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D016269:Milk Hypersensitivity / Q000175:diagnosis*; D012882:Skin Tests / Q000379:methods*
D007073:Immunoglobulin E
Skin prick test; anaphylaxis; atopic dermatitis; cow’s milk; specific immunoglobulin E antibodies