Russian Journal of AllergyRussian Journal of AllergyРоссийский Аллергологический Журнал1810-88302686-682XPublishing House ABV Press52310.36691/RJA523ArticlesСтатьиResearch ArticleAllergen-specific skin prick tests in allergist practiceАллерген-специфические кожные пробы уколом (prick-tests) в работе врача-аллергологаGushchinI SГущинИгорь Сергеевичigushchin@yandex.ruDanilychevaI VДанилычеваИ ВInstitute of ImmunologyФГБУ «ГНЦ Институт иммунологии» ФМБА России15082013104NO4 (2013)№4 (2013)445310032020Copyright ©; 2013, Pharmarus Print MediaCopyright ©; 2013, Фармарус Принт Медиа2013Pharmarus Print MediaФармарус Принт Медиаhttps://rusalljournal.ru/raj/article/view/523

Identification of patient’s allergen-specific hypersensitivity and its clinical value is a basis of the right choice allergen-specific treatment. The problem is solved by an allergist with the use of different diagnostic methods. The most important stage of diagnostics is an allergen-specific skin testing more widely used as a skin prick testing (SPT). The paper concerns SPT technique, indications and contraindications for the testing, interpretations of SPT results, performance at certain groups of patients, the most probable mistakes in carrying out SPT, the reasons of false positive and false negative results, a comparative assessment of SPT and other methods of allergen-specific diagnostics, requirements to allergenic extracts.

Выявление аллерген-специфической гиперчувствительности пациента и ее клинического значения является основой правильного выбора аллерген-специфического лечения. Эта задача решается врачом-аллергологом с помощью использования разных диагностических приемов. Важнейшим этапом диагностики остается аллерген-специфическое кожное тестирование с использованием кожных проб уколом (КПУ). В статье рассматриваются особенности методики проведения КПУ, интерпретации результатов, особенностей выполнения КПУ у определенных групп пациентов, наиболее вероятные ошибки в проведении КПУ, причины ложноположительных и ложноотрицательных результатов, сравнительная оценка КПУ и других методов аллерген-специфической диагностики, требования к аллергенным экстрактам.

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