PMID- 16447919 OWN - NLM STAT- MEDLINE DCOM- 20060223 LR - 20190117 IS - 1726-4901 (Print) IS - 1726-4901 (Linking) VI - 69 IP - 1 DP - 2006 Jan TI - Comparison of the skin test and ImmunoCAP system in the evaluation of mold allergy. PG - 3-6 AB - BACKGROUND: Mold is ubiquitous in our environment and is a common allergen in allergic diseases. The skin test and the Pharmacia ImmunoCAP system (CAP) for assay-specific immunoglobulin E (IgE) antibodies are both widely used. The goal of this study was to compare the performance of the skin test and CAP in the evaluation of mold allergy. METHODS: Patients with allergic rhinitis were enrolled at our outpatient department. The diagnosis of allergic rhinitis was based on typical symptoms for more than 2 years. All patients were tested by both intradermal skin test and serum assay for specific IgE antibodies. The skin test included house dust, cotton, ragweed, and 5 fungal antigens (Candida, Alternaria, Aspergillus, Cladosporium, and Penicillium). The serum-specific IgE antibodies were quantified using the radioimmunoassay version of CAP. RESULTS: Seventy-five patients (44 males and 31 females) with allergic rhinitis were enrolled in this study. Their ages ranged from 12 to 76 years old, with a mean of 31.9 years. The positive rates of skin test and CAP were 56.0% versus 9.3% for Candida, 22.7% versus 1.3% for Alternaria, 16% versus 9.3% for Aspergillus, 14.7% versus 1.3% for Cladosporium, and 32% versus 8% for Penicillium. There were statistically significant differences between the positive rates for Candida, Alternaria, Cladosporium, and Penicillium when analyzed by the McNemar test. CONCLUSION: The positive rate of the skin test is higher than CAP when evaluating mold allergy. Clinicians should note that a discrepancy may exist between the results of in vitro and in vivo tests when evaluating mold allergy. FAU - Liang, Kai-Li AU - Liang KL AD - Department of Otolaryngology, Taichung Veterans General Hospital, Taiwan, ROC. FAU - Su, Mao-Chang AU - Su MC FAU - Jiang, Rong-San AU - Jiang RS LA - eng PT - Comparative Study PT - Journal Article PL - Netherlands TA - J Chin Med Assoc JT - Journal of the Chinese Medical Association : JCMA JID - 101174817 RN - 37341-29-0 (Immunoglobulin E) SB - IM CIN - J Chin Med Assoc. 2006 Jan;69(1):1-2. PMID: 16447918 MH - Adolescent MH - Adult MH - Aged MH - Child MH - Female MH - Fungi/*immunology MH - Humans MH - Hypersensitivity/*diagnosis MH - Immunoglobulin E/*blood MH - Male MH - Middle Aged MH - Skin Tests/*methods EDAT- 2006/02/02 09:00 MHDA- 2006/02/24 09:00 CRDT- 2006/02/02 09:00 PHST- 2006/02/02 09:00 [pubmed] PHST- 2006/02/24 09:00 [medline] PHST- 2006/02/02 09:00 [entrez] AID - S1726-4901(09)70103-0 [pii] AID - 10.1016/S1726-4901(09)70103-0 [doi] PST - ppublish SO - J Chin Med Assoc. 2006 Jan;69(1):3-6. doi: 10.1016/S1726-4901(09)70103-0.