PMID- 18221462 OWN - NLM STAT- MEDLINE DCOM- 20090601 LR - 20080516 IS - 1399-3038 (Electronic) IS - 0905-6157 (Linking) VI - 19 IP - 4 DP - 2008 Jun TI - Use of Phadiatop Infant in diagnosis of specific sensitization in young children with wheeze or eczema. PG - 337-41 LID - 10.1111/j.1399-3038.2007.00649.x [doi] AB - 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. FAU - Lau, Susanne AU - Lau S AD - Charite Medical University, Department of Pediatric Pneumology and Immunology, Berlin, Germany. susanne.lau@charite.de FAU - Nilsson, Monika AU - Nilsson M FAU - Sulser, Claudia AU - Sulser C FAU - Schulz, Gabriele AU - Schulz G FAU - Borres, Magnus P AU - Borres MP FAU - Wahn, Ulrich AU - Wahn U LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080124 PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Child, Preschool MH - Eczema/blood/*diagnosis/*epidemiology MH - Female MH - Humans MH - Immunization MH - Immunoglobulin E/*blood/immunology MH - Infant MH - Male MH - Predictive Value of Tests MH - Respiratory Sounds/*diagnosis/immunology MH - Risk Factors MH - Sensitivity and Specificity MH - Sweden EDAT- 2008/01/29 09:00 MHDA- 2009/06/02 09:00 CRDT- 2008/01/29 09:00 PHST- 2008/01/29 09:00 [pubmed] PHST- 2009/06/02 09:00 [medline] PHST- 2008/01/29 09:00 [entrez] AID - PAI649 [pii] AID - 10.1111/j.1399-3038.2007.00649.x [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2008 Jun;19(4):337-41. doi: 10.1111/j.1399-3038.2007.00649.x. Epub 2008 Jan 24.