PMID- 28814355 OWN - NLM STAT- MEDLINE DCOM- 20180423 LR - 20181202 IS - 1539-6304 (Electronic) IS - 1088-5412 (Linking) VI - 38 IP - 5 DP - 2017 Sep 1 TI - Der p 1 and Der p 2 specific immunoglobulin E measurement for diagnosis of Dermatophagoides pteronyssinus allergy: A systematic review and meta-analysis. PG - 333-342 LID - 10.2500/aap.2017.38.4073 [doi] AB - BACKGROUND: A clinical history of allergic symptoms and a skin-prick test with house-dust mite crude extracts are standard diagnostic procedures for Dermatophagoides pteronyssinus allergy. Specific immunoglobulin E (IgE) responses to Der p 1 and Der p 2 allergens have been used for the diagnosis of D. pteronyssinus allergy; however, evaluation of the diagnostic performance of Der p 1 and Der p 2 specific IgE (sIgE) produced inconsistent findings. We sought to evaluate the diagnostic accuracy of Der p 1 sIgE and Der p 2 sIgE measurement in the diagnosis of D. pteronyssinus allergy by performing a systematic review and meta-analysis of previously published studies. METHODS: Several medical literature electronic data bases were searched for related literature published through August 1, 2016. A bivariate model was used to pool estimates of sensitivity, specificity, diagnostic odds ratio, and area under the summary receiver operating curves as the main diagnostic measures. RESULTS: Eight studies, which involved 1095 patients, were included in our analysis. The pooled estimates of sensitivity, specificity, and diagnostic odds ratio for Der p 1 were 0.84, 0.97, and 166.57, respectively. The combined results for Der p 2 were a sensitivity of 0.87, specificity of 1.00, and a diagnostic odds ratio of 17342.35. The areas under the summary receiver operating curves for Der p 1 sIgE and Der p 2 sIgE were 0.94 and 0.98, respectively. CONCLUSION: Our results supported the use of Der p 1 and Der p 2 sIgE in the diagnosis of D. pteronyssinus allergy. Both displayed good diagnostic performance and would be useful in a clinical setting in the accurate diagnosis of dust mite allergy. FAU - Tian, Man AU - Tian M FAU - Zhou, Ying AU - Zhou Y FAU - Zhang, Wenxin AU - Zhang W FAU - Cui, Yubao AU - Cui Y LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review PL - United States TA - Allergy Asthma Proc JT - Allergy and asthma proceedings JID - 9603640 RN - 0 (Allergens) RN - 0 (Antigens, Dermatophagoides) RN - 0 (Arthropod Proteins) RN - 0 (Dermatophagoides pteronyssinus antigen p 2) RN - 37341-29-0 (Immunoglobulin E) RN - EC 3.4.22.- (Cysteine Endopeptidases) RN - EC 3.4.22.- (Dermatophagoides pteronyssinus antigen p 1) SB - IM CIN - Allergy Asthma Proc. 2017 Sep 1;38(5):331-332. PMID: 28814354 MH - Allergens/*immunology MH - Animals MH - Antibody Specificity/immunology MH - Antigens, Dermatophagoides/*immunology MH - Arthropod Proteins/*immunology MH - Cysteine Endopeptidases/*immunology MH - Dermatophagoides pteronyssinus/*immunology MH - Humans MH - Hypersensitivity/*diagnosis/*immunology MH - Immunoglobulin E/blood/*immunology MH - Odds Ratio MH - Publication Bias MH - ROC Curve MH - Regression Analysis MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Skin Tests EDAT- 2017/08/18 06:00 MHDA- 2018/04/24 06:00 CRDT- 2017/08/18 06:00 PHST- 2017/08/18 06:00 [entrez] PHST- 2017/08/18 06:00 [pubmed] PHST- 2018/04/24 06:00 [medline] AID - 10.2500/aap.2017.38.4073 [doi] PST - ppublish SO - Allergy Asthma Proc. 2017 Sep 1;38(5):333-342. doi: 10.2500/aap.2017.38.4073.