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Predictive Accuracy of Total IgE in Detection of Inhalant Allergens Sensitization

Received: 11 March 2016    Accepted: 30 March 2016    Published: 25 April 2016
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Abstract

Background: The role of total IgE (TIGE) in detecting inhalant allergens (IA) sensitization in asthmatics is controversial and frequently underestimated. Objective: To test the relationship between TIGE and IA sensitization in asthmatics. Methods: One year duration cross-sectional study commencing from January in 2014. 118 asthmatics with mean age of 30±15 years collected from King Abdulaziz University Hospital (KAUH). TIGE and skin prick test (SPT) was done. Data were statistically analyzed by statistical package for the social sciences program (SPSS). Two by two tables was done to correlate TIGE and IAs sensitization. Sensitivity, specificity, positive predictive values (+PV) and negative predictive values (–PV) were calculated. Results: SPSS two by two tables was used to correlate TIGE with IA sensitization by sensitivity, specificity and predictive values. TIGE versus mites showed high sensitivity: Dermatophagoides pteronyssinus (DP) 80.3, Dermatophagoides farina (DF) 83.7 and low (specificity, +PV and –PV). TIGE versus mold showed high –PV to (Aspergillus 82.1, Cladosporium 78.5) and low (sensitivity, specificity and +PV). TIGE versus German cockroach showed high sensitivity 90 and high –PV 92.8, however both specificity and +PV were low. All the values were statistically significant with P values below 0.05. Conclusion: Raised TIGE in asthmatics is of value in predicting dust mites and cockroach sensitization and exclusion of mold sensitization. High TIGE in asthmatics almost certainly mean the presence of mite sensitization. Conversely, normal TIGE in asthmatics can exclude mold sensitization. TIGE have both roles with German cockroach (highly sensitive, high –PV).

Published in Journal of Family Medicine and Health Care (Volume 2, Issue 1)
DOI 10.11648/j.jfmhc.20160201.12
Page(s) 6-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Allergy, Total IgE, Inhalant Allergen, Sensitization, Atopy, Skin Prick Test

References
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  • APA Style

    Moufag M. S. Tayeb, Majdy M. Qutu. (2016). Predictive Accuracy of Total IgE in Detection of Inhalant Allergens Sensitization. Journal of Family Medicine and Health Care, 2(1), 6-9. https://doi.org/10.11648/j.jfmhc.20160201.12

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    ACS Style

    Moufag M. S. Tayeb; Majdy M. Qutu. Predictive Accuracy of Total IgE in Detection of Inhalant Allergens Sensitization. J. Fam. Med. Health Care 2016, 2(1), 6-9. doi: 10.11648/j.jfmhc.20160201.12

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    AMA Style

    Moufag M. S. Tayeb, Majdy M. Qutu. Predictive Accuracy of Total IgE in Detection of Inhalant Allergens Sensitization. J Fam Med Health Care. 2016;2(1):6-9. doi: 10.11648/j.jfmhc.20160201.12

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  • @article{10.11648/j.jfmhc.20160201.12,
      author = {Moufag M. S. Tayeb and Majdy M. Qutu},
      title = {Predictive Accuracy of Total IgE in Detection of Inhalant Allergens Sensitization},
      journal = {Journal of Family Medicine and Health Care},
      volume = {2},
      number = {1},
      pages = {6-9},
      doi = {10.11648/j.jfmhc.20160201.12},
      url = {https://doi.org/10.11648/j.jfmhc.20160201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20160201.12},
      abstract = {Background: The role of total IgE (TIGE) in detecting inhalant allergens (IA) sensitization in asthmatics is controversial and frequently underestimated. Objective: To test the relationship between TIGE and IA sensitization in asthmatics. Methods: One year duration cross-sectional study commencing from January in 2014. 118 asthmatics with mean age of 30±15 years collected from King Abdulaziz University Hospital (KAUH). TIGE and skin prick test (SPT) was done. Data were statistically analyzed by statistical package for the social sciences program (SPSS). Two by two tables was done to correlate TIGE and IAs sensitization. Sensitivity, specificity, positive predictive values (+PV) and negative predictive values (–PV) were calculated. Results: SPSS two by two tables was used to correlate TIGE with IA sensitization by sensitivity, specificity and predictive values. TIGE versus mites showed high sensitivity: Dermatophagoides pteronyssinus (DP) 80.3, Dermatophagoides farina (DF) 83.7 and low (specificity, +PV and –PV). TIGE versus mold showed high –PV to (Aspergillus 82.1, Cladosporium 78.5) and low (sensitivity, specificity and +PV). TIGE versus German cockroach showed high sensitivity 90 and high –PV 92.8, however both specificity and +PV were low. All the values were statistically significant with P values below 0.05. Conclusion: Raised TIGE in asthmatics is of value in predicting dust mites and cockroach sensitization and exclusion of mold sensitization. High TIGE in asthmatics almost certainly mean the presence of mite sensitization. Conversely, normal TIGE in asthmatics can exclude mold sensitization. TIGE have both roles with German cockroach (highly sensitive, high –PV).},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Predictive Accuracy of Total IgE in Detection of Inhalant Allergens Sensitization
    AU  - Moufag M. S. Tayeb
    AU  - Majdy M. Qutu
    Y1  - 2016/04/25
    PY  - 2016
    N1  - https://doi.org/10.11648/j.jfmhc.20160201.12
    DO  - 10.11648/j.jfmhc.20160201.12
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
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    EP  - 9
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20160201.12
    AB  - Background: The role of total IgE (TIGE) in detecting inhalant allergens (IA) sensitization in asthmatics is controversial and frequently underestimated. Objective: To test the relationship between TIGE and IA sensitization in asthmatics. Methods: One year duration cross-sectional study commencing from January in 2014. 118 asthmatics with mean age of 30±15 years collected from King Abdulaziz University Hospital (KAUH). TIGE and skin prick test (SPT) was done. Data were statistically analyzed by statistical package for the social sciences program (SPSS). Two by two tables was done to correlate TIGE and IAs sensitization. Sensitivity, specificity, positive predictive values (+PV) and negative predictive values (–PV) were calculated. Results: SPSS two by two tables was used to correlate TIGE with IA sensitization by sensitivity, specificity and predictive values. TIGE versus mites showed high sensitivity: Dermatophagoides pteronyssinus (DP) 80.3, Dermatophagoides farina (DF) 83.7 and low (specificity, +PV and –PV). TIGE versus mold showed high –PV to (Aspergillus 82.1, Cladosporium 78.5) and low (sensitivity, specificity and +PV). TIGE versus German cockroach showed high sensitivity 90 and high –PV 92.8, however both specificity and +PV were low. All the values were statistically significant with P values below 0.05. Conclusion: Raised TIGE in asthmatics is of value in predicting dust mites and cockroach sensitization and exclusion of mold sensitization. High TIGE in asthmatics almost certainly mean the presence of mite sensitization. Conversely, normal TIGE in asthmatics can exclude mold sensitization. TIGE have both roles with German cockroach (highly sensitive, high –PV).
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Family Medicine, Faculty of Medicine, Jeddah University, Jeddah, Saudi Arabia

  • Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

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