中华临床免疫和变态反应杂志2024,Vol.18Issue(3):209-214,6.DOI:10.3969/j.issn.1673-8705.2024.03.001
过敏性疾病实验室诊断中的误诊风险与临床策略
Risks of diagnostic errors and clinical methodologies in laboratory assessment of allergic disorders
摘要
Abstract
The incidence of allergic diseases has been escalating annually,yet advancements in diag-nostic methodologies have remained stagnant.Allergic reactions involve intricate interactions among various im-mune cells and molecular entities.The inability to pinpoint specific allergens does not preclude the diagnosis of allergic conditions,nor does the identification of specific allergens invariably lead to allergic manifesta-tions.Allergen challenge tests are regarded as the"gold standard"for diagnosis,whereas allergen-specific IgE(sIgE)assays are utilized to evaluate sensitization status rather than to directly diagnose allergic disorders.Component-resolved diagnostic techniques employ specific native allergen proteins or recombinant al-lergen components to identify principal allergens,with due consideration given to small-molecule allergens.During the diagnostic process,clinicians must integrate the patient's clinical presentation,medical history,and comprehensive test results to arrive at a definitive diagnosis.关键词
过敏性疾病/误诊风险/临床策略Key words
allergic diseases/risk of misdiagnosis/clinical strategies引用本文复制引用
谢华..过敏性疾病实验室诊断中的误诊风险与临床策略[J].中华临床免疫和变态反应杂志,2024,18(3):209-214,6.基金项目
辽宁省民生科技计划项目(2021JH2/10300022) Liaoning Province Science and Technology Planning Project(2021JH2/10300022) (2021JH2/10300022)