Kožní testyKOŽNÍ TESTY
Kožní testy patří mezi jednu ze základních vyšetřovacích metod v alergologii. Pomocí kožních testů lze prokázat senzibilizaci vůči danému alergenu, který byl pro test použit. Před tímto vyšetřením je nutné nepoužívat žádné léky, které by mohly výsledek testu ovlivnit. Léky je třeba před testem vysadit. Doba, po kterou musí být léky vysazeny se určuje podle farmakokinetických vlastností léků. Výsledek testu mohou ovlivnit i některá onemocnění.
V alergologii se používají převážně testy k zjištění přecitlivělosti I. typu, t.j přecitlivělosti zprostředkované protilátkou ze třídy IgE. Nejčastěji je v posledních letech používán tzv. prick test (PKT, SPT).
Test se provádí v době, kdy není imunitní systém zatěžován (např. akutní infekcí ) a po vyloučení všech momentů, které by mohly ovlivnit jeho výsledek. Po dezinfekci kůže desinfekčním roztokem, který nebarví, se na kůži nanese kapička alergenu. Alergen pro tento účel je připraven některým z výrobců alergenů podle zásad správné výrobní praxe. Po nanesení alergenu na kůži se jemně naruší pokožka sterilní umělohmotnou nebo kovovou lancetou. V případě, že je test pozitivní, objeví se kožní reakce. Reakce se objevuje velmi rychle a odečítá se do 20 minut. Na pokožce se objeví svědivý pupen s okolním zarudnutím.
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)