author_facet Bonadonna, P.
Zanotti, R.
Melioli, G.
Antonini, F.
Romano, I.
Lenzi, L.
Caruso, B.
Passalacqua, G.
Bonadonna, P.
Zanotti, R.
Melioli, G.
Antonini, F.
Romano, I.
Lenzi, L.
Caruso, B.
Passalacqua, G.
author Bonadonna, P.
Zanotti, R.
Melioli, G.
Antonini, F.
Romano, I.
Lenzi, L.
Caruso, B.
Passalacqua, G.
spellingShingle Bonadonna, P.
Zanotti, R.
Melioli, G.
Antonini, F.
Romano, I.
Lenzi, L.
Caruso, B.
Passalacqua, G.
Allergy
The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
Immunology
Immunology and Allergy
author_sort bonadonna, p.
spelling Bonadonna, P. Zanotti, R. Melioli, G. Antonini, F. Romano, I. Lenzi, L. Caruso, B. Passalacqua, G. 0105-4538 1398-9995 Wiley Immunology Immunology and Allergy http://dx.doi.org/10.1111/j.1398-9995.2012.02849.x <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Systemic mastocytosis (<jats:styled-content style="fixed-case">SM</jats:styled-content>) may be associated with hymenoptera allergy. In such cases, immunotherapy is a life‐saving treatment, but a circumstantiated diagnosis is needed for its prescription. Patients with <jats:styled-content style="fixed-case">SM</jats:styled-content> and previous reactions to stings, but with negative tests represent a diagnostic dilemma. The basophil activation test (<jats:styled-content style="fixed-case">BAT</jats:styled-content>) may be helpful in refining the diagnosis.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>We assessed the usefulness of <jats:styled-content style="fixed-case">BAT</jats:styled-content> in subpopulations of mastocytosis patients, including those with negative tests for insect allergy.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Within a population of patients with mastocytosis and previous stings, we studied by <jats:styled-content style="fixed-case">BAT</jats:styled-content> and augmented intradermal test (<jats:styled-content style="fixed-case">IDT</jats:styled-content>) (10 µg/ml) two groups: (1) with reactions to stings and negative tests; (2) without reactions and negative tests. Basophil activation test was performed with different venoms, assessing at flow cytometry basophils’ activation.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Sixty‐three patients had mastocytosis and 52 had reactions to previous hymenoptera stings. Of them, seven proved negative to diagnostic tests. In six of seven of those patients, BAT was negative with all venoms, and in one, basophils resulted activated also with the negative control. In six patients without previous reactions and negative tests, BAT was totally negative in five of six patients and weakly positive to Hornet in one. Finally, the <jats:styled-content style="fixed-case">IDT</jats:styled-content> at 10 µg/ml venom produced nonspecific positive results in most cases.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>In patients with mastocytosis, the negative results of standard tests are reliable, because <jats:styled-content style="fixed-case">BAT</jats:styled-content> and <jats:styled-content style="fixed-case">IDT</jats:styled-content> at higher concentration do not add useful information.</jats:p></jats:sec> The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting Allergy
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title The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_unstemmed The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_full The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_fullStr The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_full_unstemmed The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_short The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_sort the role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
topic Immunology
Immunology and Allergy
url http://dx.doi.org/10.1111/j.1398-9995.2012.02849.x
publishDate 2012
physical 962-965
description <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Systemic mastocytosis (<jats:styled-content style="fixed-case">SM</jats:styled-content>) may be associated with hymenoptera allergy. In such cases, immunotherapy is a life‐saving treatment, but a circumstantiated diagnosis is needed for its prescription. Patients with <jats:styled-content style="fixed-case">SM</jats:styled-content> and previous reactions to stings, but with negative tests represent a diagnostic dilemma. The basophil activation test (<jats:styled-content style="fixed-case">BAT</jats:styled-content>) may be helpful in refining the diagnosis.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>We assessed the usefulness of <jats:styled-content style="fixed-case">BAT</jats:styled-content> in subpopulations of mastocytosis patients, including those with negative tests for insect allergy.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Within a population of patients with mastocytosis and previous stings, we studied by <jats:styled-content style="fixed-case">BAT</jats:styled-content> and augmented intradermal test (<jats:styled-content style="fixed-case">IDT</jats:styled-content>) (10 µg/ml) two groups: (1) with reactions to stings and negative tests; (2) without reactions and negative tests. Basophil activation test was performed with different venoms, assessing at flow cytometry basophils’ activation.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Sixty‐three patients had mastocytosis and 52 had reactions to previous hymenoptera stings. Of them, seven proved negative to diagnostic tests. In six of seven of those patients, BAT was negative with all venoms, and in one, basophils resulted activated also with the negative control. In six patients without previous reactions and negative tests, BAT was totally negative in five of six patients and weakly positive to Hornet in one. Finally, the <jats:styled-content style="fixed-case">IDT</jats:styled-content> at 10 µg/ml venom produced nonspecific positive results in most cases.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>In patients with mastocytosis, the negative results of standard tests are reliable, because <jats:styled-content style="fixed-case">BAT</jats:styled-content> and <jats:styled-content style="fixed-case">IDT</jats:styled-content> at higher concentration do not add useful information.</jats:p></jats:sec>
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author Bonadonna, P., Zanotti, R., Melioli, G., Antonini, F., Romano, I., Lenzi, L., Caruso, B., Passalacqua, G.
author_facet Bonadonna, P., Zanotti, R., Melioli, G., Antonini, F., Romano, I., Lenzi, L., Caruso, B., Passalacqua, G., Bonadonna, P., Zanotti, R., Melioli, G., Antonini, F., Romano, I., Lenzi, L., Caruso, B., Passalacqua, G.
author_sort bonadonna, p.
container_issue 7
container_start_page 962
container_title Allergy
container_volume 67
description <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Systemic mastocytosis (<jats:styled-content style="fixed-case">SM</jats:styled-content>) may be associated with hymenoptera allergy. In such cases, immunotherapy is a life‐saving treatment, but a circumstantiated diagnosis is needed for its prescription. Patients with <jats:styled-content style="fixed-case">SM</jats:styled-content> and previous reactions to stings, but with negative tests represent a diagnostic dilemma. The basophil activation test (<jats:styled-content style="fixed-case">BAT</jats:styled-content>) may be helpful in refining the diagnosis.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>We assessed the usefulness of <jats:styled-content style="fixed-case">BAT</jats:styled-content> in subpopulations of mastocytosis patients, including those with negative tests for insect allergy.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Within a population of patients with mastocytosis and previous stings, we studied by <jats:styled-content style="fixed-case">BAT</jats:styled-content> and augmented intradermal test (<jats:styled-content style="fixed-case">IDT</jats:styled-content>) (10 µg/ml) two groups: (1) with reactions to stings and negative tests; (2) without reactions and negative tests. Basophil activation test was performed with different venoms, assessing at flow cytometry basophils’ activation.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Sixty‐three patients had mastocytosis and 52 had reactions to previous hymenoptera stings. Of them, seven proved negative to diagnostic tests. In six of seven of those patients, BAT was negative with all venoms, and in one, basophils resulted activated also with the negative control. In six patients without previous reactions and negative tests, BAT was totally negative in five of six patients and weakly positive to Hornet in one. Finally, the <jats:styled-content style="fixed-case">IDT</jats:styled-content> at 10 µg/ml venom produced nonspecific positive results in most cases.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>In patients with mastocytosis, the negative results of standard tests are reliable, because <jats:styled-content style="fixed-case">BAT</jats:styled-content> and <jats:styled-content style="fixed-case">IDT</jats:styled-content> at higher concentration do not add useful information.</jats:p></jats:sec>
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spelling Bonadonna, P. Zanotti, R. Melioli, G. Antonini, F. Romano, I. Lenzi, L. Caruso, B. Passalacqua, G. 0105-4538 1398-9995 Wiley Immunology Immunology and Allergy http://dx.doi.org/10.1111/j.1398-9995.2012.02849.x <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Systemic mastocytosis (<jats:styled-content style="fixed-case">SM</jats:styled-content>) may be associated with hymenoptera allergy. In such cases, immunotherapy is a life‐saving treatment, but a circumstantiated diagnosis is needed for its prescription. Patients with <jats:styled-content style="fixed-case">SM</jats:styled-content> and previous reactions to stings, but with negative tests represent a diagnostic dilemma. The basophil activation test (<jats:styled-content style="fixed-case">BAT</jats:styled-content>) may be helpful in refining the diagnosis.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>We assessed the usefulness of <jats:styled-content style="fixed-case">BAT</jats:styled-content> in subpopulations of mastocytosis patients, including those with negative tests for insect allergy.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Within a population of patients with mastocytosis and previous stings, we studied by <jats:styled-content style="fixed-case">BAT</jats:styled-content> and augmented intradermal test (<jats:styled-content style="fixed-case">IDT</jats:styled-content>) (10 µg/ml) two groups: (1) with reactions to stings and negative tests; (2) without reactions and negative tests. Basophil activation test was performed with different venoms, assessing at flow cytometry basophils’ activation.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Sixty‐three patients had mastocytosis and 52 had reactions to previous hymenoptera stings. Of them, seven proved negative to diagnostic tests. In six of seven of those patients, BAT was negative with all venoms, and in one, basophils resulted activated also with the negative control. In six patients without previous reactions and negative tests, BAT was totally negative in five of six patients and weakly positive to Hornet in one. Finally, the <jats:styled-content style="fixed-case">IDT</jats:styled-content> at 10 µg/ml venom produced nonspecific positive results in most cases.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>In patients with mastocytosis, the negative results of standard tests are reliable, because <jats:styled-content style="fixed-case">BAT</jats:styled-content> and <jats:styled-content style="fixed-case">IDT</jats:styled-content> at higher concentration do not add useful information.</jats:p></jats:sec> The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting Allergy
spellingShingle Bonadonna, P., Zanotti, R., Melioli, G., Antonini, F., Romano, I., Lenzi, L., Caruso, B., Passalacqua, G., Allergy, The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting, Immunology, Immunology and Allergy
title The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_full The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_fullStr The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_full_unstemmed The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_short The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_sort the role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
title_unstemmed The role of basophil activation test in special populations with mastocytosis and reactions to hymenoptera sting
topic Immunology, Immunology and Allergy
url http://dx.doi.org/10.1111/j.1398-9995.2012.02849.x