Quantitative Skin Testing for Allergy: IDT and MQT

Quantitative Skin Testing for Allergy: IDT and MQT

by Bradley F. Marple
     
 

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Written by leading experts in the field, Quantitative Skin Testing for Allergy: IDT and MQT provides an invaluable guide to using quantitative skin testing methods in a modern allergy practice. The book reviews the well-established methodologies of intradermal dilutional testing (IDT) and prick testing and then goes on to describe the indications and…  See more details below

Overview

Written by leading experts in the field, Quantitative Skin Testing for Allergy: IDT and MQT provides an invaluable guide to using quantitative skin testing methods in a modern allergy practice. The book reviews the well-established methodologies of intradermal dilutional testing (IDT) and prick testing and then goes on to describe the indications and techniques for blending these approaches through modified quantitative testing (MQT). Each method is presented in a concise way, guiding readers from preparation, to application of controls, to application of antigen, and to titration. Features:

  • Coverage of the full range of skin testing techniques allows the reader to compare and contrast various methods to determine which is appropriate for each patient
  • Succinct text outlines rationale, technique, and interpretation of the various methods described in the book
  • Practical tips on selecting appropriate allergens
  • Guidelines for how to prevent and manage allergic emergencies
  • Advice on how to set up and prepare the allergy office
  • A glossary of common terms in otolaryngic allergy--ideal for quick reference and review
  • Otolaryngologists, residents, and nurses seeking to expand and improve their techniques in diagnosing allergies will appreciate this handbook. The book also serves as a valuable preparation aid for the fellowship exam of the American Academy of Otolaryngic Allergy.

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    Editorial Reviews

    Reviewer:David C. Sutherland, MB ChB, BSc, FR(Nineways Specialist Clinic)
    Description:This slim paperback on quantitative skin testing is set out in a logical fashion with a reasonably comprehensive index and two appendixes, the first of which is a glossary which does not describe commonly used immunological terms with an acceptable degree of precision.
    Purpose:The authors set out to provide a simple guide for otorhinolaryngologists who wish to undertake quantitative skin testing for allergies. These objectives are met. However, such testing is not evidence-based and would not be recommended by clinicians in the field. The work is based on two assumptions. The first is that there is a separate subdiscipline referred to by the authors as "otolaryngic allergy." This notion would not gain wide acceptance outside this particular group of enthusiasts. The second is that the form of testing advocated (intradermal dilutional testing based on the Rinkel method or end point titration) confers quantitative information useful in the diagnosis and management of allergic disease. The authors offer no evidence for such claims, and there is none in the peer reviewed scientific literature. This is conceded by one of the contributors: "In this era of evidence-based medicine, it is unfortunate that much of our information is still based on the reported anecdotal experience of Herbert Rinkel. Fortunately, he proved to be a very astute observer, and most of his recommendations have stood the test of time thus far.
    Audience:The book is designed for otorhinolaryngologists who wish to include this form of skin testing in their diagnostic repertoire.
    Features:The authors have provided a simple and readily understood guide to the quantitative skin test practices they espouse. Unfortunately, these practices are not evidence based, and so cannot be recommended. Apart from problems with precision in the definition of immunological terms in appendix one, the immunology is deficient in other ways. For example, mast cell activation is referred to as "mast cell dissolution" (page 24), and the list of drugs said to interfere with skin testing includes "decongestants (topical or systemic), bronchodilators, corticosteroids (topical or systemic)...." It has been well demonstrated that these agents do not interfere with skin prick testing. There are a few black-and-white photographs relating to the setting up of a practice for skin testing, but the book lacks other illustrations. Tables have a grey background and are not particularly easy to read.
    Assessment:This book would be of interest to medical historians, particularly those studying the impediments to the widespread adoption of evidence-based medicine. Others would be better served by obtaining a free download of the manual on skin prick testing prepared by the Australasian Society of Clinical Immunology and Allergy (www.allergy.org.au). No doubt other learned societies have similar position papers.

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    Product Details

    ISBN-13:
    9781604065213
    Publisher:
    Thieme
    Publication date:
    01/01/2011
    Sold by:
    Barnes & Noble
    Format:
    NOOK Book
    Pages:
    120
    File size:
    2 MB

    Related Subjects

    Meet the Author

    Dept. of Otolaryngology at University of Texas Southwestern Medical Center, Dallas, TX, USA
    Clinical Professor of Otolaryngology-Head and Neck Surgery at University of Texas Southwestern Medical Center, Dallas, TX, USA

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