Response to tuberculin test in patients with bronchial asthma
T. Morali, Z. Karakurt, S. Bo[gu]a, A. Selvi, H. Türker (Istanbul, Turkey)
Source: Annual Congress 2002 - The development of allergic sensitization / asthma in children
Disease area: Airway diseases
Abstract An inverse association between tuberculin responses and atopy has been reported. The increased incidence of exposure to Mycobacterium tuberculosis without clinical disease, may influence the T helper lymphocyte balance with decreased atopy as a result Objective To evaluate the relation between PPD test results and atopy in patients with bronchial asthma. Methods Study design: Prospective clinic study. A hundered and thirty eight asthmatic (according to GINA criteria ) adults were enrolled into our study. Ninety two (66%) asthmatics were female, mean age and minimum –maximum range, 36±]10, (14-56) year, respectively and 46 (34%) asthmatics were male and mean age was 37±]10, (14-55) year. Duration of asthma, number of BCG scars, pric test results, specific Ig E as (+) or (-) results and jobs of patients were recorded. Five unit tuberculin were performed to all asthmatics and their results were evaluated within 48-72 hours and more than 10 mm enduration were accepted as a positive PPD results. Results PPD results for all asthmatics was 11,4±]7,0; (1-25) mm. According to PPD results patients were diveded into 3 groups: group I, 1-4 mm PPD; group II. 5-9 mm PPD; group III, ³10 mm PPD. The results of PPD in three groups as follows; group I, 1,1±]0,6 mm (n=30), group II, 7,4±]0,7 mm (n=17), group III. 15,6±]4,3 mm (n=91). The atopic and non-atopic asthmatics were 50.7% (n=70), 49,3 (n=68) respectively. There was significant and negative correlation between atopy and tuberculin response in asthmatics (r=-0.21, p=0.012). Conclusions In our clinic, there was a good negative correlation between atopy and PPD results in asthmatics.In our study suggest that it might be a protective way of development of atopy by exposing Mycobacterium tuberculosis in our asthmatic groups.
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T. Morali, Z. Karakurt, S. Bo[gu]a, A. Selvi, H. Türker (Istanbul, Turkey). Response to tuberculin test in patients with bronchial asthma. Eur Respir J 2002; 20: Suppl. 38, 785
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