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
Session: The development of allergic sensitization / asthma in children
Session type: Thematic Poster Session
Number: 785
Disease area: Airway diseases

Congress or journal article abstract

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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