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变态反应的诊断,根据血清免疫球蛋白的含量或免疫学的其他有关指标确定(Dalessio等,1979)。Monro等(1980)曾谓偏头痛与IgE介导的食物变态反应之间有联系,当避免食用该食物时,26例中有23例头痛改善。放射变应原吸附试验(RAST)的发展,已证实特异性IgE抗体在IgE介导的变态反应的诊断和治疗中,具有重要作用。作者曾有效地治疗了以IgE介导的变应性复发性鼻窦炎和咽扁挑体炎。本文用免疫疗法对34例由IgE介导的变态反应性慢性头痛病人进行治疗,他们均经纸片放射免疫吸附试验(PRIST)测定总IgE含量及改良放射变应原吸附试验(MRT)测定特异性IgE抗体。MRT的结果分为5级,1级为可疑;2～5级均为阳性。血清中总IgE含量升高的
The diagnosis of allergy is based on serum immunoglobulin levels or other relevant immunological markers (Dalessio et al., 1979). Monro et al. (1980) have described a link between migraine and IgE-mediated food allergy, and 23 of 26 cases improved headache when avoiding the food. Radiological Allergen Absorption Assay (RAST) development has demonstrated the specific role of IgE antibodies in the diagnosis and treatment of IgE-mediated allergic reactions. The authors have effectively treated IgE-mediated allergic recurrent sinusitis and pharyngeal tuberculosis. Thirty-four patients with IgE-mediated allergic chronic headache were treated with immunotherapy. All of them had specific IgE levels measured by radioimmunoassay (PRIST) and modified radioimmunoassay (MRT) assays IgE antibodies. MRT results are divided into 5 levels, 1 for the suspicious; 2 to 5 were positive. Serum total IgE levels increased