EPIDEMIOLOGY <<Back
 
 
009
ENHANCING OF TUBERCULIN ALLERGY BY PREVIOUS TUBERCULIN TESTS
Raj Narain, SS Nair, G Ramanatha Rao, P Chandrasekhar & Pyare Lal: Indian J TB 1966, 13, 43-56; Tables i-vii.

Tuberculin tests repeated after an interval of time, at a different site have been reported to elicit reactions larger than the first test. A study was undertaken where reactors of 13mm or less to 1 TU have been tested with 20TU for the study of low grade reactions. Study was carried out in a previously untested and unvaccinated rural population (Longitudinal Survey), where only about 25% of the population showed 14mm or more to 1 TU and the remaining about 60% showed 10mm or larger reactions to 20 TU. These results confirm the high prevalence of non-specific allergy in the area.

It was found that a tuberculin test does enhance the allergy elicited by a subsequent test. The enhancing effect is associated with the initial allergy i,e., 8-13mm to 1 TU tuberculin, especially those elicited by a 20 TU test, increase being almost confined to those with 10mm and larger reactions to 20 TU. The enhancing effect increases with increase in age especially among those with 10mm or bigger reactions to 20 TU. It is possible that the enhancing effect is more in communities with high prevalence of non-specific allergy.

KEY WORDS: TUBERCULIN REACTION, ENHANCEMENT, NON SPECIFIC ALLERGY, INFECTION, M.TUBERCULOSIS, NTM.
 
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