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