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Biomedical subjects

M Drouet

Publications and source records attributed to M Drouet.

At least 109 records · Page 6Linked to original sources
PubMed1994

[Dynamic diagnosis of allergy by the sequential measurement of mediators: apropos of a case of food allergy].

Objective improvement in the diagnosis of immuno-allergology can only be obtained by application of reliable and reproducible immuno-biological methods, but until now, only measurements of total and specific IgE can be used and this has certain limitations. Presence of specific serum IgE, correlated with skin tests, favours a sensitization and implies nothing about the responsibility of the allergens. This is why we must consider if a definite improvement of diagnostic methods can be obtained by measurement of mediators. From an observation of food allergy to pork meat, we now show that it is possible to use sequential measurements of the mediators plasma histamine and urinary methylhistamine, ECP and serum tryptase to refine the diagnosis and provide proof of the responsibility of the food allergen. We report here a didactic observation which is characterised by reproducibility and specificity of the measurements. It illustrates the progress in diagnostic methods in allergy: we give a statistical diagnosis by measurement of antibodies and a dynamic diagnosis by measurement of mediators.

Adult↗
PubMed1994

[Importance of urinary methylhistamine measurements during allergy provocation tests].

Methylhistamine, histamine's metabolite, was measured in urine by radio-immuno-assay in 79 provocation test. Six of them were positive with clinical symptoms. All of the six were associated with a significant increase of urinary methylhistamine (UMH). Therefore, there is a good correlation between positive provocation tests and increase of UMH level. In these cases, the severity of clinical symptoms is related to the increase of U.M.H.

Allergens↗
PubMed1993

Clinical applications of flow cytometry in hematology and immunology.

Rapid developments in computer technology combined with new fluorescent dyes and monoclonal antibody production have led to the development of a powerful tool: flow cytometry. The techniques of flow cytometry can be applied in a wide clinical field, from routine tasks to research in immunology and hematology. The availability of automated instruments and standardized sample preparation methods have led to its daily clinical use, helping diagnosis, prognosis or monitoring therapy. Further advances will be made with the introduction of multi-parametric analysis ie quantification of antigen expression of cell surface antigens.

Acquired Immunodeficiency Syndrome↗
PubMed1993

[Anaphylactic shock during the use of high doses of aprotinin in cardiac surgery].

A 77-year-old man was admitted for mitral valve replacement, 46 days after a failed conservative mitral surgery where he received high-dose aprotinin. Twenty minutes after induction of anaesthesia, 250 UPh E of aprotinin were infused intravenously; before the end of this infusion, bronchospasm, systemic hypotension and generalized rash were noted. Immediate treatment included intravenous adrenaline and methylprednisolone; cardiovascular stability was restored after 10 minutes. Immediate histamine liberation was confirmed by the analysis of the time course of the clinical events, a previous contact and positive skin tests. Aprotinin has the antigenic molecular structure of natural proteins. Since 1987, it is used in cardiac surgery to reduce postoperative blood loss: to prevent serious allergic reactions to aprotinin, it is necessary, in patients known to have had previous aprotinin therapy, to perform skin testing with diluted aprotinin before infusion.

Aged↗
PubMed1993

[Study of the cell cycle using flow cytometry in drug allergy].

Drug allergy has been studied by flow cytometry with the technique of cellular cycle, of which the principle is based on cellular activity. There were four groups of patients in the study: The first reference groups (A:20 patients) gave evaluation of phase S + G2-M without antigenic stimulation of monodisperse lymphocyte cultures. This was 4%. The second group (B:15 patients) presented a phase S + G2-M of 14.1% with PHA compared with the reference response significant at 2.5%. The third group (C) was composed of 5 wasp venom allergic subjects with cellular activity phase of 17.3% and 5 nonallergic subjects with an almost identical response of around 15%. The fourth group was 5 subjects who were allergic to drugs with clinical history that strongly indicated an allergy. The response to stimulation in these subjects was much greater for each of the drugs than that of a reference subject who was taking the same drug without problem. Wasp venom seems to behave like PHA, as a mitogen. In contrast, the subjects who were objectively and clinically sensitive to drugs, had an overall greater response to them than those shown by references. It is important to have a control for each drug used.

Adolescent↗
PubMed1993

[Determination of total IgE (tIgE) and specific IgE (sIgE) using the IMX and MATRIX techniques].

This study, on 185 subjects, has given evaluation of total IgE by the IMX technique in comparison with CAP PRIST, and of the MATRIX* technique for the measurement of sIgE in comparison with the reference technique of CAP RAST**, skin tests and clinical history. The two techniques of CAP and MATRIX are judged to be comparable (Correlation percentage 88.2%). The correlation of MATRIX with skin tests and clinical history is satisfactory (respectively 85.9% and 95%). The results were obtained with four allergens (D. pteronyssinus, Timothy grass, cat and dog). Separate assays confirmed the reliability of the technique.

Adolescent↗
PubMed1993

[Correlational study between lymphocyte IgE markers: membrane CD23 (mCD23) and soluble CD23 (sCD23) in an atopic population].

IgE has two types of receptors: high affinity RFc sigma I and low affinity RFc sigma II. The latter may be studied by flow cytometry by the membrane marker CD23 (mCD23), expressed on B and T cells, monocytes, macrophages, Langerhans cells, eosinophils and platelets. Soluble CD23 (sCD23) corresponds with the extracellular C terminal domain of mCD23. The aim of the study was to search for a correlation between the levels of mCD23 and sCD23, comparatively with IgE, eosinophils, eosinophil cationic protein (ECP) and to the cytokines IL2, IL4 and IL6. 78 patients took part in the study, divided into two groups: Group 1 = atopics (n = 61); Group 2 = controls (n = 17). The majority presented with rhinitis, asthma, atopic dermatitis isolated or associated. The results showed a highly significant correlation between mCD23 and sCD23 compared with the control group. There was also a statistically significant increase for mCD23, sCD23, cytokines IL2, IL4 and IL6, mediator ECP in parallel with eosinophils and total IgE. This study confirms amongst other things the rise in IL4 in atopy and the correlation between the level of ECP and that of eosinophils, and that there is an overall correlation between mCD23 and sCD23.

Cytokines↗
PubMed1992

[Phadiatop in the diagnosis of skin allergy to pneumoallergens].

Usually, Phadiotop is presented as an in vitro multitest to pneumoallergens that are indicated in respiratory allergy. Now, in skin allergy atopic dermatitis and reaginic urticaria-Quincke's oedema, the responsibility of pneumoallergens, particularly mites, is clear. 47 Subjects were studied. Clinical history, skin test nd specific IgE gave confirmation of allergy to pneumoallergens. This was proved by the subsequent clinical development, with, in most cases, spectacular improvement after desensitization.8 section. We have compared Phadiotop with these different clinical criteria, skin tests and Cap Rast IgE. The results favour Phadiotop and confirm its value and indication in skin allergy to pneumoallergens.

Adolescent↗
PubMed1992

[Multitest Fx5 in food allergy].

A comparative study was made of three in vivo and in vitro diagnostic methods for food allergy: Fx5 multitest (Pharmacia); Measurement of specific IgE CAP (Pharmacia); Skin tests (Prick Tests). 20 patients, from 3 to 71 years (mean 24.4 years), were selected by clinical suggestion (asthma, rhinitis, atopic dermatitis, urticaria and/or Quincke's oedema). The Fx5 test used six food allergens: wheat, egg, cow's milk, soya, peanut and fish. The Cap Rast for each substance was evaluated, as was Fx5, by a radio-immunological method. The Prick Tests made with the six allergens used were considered to be positive when the diameter of the weal was greater than that produced by a reference test with histamine. The results were considered as a comparison between Fx5 and Cap Rast to each of the foods, between Fx5 and prick Test with five foods and finally between CAP RAST and Prick Test. Correlation Fx5--Cap rast was better and more useful in the diagnosis of food allergy than skin tests.

Adolescent↗
PubMed1992

[Allergy to heparin. Particular problems in the pregnant woman].

Oral anti-coagulants are always contra-indicated for pregnant women. Only anti-coagulants of the types of heparin or its derivatives may be used. However, some patients have an allergy to Heparin. In this article the correct action to take both for diagnosis and prevention is studied. We present 2 observations of heparin-allergic pregnant women with, in the first case a tentative addiction to heparin which created a check and in the second case there was success in a second pregnancy with low-molecular weight heparin.

Adult↗
PubMed1991

Intrinsic asthma: myth or reality?

Asthma is a multifactorial syndrome with different etiologies, both allergic and non-allergic. Response to an allergen may be moderate and may often be shown only by provocation tests, not by skin tests or RAST. Food allergy is a significant cause of asthma. There are many non-allergic causes, from gastro-oesophageal reflux to aspirin-intolerant asthma, to sulphites...the list is far from exhaustive. Often there is an association of allergic and non-allergic causes.

Allergens↗
PubMed1991

[General considerations on desensitization by the sublingual route].

A favourable action by a new method of therapy and in particular desensitization by the sub-lingual route is sometimes difficult to confirm. To make a sensible study requires a maximum of prior knowledge and this is not easy to acquire. How to select the patients? What method of administration is possible? What should be the dose adopted? What might be the secondary effects? Desensitization by the sub-lingual route seems to us to be a technique for the future. Impressions and thoughts on the new method route for desensitization must lead to controlled studies, very objective, which will confirm or invalidate it.

Administration, Sublingual↗
PubMed1991

[Immunological causes of male infertility].

Sperm (spermatozoa and the various secretions of the accessory glands) with its very complex antigenic system is only produced from puberty and thus at a time when the body has already had a for a long time the facility to respond to an antigenic stimulation with an immune reaction. Because of this, the spermatozoa, in contrast to other cells of the organism, are considered as strangers and may behave as auto-antigens. However, the existence of a haemato-testicular barrier, that prevents all contact between the sperm and the immune system must be recognized in man, its rupture has the consequence of formation of anti-spermatozoa antibodies. It is estimated that 5% of cases of sterility are of immunological origin and linked to the presence in man and/or woman of anti-sperm antibodies. The production is greater in man than in women because of the roles, in the first of macrophages and in the second of polynuclear neutrophils in the destruction of the spermatozoa. Anti spermatozoal antibodies play a part in sterility by: Spontaneous agglutination in ejaculation, thus preventing their progression in the female genital tract. Free spermatozoa, charged with antibody are retained at the level of the cervical secretion = SHAKING phenomenon. The anti-spermatozoal antibodies mask some antigens, so preventing penetration of the spermatozoa into the ovule. Contact of spermatozoa with antibody fixed to the uterine tissue is followed by secretion of histamine and this encourages the expulsion of an implanted egg. This is before the existence of: Spontaneous agglutination in ejaculation, Oligospermatosis, Indeterminate cause sterility, Immobilisation of the spermatozoa in the cervical secretion, Failure of repetition.

Antibody Formation↗