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Comparison of Skin Prick Test and Prick-to-Prick Test with Fruits and Vegetables in the Diagnosis of Food Allergy

Terlouw, Severina, van Boven, Frank E., Borsboom‐van Zonneveld, Monika, de Graaf‐in ’t Veld, Tineke, Gerth van Wijk, Roy, van Daele, Paul L. A., van Maaren, Maurits S., Kuijpers, Jac H. S. A. M., Veenbergen, Sharon, de Jong, Nicolette W.·2024·Clinical and Translational Allergy

Abstract

Introduction: Prick‐to‐prick (PTP) test with fresh food is accepted as a reliable tool for measuring sensitization to fruits and vegetables. Not all fruits and vegetables are available throughout the year. The objective of this study was to investigate whether skin prick test (SPT) performed with frozen juice of fruits and vegetables (FJFV) is a good alternative to PTP tests performed with fresh fruits and vegetables (FFV). Methods: Adult patients suspected of having a food allergy to fruits and/or vegetables were included. A questionnaire was used to score symptoms after consumption of apple, kiwi, peach, tomato, and carrot. SPTs with FJFV, and PTP tests with FFV were performed. Intra‐class correlation coefficients (ICC) between the SPT and PTP test results were calculated. The sensitivity and specificity of both diagnostic tests towards food allergen specific symptoms (FASS) were calculated. Results: Thirty‐six patients were included. FASS was positive in 75% for apple, 53% for kiwi, 44% for peach, 25% for tomato, and 22% for carrot. ICC between SPT and PTP test results were moderate for apple (0.72) and kiwi (0.71), strong for peach (0.75) and tomato (0.89), and very strong for carrot (0.94). Sensitivity was equal for the SPT and PTP tests for apple (0.93), peach (0.81), and carrot (1.00), and comparable for kiwi (0.50 resp. 0.70), and tomato (0.44 resp. 0.56). Specificity was equal for apple (0.33), peach (0.15), and carrot (0.41), and comparable for kiwi (0.29 resp. 0.21) and tomato (0.80 resp. 0.72). Conclusions: Results of SPT with FJFV and PTP test with FFV are comparable. SPT with FJFV is a good alternative in the daily practice of the allergists.

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FIGURE 1 SPT‐PTP test HEP results of the five foods allergens.
FIGURE 1 SPT‐PTP test HEP results of the five foods allergens.CC BY · PubMed Central
FIGURE 2 Accuracy of SPT‐PTP test HEP results in relation to FASS (proportion of agreement) and CI of the 5 food allergens. PTP, prick‐to‐prick; SPT, skin prick test.
FIGURE 2 Accuracy of SPT‐PTP test HEP results in relation to FASS (proportion of agreement) and CI of the 5 food allergens. PTP, prick‐to‐prick; SPT, skin prick test.CC BY · PubMed Central

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Metadata

Authors
Terlouw, S., van Boven, F. E., Borsboom‐van Zonneveld, M., de Graaf‐in ’t Veld, T., Gerth van Wijk, R., van Daele, P. L. A., van Maaren, M. S., Kuijpers, J. H. S. A. M., Veenbergen, S., & de Jong, N. W.
Affiliations
  • Department of Allergology Albert Schweitzer Hospital Zwijndrecht The Netherlands
  • Internal Medicine Allergology & Clinical Immunology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands
  • Department of Immunology Laboratory Medical Immunology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands
Venue
Clinical and Translational Allergy
Publisher
Wiley
Published
2024-07
Volume
14
Issue
7
ISSN
2045-7022
Cited by
9
References
0
Language
en

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CoChat. (2026). Citation check: Comparison of Skin Prick Test and Prick-to-Prick Test with Fruits and Vegetables in the Diagnosis of Food Allergy. https://app.cochat.ai/papers/10.1002/clt2.12375
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Terlouw, S., van Boven, F. E., Borsboom‐van Zonneveld, M., de Graaf‐in ’t Veld, T., Gerth van Wijk, R., van Daele, P. L. A., van Maaren, M. S., Kuijpers, J. H. S. A. M., Veenbergen, S., & de Jong, N. W. (2024). Comparison of Skin Prick Test and Prick-to-Prick Test with Fruits and Vegetables in the Diagnosis of Food Allergy. Clinical and Translational Allergy. https://doi.org/10.1002/clt2.12375