Table 4. Factors affecting results of BAT and LTT.
Outcomes | BAT | LTT |
---|---|---|
False-negative results may be obtained if [31,32,45] | Performed within 1–2 weeks after recently reaction (refractory period) | - |
Systemic corticosteroid, immunosuppressant drugs (cyclosporin A) | Systemic corticosteroid, immunosuppressant drugs, chemotherapeutic drugs | |
Last reaction > 1 yr | Last reaction > 2–3 yr | |
Prolonged blood handling > 24 hr | Prolonged blood handling > 24 hr | |
Nonresponder to controls | Nonresponder to controls | |
- | High/toxic doses lead to cell death | |
False-positive results may be obtained if [32,45] | - | AGEP, SJS/TEN: within 1 month after recovery |
DRESS: within 3 months after recovery | ||
- | Some drugs (vancomycin, acetaminophen, RCM, NSAIDs) | |
High/irritating doses leading to nonspecific degranulation | - |
BAT, basophil activation test; LTT, lymphocyte transformation test; AGEP, acute generalised exanthematous pustulosis; DRESS, drug reaction with eosinophilia and systemic symptoms; SJS/TEN, Stevens-Johnson syndrome/toxic epidermal necrolysis; RCM, radiocontrast media; NSAIDs, nonsteroidal anti-inflammatory drugs.