ALLERGY SKIN TESTING REPORT (MODIFIED PRICK TEST METHOD)

Patient’s Name : _____________________________ Age/Sex_________ Date:___________

POSITIVE CONTROL :- (HISTAMINE 2HCL) __________________

NEGATIVE CONTROL :-(GYCERO-SALINE) __________________

ALLERGENS REACTION

INHALANTS CONTRACTANTS

MITE SOURCE OF ORIGIN Wheal Erythema

(PREVALANCE) Dia mm D+d 2mm
Mite House dust mite (floor mite) humid
D.farinae climate,most common dust mite
Blomia Floor mite found in moist conditions
prevalent in humid moist climate

FUNGI SOURCE OF ORIGIN SPORULATIO Wheal Erythema

N PERIOD Dia mm D+d 2mm
Aspergillus Saprophytic fungi. Grows on Throughout
fumigatus decaying material year
Fusarium Grows on decaying Plants Nov-Mar
solani
Curvularia Parasitic on crops Sept-Dec
lunata
Cladosporiu Grows on decaying Plants Dec-May
m herbarum
Alternaria Parasitic on crops Oct-May
alternata
Helminthosp Grows as parasitic on crops Oct-June
orium sp
 POLLEN Wheal Erythema
Dia mm D+d 2mm

Pollen Marathi Gujarati Hindi Pollination

Period
Cynodon Durva Durva Doob Throughout
dactylon year
Parthenium Gajar Gajar Gajar Ghas Throughout
hysterophorus Gavat Gavat year
Ischaemum Gavat Ghas Ghas Aug-Sept
indicum
Amaranthus Chavli Chaulai Kante math Throughout
spinosus Bhaji year
Argemone Pivla Pivda Peeli Kateli Feb-May
Mexicana Dhotra
Xanthium Langada Zapto Chirchuta Sep-Nov
strumarium
Peltophorum Yellow Yellow Yellow Sep &
pterocarpum Gulmohar Gulmohar Gulmohar March
Eucalyptus spp Neelagiri Neelgiri Neelgiri Sept-
March
Ricinus Arandi Diveli Arandi Throughout
communis year
Cassia siamea Saima Kasaund Kasond Throughout
tree year
Prosopis Vilaiti Bavad Kabuli Sep &
juliflora Bambhul Kikar March
Holoptelea Chibila Patar Papadi,elm Feb-Mar
integrifolia
Ailanthus Maharook Nimda Akash Jan-Feb
excelsa Neem
Azadirachta Neem Limda Neem March-May
indica

Samanea Rain Tree Sep-Oct-

saman April-May

Pithocellibium Chibila Chaulai jangal Feb-May

Bhaji jalebee
DUST SOURCE OF ORIGIN Wheal Erythema
(PREVALANCE) Dia mm D+d 2mm
Wheat dust Threshing dust during harvesting,
(threshing) Harvesting dust
Grain dust Dust originated from rice porcessing
(rice)
Grain dust Dust originated from wheat grain
(wheat) processing
Spider web Dust originated from spider cob webs
dust

INSECTS Marathi Gujarati Hindi Wheal Erythema

Dia mm D+d 2mm
Cockroach Jhooral Banda Tilchitta

Mosquito Das Macchar Macchar

Rice weevil Sursuri Chokharis Sarsari

Moth Patang Moth Parwana

DANDER/EPIT MARATHI GUJARATI HINDI SOURCE Wheal Erythema

HELIA Dia mm D+d 2mm
Dog epithelia Kutra che Kutra nu Kutter ka Domestic
konda dander dander
Pigeon Kabutar Kabutat Kabutar Domestic
droppings che shet charak Kilendi
Human dander Charak Matha no Sar ki Human
Matha che konda Rushi
kanda
 FOOD /
INGESTANTS
FOOD MARATHI GUJARATI HINDI Wheal Erythema
(PROTEIN Dia mm D+d 2mm
EXT)
Rice Tandul Chokha Chawal
Wheat Gahu Gahu Gehun
Gram bengali Harbharya Chana Chana
chi dal
Moong dal Mug dal Mag ni dal Moong dal
Dal arhar Turichi dal Tur ni dal Dal arhar
Banana Keli Kela Kela
Tomato Tamata Tomatu Tamatar
Milk Dudh Dudh Dudh
Egg whole Andi Enda Anda
Pea (watana) Watana Watana Matar
Dal Urad Udad dal Urad ni dal Urad dal
Soyabean Soya Soyabean Soya
Cheese Cheese Cheese Cheese
Bean Kaddhanya Choudi- Sem
phansi
Tamarind Chinch Amali Emali
Brinjal Baigan Baigan Bhata
Almond Badam Badam Badam
Curd Dahi Dahi Dahi
Rajma Rajma Rajma Rajma

Special advise :

Dr K.K. (Karade)

ENT , Consultant