{"id":31637,"date":"2026-10-28T08:47:32","date_gmt":"2026-10-28T07:47:32","guid":{"rendered":"https:\/\/www.delc.ch\/medecin-prescripteur\/dermatologie-medecins-referents\/diagnostic-des-allergies\/"},"modified":"2026-10-28T13:52:41","modified_gmt":"2026-10-28T12:52:41","slug":"diagnostic-des-allergies","status":"publish","type":"page","link":"https:\/\/www.delc.ch\/fr\/medecin-prescripteur\/dermatologie-medecins-referents\/diagnostic-des-allergies\/","title":{"rendered":"Diagnostic des allergies"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"31637\" class=\"elementor elementor-31637 elementor-29793\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6dbf17f e-flex e-con-boxed e-con e-parent\" data-id=\"6dbf17f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-60d2703 e-con-full e-flex e-con e-child\" data-id=\"60d2703\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b676b28 elementor-widget elementor-widget-text-editor\" data-id=\"b676b28\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Diagnostic des allergies<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-570f592 elementor-widget elementor-widget-image\" data-id=\"570f592\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"466\" src=\"https:\/\/www.delc.ch\/wp-content\/uploads\/2026\/09\/Allergie-Abklarung-1.jpg\" class=\"attachment-large size-large wp-image-31639\" alt=\"\" srcset=\"https:\/\/www.delc.ch\/wp-content\/uploads\/2026\/09\/Allergie-Abklarung-1.jpg 800w, https:\/\/www.delc.ch\/wp-content\/uploads\/2026\/09\/Allergie-Abklarung-1-300x175.jpg 300w, https:\/\/www.delc.ch\/wp-content\/uploads\/2026\/09\/Allergie-Abklarung-1-768x447.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e2154d elementor-widget elementor-widget-text-editor\" data-id=\"4e2154d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les allergies sont des r\u00e9actions d&rsquo;hypersensibilit\u00e9 de l&rsquo;organisme, pathog\u00e8nes, \u00e0 m\u00e9diation immunologique sp\u00e9cifique et dirig\u00e9es contre des substances \u00e9trang\u00e8res. Leur diagnostic commence par une anamn\u00e8se d\u00e9taill\u00e9e et est compl\u00e9t\u00e9 par des tests cutan\u00e9s (tels que le test de prick ou le test \u00e9picutan\u00e9) et\/ou des analyses sanguines sp\u00e9cifiques, afin d&rsquo;identifier les facteurs d\u00e9clenchants.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4dbb72a elementor-widget elementor-widget-text-editor\" data-id=\"4dbb72a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Il existe quatre types d&rsquo;allergies, parmi lesquelles ce sont principalement celles de type I et de type IV qui jouent un r\u00f4le dans la vie quotidienne. La premi\u00e8re est ce qu&rsquo;on appelle une r\u00e9action de type imm\u00e9diat, m\u00e9di\u00e9e par les mastocytes et les anticorps IgE. Le rhume des foins et l\u2019asthme en sont des manifestations typiques. La seconde est ce qu\u2019on appelle une r\u00e9action de type retard\u00e9, m\u00e9di\u00e9e par les lymphocytes T. Cette allergie entra\u00eene un ecz\u00e9ma de contact ; un exemple typique est l\u2019intol\u00e9rance aux bijoux fantaisie provoqu\u00e9e par une allergie au nickel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d71a465 e-flex e-con-boxed e-con e-parent\" data-id=\"d71a465\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f4f15cf elementor-widget elementor-widget-n-accordion\" data-id=\"f4f15cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2560\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2560\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Diagnostic <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-up-arrow1\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-down-arrow1\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2560\" class=\"elementor-element elementor-element-d98dc42 e-con-full e-flex e-con e-child\" data-id=\"d98dc42\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5fb5b94 elementor-widget elementor-widget-text-editor\" data-id=\"5fb5b94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pour explorer une suspicion d\u2019allergie, nous disposons de diff\u00e9rentes m\u00e9thodes de diagnostic.<\/p><p>En cas de suspicion d\u2019allergie de type imm\u00e9diat, nous r\u00e9alisons principalement un prick-test, g\u00e9n\u00e9ralement sur la face interne des avant-bras. Si cette zone ne permet pas la r\u00e9alisation du test, celui-ci peut \u00e9galement \u00eatre effectu\u00e9 dans le dos. Des solutions contenant des allerg\u00e8nes saisonniers (pollens) et pr\u00e9sents toute l\u2019ann\u00e9e (acariens de la poussi\u00e8re domestique, allerg\u00e8nes d\u2019origine animale, moisissures) sont appliqu\u00e9es sur la peau. \u00c0 l\u2019aide d\u2019une fine lancette, une l\u00e9g\u00e8re piq\u00fbre est effectu\u00e9e \u00e0 travers chaque goutte afin de permettre aux allerg\u00e8nes de p\u00e9n\u00e9trer dans les couches superficielles de la peau. En pr\u00e9sence d\u2019une sensibilisation, une papule \u0153d\u00e9mateuse peut appara\u00eetre. La r\u00e9action est ensuite \u00e9valu\u00e9e par comparaison avec un t\u00e9moin positif (histamine) et un t\u00e9moin n\u00e9gatif (solution saline physiologique).<\/p><p>En cas de suspicion d\u2019allergie alimentaire, un test prick-to-prick peut \u00e9galement \u00eatre r\u00e9alis\u00e9. Cette m\u00e9thode consiste \u00e0 piquer directement l\u2019aliment \u00e0 tester avec une lancette, puis \u00e0 effectuer une piq\u00fbre superficielle sur la peau du patient \u00e0 l\u2019aide de cette m\u00eame lancette.<\/p><p>En cas de suspicion d\u2019allergie de type retard\u00e9, notamment d\u2019ecz\u00e9ma de contact, nous r\u00e9alisons un test \u00e9picutan\u00e9 (patch-test). Des dispositifs adh\u00e9sifs munis de petites chambres contenant les substances \u00e0 tester, sous forme de pr\u00e9parations dans de la vaseline ou de solutions liquides, sont appliqu\u00e9s sur le dos. Le test comprend une s\u00e9rie standard regroupant les allerg\u00e8nes de contact les plus fr\u00e9quents. Selon les ant\u00e9c\u00e9dents et les expositions du patient, des s\u00e9ries compl\u00e9mentaires peuvent \u00eatre ajout\u00e9es. Certains produits ou mat\u00e9riaux utilis\u00e9s dans la vie quotidienne ou professionnelle du patient peuvent \u00e9galement \u00eatre test\u00e9s, lorsque cela est appropri\u00e9.<\/p><p>Apr\u00e8s 48 heures, les dispositifs sont retir\u00e9s et une premi\u00e8re lecture des r\u00e9actions cutan\u00e9es est effectu\u00e9e. Une deuxi\u00e8me lecture a lieu g\u00e9n\u00e9ralement 24 heures plus tard. Les r\u00e9actions sont \u00e9valu\u00e9es selon plusieurs crit\u00e8res, notamment la pr\u00e9sence de rougeurs, d\u2019une infiltration cutan\u00e9e, de papules ou de v\u00e9sicules.<\/p><p>Un r\u00e9sultat positif \u00e0 un test allergologique indique avant tout une sensibilisation. Il ne suffit pas, \u00e0 lui seul, \u00e0 confirmer une allergie cliniquement pertinente. Le diagnostic repose sur l\u2019interpr\u00e9tation des r\u00e9sultats en lien avec l\u2019anamn\u00e8se et l\u2019\u00e9valuation de leur pertinence clinique.<\/p><p>En cas d\u2019allergie de contact confirm\u00e9e \u00e0 des substances pouvant \u00eatre \u00e9vit\u00e9es, un passeport d\u2019allergie est remis au patient. Ce document pr\u00e9cise les allerg\u00e8nes concern\u00e9s, leurs diff\u00e9rentes d\u00e9nominations ainsi que les produits ou mat\u00e9riaux dans lesquels ils peuvent \u00eatre pr\u00e9sents. Pour les allergies de type imm\u00e9diat, un passeport d\u2019allergie est notamment d\u00e9livr\u00e9 en cas de risque de r\u00e9action allergique grave, voire potentiellement mortelle.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n    <div class=\"xs_social_share_widget xs_share_url after_content \t\tmain_content  wslu-style-1 wslu-share-box-shaped wslu-fill-colored wslu-none wslu-share-horizontal wslu-theme-font-no wslu-main_content\">\n\n\t\t\n        <ul>\n\t\t\t        <\/ul>\n    <\/div> \n","protected":false},"excerpt":{"rendered":"<p>Diagnostic des allergies Les allergies sont des r\u00e9actions d&rsquo;hypersensibilit\u00e9 de l&rsquo;organisme, pathog\u00e8nes, \u00e0 m\u00e9diation immunologique sp\u00e9cifique et dirig\u00e9es contre des substances \u00e9trang\u00e8res. Leur diagnostic commence par une anamn\u00e8se d\u00e9taill\u00e9e et est compl\u00e9t\u00e9 par des tests cutan\u00e9s (tels que le test de prick ou le test \u00e9picutan\u00e9) et\/ou des analyses sanguines sp\u00e9cifiques, afin d&rsquo;identifier les facteurs [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":31603,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"footnotes":""},"class_list":["post-31637","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagnostic des allergies - Clinique Delc<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnostic des allergies - Clinique Delc\" \/>\n<meta property=\"og:description\" content=\"Diagnostic des allergies Les allergies sont des r\u00e9actions d&rsquo;hypersensibilit\u00e9 de l&rsquo;organisme, pathog\u00e8nes, \u00e0 m\u00e9diation immunologique sp\u00e9cifique et dirig\u00e9es contre des substances \u00e9trang\u00e8res. 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