Schick test

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A boy receives an injection of diluted toxin for the Schick test in 1915.
A boy receives an injection of diluted toxin for the Schick test in 1915.

The Schick test, invented between 1910 and 1911, is a test used to determine whether or not a person is susceptible to diphtheria. It was named after its inventor, Béla Schick (18771967), a Hungarian-born American pediatrician. The test is a simple procedure. A small amount (0.1 ml) of diluted (1/50 MLD) diphtheria toxin is injected intradermally into the arm of the person. If a person does not have enough antibodies to fight it off, the skin around the injection will become red and swollen, indicating a positive result. This swelling disappears after a few days. If the person has immunity, then little or no swelling and redness will occur, indicating a negative result.

Results can be interpreted as:

  1. Positive: when the test results in a wheel of 5–10 mm diameter
  2. Pseudo-positive: when there is only a red colored inflammation and it disappears rapidly
  3. Negative reaction:
  4. pseudo negative reaction:

[edit] References

  • Taber's Cyclopedic Medical Dictionary, 20th Ed. (2005).