Skin test based on neutralization reaction is/are –
**Core Concept**
The Schick test is a skin test used to determine an individual's susceptibility to diphtheria, a bacterial infection caused by Corynebacterium diphtheriae. This test is based on the principle of neutralization, where an individual's immune system neutralizes the diphtheria toxin, preventing a localized skin reaction.
**Why the Correct Answer is Right**
The Schick test involves injecting a small amount of diphtheria toxin into the skin, followed by a booster dose of diphtheria antitoxin. If the individual has pre-existing antibodies against diphtheria toxin, the toxin will be neutralized, and no skin reaction will occur. This is because the antibodies bind to the toxin, preventing it from causing damage. The Schick test was developed by B. Schick in 1913 and is still used today to assess an individual's immunity to diphtheria.
**Why Each Wrong Option is Incorrect**
**Option A:** The Casoni test is a skin test used to diagnose hydatid disease, caused by the Echinococcus parasite. It is not based on a neutralization reaction.
**Option B:** The Lepromin test is a skin test used to assess an individual's immune response to leprosy, but it does not involve a neutralization reaction.
**Option C:** The Tuberculin test, also known as the Mantoux test, is used to diagnose tuberculosis by detecting a delayed-type hypersensitivity reaction to tuberculin. It is not based on a neutralization reaction.
**Clinical Pearl / High-Yield Fact**
The Schick test is an important tool in public health, as it allows for the identification of individuals who are susceptible to diphtheria and therefore require vaccination or booster doses to prevent infection.
**Correct Answer:**
β Correct Answer: D. Schick test