“…Curiously, there has been a poor correlation between clinically observed responses, results of skin reactivity tests, and these in vitro laboratory tests. Experience has shown that in the face of clinically unsuccessful treatment, one or more of the laboratory indicators may [47,53] or may not [45,47,53,56,58] decrease or turn out negative, while the skin reactivity remains negative [59] or increases [56,59]. Conversely, in patients who have responded to TF therapy, skin test reactivity has increased in some patients [51-53, 59, 60] but decreased in others [53,59], and in vitro laboratory tests have yielded higher [36,39,47,52,53,58] or lower values [45,57,53].…”