Senzibilizacija na inhalacijske alergene kod djece s alergijskim rinitisom

Helena Munivrana Škvorc, Srđan Ante Anzić, Ivana Jerković, Iva Mrkić Kobal, Marko Škvorc
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Abstract

Introduction: Allergic rhinitis is an inflammatory disease of the nasal mucosa that most often occurs in children and it is a growing global health problem. Aim: Aim of the study was to examine the sensitization on inhalant allergens in children with allergic rhinitis and its association with asthma. Methods: We performed a cross-sectional study using data from our hospital records (2018-2022). A total of 412 children with symptoms of allergic rhinitis participated in the study, aged from 4 to 17 years old. The presence of allergic rhinitis was evaluated by specialist of allergology, immunology and otorhinolaryngology. The diagnosis was made on personal and family history, physical examination of the patient, skin prick tests and laboratory parameters. Results: Out of 412 children enrolled in the study, 205 (55.1%) were male. All were diagnosed with allergic rhinitis, while 168 (40.78%) were, in addition to allergic rhinitis, diagnosed with bronchial asthma 66.26% (N=273). Hypersensitivity to the inhalant allergens according to positive skin prick test was found as follows: Dermatophagoides pteronyssinus (67.96%; N=280 subjects), Ambrosia artemisiifolia (62.87%; N=259 subjects), Betula (54.13%; N=223 subjects) Corylus (52.91%; N=218) and grass pollen (52.91%; N=218 subjects).Hypersensitivity to the inhalant allergens according to higher levels of specific IgE was found as follows: Dermatophagoides pteronyssinus (66.26%; N=273), Ambrosia artemisiifolia (66.02%; N=272), Betula (57.52%; N=237), Corylus (55.34%; N=228), Poa pratensis (45.39%; N=187), Artemisia vulgaris (27.67%; N=114), Phelum pratense (25.46%; N=105), cat dander (28.64%; N=118) and dog dander (23.54%; N=87). Conclusion: Our data suggest that sensitization on house dust mite has important role in development of allergic rhinitis. Most children have allergic rhinitis linked to asthma.
过敏性鼻炎患儿对吸入过敏原的过敏反应
简介过敏性鼻炎是一种鼻粘膜炎症性疾病,多发于儿童,是一个日益严重的全球性健康问题。目的:本研究旨在探讨过敏性鼻炎患儿对吸入性过敏原的致敏情况及其与哮喘的关系。研究方法我们利用本院病历数据(2018-2022 年)进行了一项横断面研究。共有 412 名有过敏性鼻炎症状的儿童参与了研究,他们的年龄在 4 至 17 岁之间。过敏性鼻炎由过敏学、免疫学和耳鼻喉科专家进行评估。诊断依据包括个人和家族病史、体格检查、皮肤点刺试验和实验室指标。结果:在参与研究的 412 名儿童中,205 名(55.1%)为男性。所有儿童均被诊断为过敏性鼻炎,而 168 名儿童(40.78%)除过敏性鼻炎外,还被诊断为支气管哮喘 66.26% (N=273)。根据皮肤点刺试验阳性结果,发现对吸入性过敏原过敏的情况如下:根据特异性 IgE 水平的高低,发现对吸入性过敏原过敏的情况如下:Dermatophagoides pteronyssinus(67.96%;N=280)、Ambrosia artemisiifolia(62.87%;N=259)、Betula(54.13%;N=223)、Corylus(52.91%;N=218)和草花粉(52.91%;N=218):Dermatophagoides pteronyssinus(66.26%;N=273)、Ambrosia artemisiifolia(66.02%;N=272)、Betula(57.52%;N=237)、Corylus(55.34%;N=228)、Poa pratensis(45.39%; N=187), Artemisia vulgaris (27.67%; N=114), Phelum pratense (25.46%; N=105), cat dander (28.64%; N=118) and dog dander (23.54%; N=87).结论我们的数据表明,对屋内尘螨的过敏在过敏性鼻炎的发病过程中起着重要作用。大多数儿童的过敏性鼻炎与哮喘有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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