根据牛奶蛋白过敏机制研究呼吸道变态反应性疾病的进展。

Büşra Demirci, Özge Yılmaz Topal, İrem Turgay Yağmur, Emine Dibek Mısırlıoğlu
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引用次数: 0

摘要

背景:牛奶蛋白过敏(CMPA)是生命早期最常见的食物过敏。关于患有CMPA的婴儿在儿童期发生呼吸道过敏的数据有限。目的:本研究旨在根据CMPA发病机制评价CMPA患者出生后2年儿童呼吸道变应性疾病的发展情况。方法:研究纳入出生前两年确诊为CMPA且研究期间年龄大于5岁的患者。记录患者的社会人口学、临床和实验室数据,并使用ISAAC问卷评估患者呼吸道变态反应性疾病的发展状况。结果:共纳入301例患者;男性182例(60.5%)。大多数患者为混合型(87例,28.9%)和非ige介导型(87例,28.9%)CMPA。在CMPA病例中,27.9%发展为医生诊断的哮喘,31.2%发展为医生诊断的变应性鼻炎。医生诊断的哮喘以ige介导的CMPA居多(n:30;37%),变应性鼻炎以非ige介导的CMPA居多(n:32;36.8%),差异无统计学意义(p = 0.094, p = 0.385)。此外,母亲哮喘增加了医生诊断哮喘的风险,而父母血缘、母亲/兄弟姐妹过敏性鼻炎和父亲湿疹是医生诊断过敏性鼻炎的危险因素。结论:在本研究中,27.9%的CMPA患者在生命的前两年发生了医生诊断的哮喘,31.2%的患者发生了变应性鼻炎。基于CMPA的发生机制,其发生频率没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development of respiratory allergic diseases according to cow's milk protein allergy mechanisms.

Background: Cow's milk protein allergy (CMPA) is early life's most common food allergy. There is limited data on the development of respiratory allergies in childhood for infants with CMPA.

Objective: This study aimed to evaluate the development of respiratory allergic diseases in childhood according to the mechanism of CMPA in patients with CMPA in the first two years of life.

Methods: Patients who were diagnosed with CMPA in the first two years of life and were over five years old during the study period were included in the study. The sociodemographic, clinical, and laboratory data of patients were recorded, and the status of respiratory allergic disease development in patients was assessed using the ISAAC questionnaire.

Results: A total of 301 patients were included in the study; 182 (60.5%) were male. Most of the patients had mixed-type (87;28.9%) and had non-IgE-mediated (n:87;28.9%) CMPA. Of CMPA cases, 27.9% developed doctor-diagnosed asthma and 31.2% developed doctor-diagnosed allergic rhinitis. Doctor-diagnosed asthma was observed mostly with IgE-mediated CMPA (n:30;37%), and doctor-diagnosed allergic rhinitis was observed mostly with non-IgE-mediated CMPA (n:32;36.8%), and these differences were not statistically significant (p = 0.094, p = 0.385). Also, maternal asthma increased the risk of doctor-diagnosed asthma, while parental consanguinity, allergic rhinitis in mother/sibling, and paternal eczema were risk factors for doctor-diagnosed allergic rhinitis.

Conclusion: In this study, 27.9% of patients with CMPA in the first two years of life developed doctor-diagnosed asthma, and 31.2% developed allergic rhinitis. There was no difference in the frequency of occurrence based on the mechanism of CMPA development.

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