The spectrum of pollen sensitization in children with allergic diseases living in the Rostov region

A. Lebedenko, O. Semernik, V. V. Yanchenko, N. S. Alyakhnovich, V. S. Rudyakova
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Abstract

Objective: to investigate the characteristics of pollen sensitization in children with established diagnoses of bronchial asthma (BA) and atopic dermatitis (AD) living in the Rostov region. Materials and methods: patients suffering from BA (n = 53), they made up the first group and patients with AD (n = 65), the second group were examined. All children underwent a comprehensive clinical and laboratory examination. Immunochemiluminescent assay by the Immulight 2000XPi analyzer was used to determine specific IgE. Results: the analysis of the obtained results showed that sensitization to tree pollen was quite often noted - at least a quarter of those examined with BA and about 20% of children with AD had elevated titers of specific IgE to these allergens. The study of the level of specific IgE to meadow grass pollen showed that in the first group an allergic reaction to pollen of bent grass (31.5%), bonfire (33.3%), timothy grass (29.6%) and fescue (28.3%) was noted more often. In the second group, elevated levels of specific IgE were registered in relation to grasses such as bent grass (31.80%), bonfire (27.7%) and timothy grass (21.5%). The highest level of sensitization in patients with respiratory manifestations of allergy was registered in relation to weed pollen: ragweed (40.7%), quinoa (22.2%) and chamomile (14.8%). Conclusion: this study made it possible to identify allergens that play the most important role in the pathogenesis of BA and AD in children living in the Rostov region.
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生活在罗斯托夫地区过敏性疾病儿童花粉致敏谱
目的:探讨罗斯托夫地区支气管哮喘(BA)和特应性皮炎(AD)患儿花粉致敏的特点。材料与方法:将BA患者(n = 53)分为第一组,AD患者(n = 65)分为第二组。所有儿童均接受了全面的临床和实验室检查。采用Immulight 2000XPi分析仪免疫化学发光法测定特异性IgE。结果:对获得的结果的分析表明,对树花粉的致敏性经常被注意到——至少四分之一的BA患者和大约20%的AD患儿对这些过敏原的特异性IgE滴度升高。对草甸草花粉特异性IgE水平的研究表明,第一组对弯草(31.5%)、篝火(33.3%)、山楂草(29.6%)和羊茅(28.3%)花粉的过敏反应较多。在第二组中,与弯曲草(31.80%)、篝火草(27.7%)和蒂莫西草(21.5%)等草相关的特异性IgE水平升高。有呼吸道过敏表现的患者致敏程度最高的是杂草花粉:豚草(40.7%)、藜麦(22.2%)和洋甘菊(14.8%)。结论:本研究使鉴定在罗斯托夫地区儿童BA和AD发病中起最重要作用的过敏原成为可能。
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