The sensitization to prevalent environmental aeroallergens is pivotal in the etiology and intensity of respiratory allergic diseases, particularly bronchial asthma (BA) and allergic rhinitis (AR). The assessment of aeroallergen sensitization is essential for clinicians to refine therapeutic approaches. Skin prick testing (SPT) is recognized as a reliable diagnostic tool for immunoglobulin E (IgE)-mediated allergic disorders, yet; however, the allergen sensitivity profile in Yemen remains largely unexplored. This study aimed to assess the sensitization profiles to aeroallergens in patients with respiratory allergic diseases in Sana'a City, Yemen. This cross-sectional study, involving 315 patients with respiratory allergic diseases, was conducted between February and May 2020 in Sana’a City, Yemen. The patients were classified based on demographic and clinical diagnosis. The study excluded individuals with a history of drug use, including antihistamines, corticosteroids, anti-inflammatory agents, and immunosuppressants, which could interfere with active infections, allergic skin conditions, pregnancy, or skin tests. The SPT was conducted using 20 different types of environmental aeroallergen extracts. Data were examined with SPSS version 23.0, where descriptive statistics for study variables were computed and relevant significance tests were executed to ascertain statistical relevance. The study of 315 patients included 222 (70.5%) males and 93 (29.5%) females, with a median age of 41 years. The prevalence of allergic respiratory diseases was 55.9% for AR and 44.1% for BA. The overall prevalence of sensitization to aeroallergens was 63.5%. Among the cohort, 33.7% exhibited monosensitization to a single aeroallergen, whereas 29.8% demonstrated sensitization to multiple aeroallergens. The predominant aeroallergens sensitization included weeds (41.1%), house dust mites (HDM) (23.8%), and animal dander (17.5%). The most common aeroallergens were Salsola kali at 10.5%, Dermatophagoides pteronyssinus (D. pteronyssinus) at 10.2%, and Dermatophagoides farinae (D. farinae) at 9.8. Aeroallergen sensitization was significantly more prevalent in patients with AR than in those with BA, with notable increases in sensitization rates for weeds and HDM aeroallergens (p˃ 0.05), and a significant rise in sensitization to date palm allergen (Phoenix dactylifera) in AR compared to BA (p = 0.017). The study findings indicate a significant prevalence of sensitization to various aeroallergens in individuals with AR and BA. Salsola kali, D. pteronyssinus, and D. farinae were identified as the most common aeroallergens in study patients.
扫码关注我们
求助内容:
应助结果提醒方式:
