有症状儿童的过敏原敏感性概况:一项来自北印度的描述性研究

Deepak Kumar, Mugdha Anand, Vibha Sharma, Ritika Goyal, Neeraj Gupta, D. Gupta
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引用次数: 0

摘要

背景:由于过敏性疾病在所有年龄组中都在增加,我们的目标是在印度北部2个月至18岁年龄组的儿童中检测出各种呼吸道、胃肠道或皮肤表现的过敏性疾病中常见的过敏原。材料和方法:该研究在居住在印度北部的年龄在2个月至18岁之间的患者中进行,患者有过敏症状,如哮喘、过敏性鼻炎、过敏性鼻炎合并哮喘、湿疹、荨麻疹或胃肠道症状。所有患者均根据病史选择不同的过敏原进行皮肤点刺试验(SPTs)。结果:共纳入458例患者,男女比例为1.7:1。根据SPT结果,筛选出不同变态反应表现中最常见的致应原。累及呼吸系统的患者,常见的过敏原为屋尘螨(HDM)和蟑螂,其次是蚊子。出现胃肠道症状的患者以蛋清致敏居多,其次为大豆粉。在有皮肤表现的儿童中,对HDM的致敏是最常见的。HDM也对有两个系统受累的患者起作用比如皮肤呼吸系统和胃肠道呼吸系统而花生对有胃肠道和皮肤表现的患者起作用。结论:本研究有助于描述印度北部儿童各种过敏性疾病中最常见的过敏原。
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Allergen sensitivity profile among symptomatic children: A descriptive study from North India
BACKGROUND: As allergic disorders are increasing across all age groups, we aim to detect the common offending allergens in various allergic disorders with respiratory, gastrointestinal, or skin manifestations in children between the age group of 2 months and 18 years from the northern part of India. MATERIALS AND METHODS: The study was conducted in patients aged between 2 months and 18 years residing in North India having allergic symptoms such as asthma, allergic rhinitis, the combination of allergic rhinitis and asthma, eczema, urticaria, or gastrointestinal symptoms. All the patients underwent skin prick tests (SPTs) for different allergens, which were selected on the basis of history. RESULTS: A total of 458 patients were enrolled in the study with male: female ratio of 1.7:1. Based on the results of SPT, the most common offending allergens in different allergic manifestations were shortlisted. Patients with respiratory system involvement, the common allergens were house dust mites (HDM) and cockroaches, followed by mosquitoes. Most of the patients with gastrointestinal symptoms have sensitization due to egg white, followed by soybean flour. In children having skin manifestations, sensitization to HDM was most commonly seen. HDM is also responsible in patients having two system involvement such as respiratory with skin and respiratory with gastrointestinal whereas the groundnut was responsible in patients having gastrointestinal along with skin manifestations. CONCLUSION: This study contributed in delineating the most prevalent offending allergens in children of North India with various allergic disorders.
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