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Published on: April 13, 2010
A study of the association between delayed type hypersensitivity reaction to mycobacterium tuberculosis and atopy in
Mohamed T Omar1, Siham H Ahmed, Nadia N Sarkis
1Pediatric Department, Damanhour Medical National Institute. nadawanas@yahoo.com
Insights
This study found no significant link between Mycobacterium tuberculosis infection and atopy in Egyptian children. Atopy prevalence was similar in children with and without tuberculosis infection.
Area of Science:
- Epidemiology
- Immunology
- Pediatrics
Background:
- Atopy, a predisposition to allergic diseases, and Mycobacterium tuberculosis infection are significant global health concerns.
- Previous research suggests a potential inverse association between tuberculosis infection and atopy, but findings are inconsistent.
Purpose of the Study:
- To investigate the association between Mycobacterium tuberculosis infection and atopy in children residing in rural and semi-urban areas of El Behira governorate, Egypt.
Main Methods:
- A cohort of 150 children aged 4-8 years, all BCG vaccinated, were assessed.
- Tuberculosis infection was determined by purified protein derivative (PPD) tuberculin testing (induration ≥5 mm positive).
- Atopy was evaluated using skin intradermal testing with common aeroallergens (reaction ≥3 mm positive).
Main Results:
- Of 150 children, 89 were PPD negative and 61 were PPD positive.
- Atopy prevalence was 51.6% in PPD-negative children and 52.4% in PPD-positive children.
- No statistically significant difference in atopy prevalence was observed between the PPD-positive and PPD-negative groups (p > 0.05).
Conclusions:
- This study found no statistically significant association between Mycobacterium tuberculosis infection and atopy in the studied Egyptian pediatric population.
- The findings suggest that BCG vaccination may influence the relationship between tuberculosis and atopy.
- Further research is needed to elucidate the complex interplay between infectious diseases and allergic conditions.
Unlabelled:
The purpose of this study was to investigate if there is an inverse association between Mycobacterium tuberculosis infection and atopy among children living in rural and semi urban areas in El Behira governorate, Egypt.
Methods:
All the studied children were BCG vaccinated in their newborn period. In Tuberculin testing, indurations greater than or equal to 5 mm were accepted as positive. For atopy, the most common aeroallergens were used in skin intradermal testing, and reactions > or = 3 mm were accepted as positive.
Results:
Among 150 studied children whose ages ranged from 4-8 years, 89 patients were purified protein derivative (PPD) negative whereas in 61 patients PPD was positive. Among the PPD negative patients skin intradermal test was positive for atopy in 51.6% (n = 46), while among the PPD positive patients skin intradermal test was positive in 52.4% (n = 32). As the two groups were compared for having positive intradermal skin test reaction, no statistically significant difference was detected between them (p >0.05).
Conclusions:
In this study no statistically significant difference was detected between Mycobacterium tuberculosis infection as indicated by positive PPD positivity and atopy tested by skin intradermal injection of common aeroallergens.
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