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A Component-resolved Diagnostic Approach for a Study on Grass Pollen Allergens in Chinese Southerners with Allergic Rhinitis and/or Asthma
Published on: June 4, 2017
[Prevalence of mite hypersensitivity in children with asthma]
Shi-yong Zhao1, Yi Wei, Xiao-bing Li
1Pediatric Department, Jinhua General Hospital, Jinhua 321000, China. jhzsyhj@163.com
Abstract:
By skin prick test, three kinds of mite allergens (Dermatophagoides pteronyssinus, Dermatophagoides farinae, Blomia tropicalis) were tested in a group of asthma children in Jinhua area from Oct 2005 to Sep 2006. The positive rate to allergen from D. pteronyssinus and D. farinae was 80.6% and 77.8% respectively, higher than that of Blomia tropicalis (61.1%) (chi2 = 21.39, P < 0.05). Cases positive to Blomia tropicalis allergen showed 100% and 95.9% positive reaction to D. pteronyssinus and D. farinae respectively. The results demonstrated that the important allergens for children's asthma are from D. pteronyssinus and D. farinae, while the with the former two mite allergens. Blomia tropicalis allergen is supposed to have cross-reactivity
Insights
The most common asthma allergens in Jinhua children are Dermatophagoides pteronyssinus and Dermatophagoides farinae mites. Blomia tropicalis also triggers asthma and may cross-react with other common mite allergens.
Area of Science:
- Allergen immunotherapy
- Pediatric allergy
- Immunology
Context:
- Asthma is a prevalent chronic respiratory disease in children.
- Mite allergens are significant triggers for allergic asthma.
- Understanding local allergen prevalence is crucial for effective management.
Purpose:
- To identify the primary mite allergens responsible for asthma in children in the Jinhua region.
- To assess the prevalence rates of Dermatophagoides pteronyssinus, Dermatophagoides farinae, and Blomia tropicalis sensitization.
- To investigate potential cross-reactivity between these mite allergens.
Summary:
- A skin prick test study was conducted on asthma patients in Jinhua from October 2005 to September 2006.
- Dermatophagoides pteronyssinus (80.6%) and Dermatophagoides farinae (77.8%) showed higher positive rates than Blomia tropicalis (61.1%).
- Blomia tropicalis-sensitive cases exhibited high cross-reactivity to D. pteronyssinus (100%) and D. farinae (95.9%), suggesting shared allergenic components.
Impact:
- Identifies D. pteronyssinus and D. farinae as key allergens in pediatric asthma in this region.
- Suggests Blomia tropicalis plays a role and may exhibit cross-reactivity, influencing diagnostic and therapeutic strategies.
- Provides data for targeted allergen avoidance and immunotherapy protocols for childhood asthma.
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