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Aeroallergen sensitization in childhood asthmatics in northern India
Dinesh Raj1, Rakesh Lodha, Anibha Pandey
1Division of Pediatric Pulmonology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029; *Institute of Genomics and integrative Biology, Mall Road, Delhi. Correspondence to Dr Rakesh Lodha, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India 110029. rakesh_lodha@hotmail.com.
Insights
More than half of asthmatic children show sensitization to common allergens like housefly and rice dust. Atopic children had higher FENO levels, indicating more severe asthma.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Environmental Health
Background:
- Asthma is a common chronic respiratory disease in children.
- Allergen sensitization plays a significant role in asthma development and severity.
- Understanding allergen prevalence is crucial for effective asthma management.
Purpose of the Study:
- To determine the prevalence of sensitization to common aeroallergens in asthmatic children.
- To investigate differences in characteristics between atopic and non-atopic asthmatic children.
Main Methods:
- Prospective cohort study analysis.
- Involved 180 asthmatic children aged 5-18 years.
- Utilized skin prick testing (SPT) and fractional exhaled nitric oxide (FENO) measurements.
Main Results:
- 55.6% of children were sensitized to at least one aeroallergen.
- Housefly antigen (36.7%) and rice grain dust (31.1%) were the most common sensitizers.
- Atopic children exhibited significantly higher median FENO levels (17.5 ppb vs 13 ppb).
Conclusions:
- Over half of asthmatic children in the study cohort demonstrated atopy.
- Sensitization to housefly antigen and rice grain dust was most prevalent.
- Higher FENO levels in atopic children suggest a link to asthma severity.
Objective:
To determine the prevalence of sensitization to common aeroallergens in asthmatic children and study the differences in characteristics of atopics and non atopics.
Design:
Analysis of data from a prospective cohort study.
Setting:
Pediatric Chest Clinic of tertiary care center in Northern India.
Patients:
Asthmatic children from 5-18 year of age.
Main Outcome Measures:
Prevalence of sensitization to common aeroallergens.
Results:
Skin prick testing (SPT) was performed on 180 children above 5 years of age, with a mean (SD) age of 111.4 (34.2) months. 100 children (55.6%) were sensitized to at least one aeroallergen, suggesting atopy; 68 (37.8%) were sensitized to more than one allergen. 36.7% children were sensitized to housefly antigen; 31.1% to rice grain dust, 18.3% to cockroach, and 7.8% to house dust mite antigens. Atopic children had significantly higher median FENO during follow up than non-atopic children (17.5 ppb vs 13 ppb, P=0.002). There was a positive correlation between age and the number of allergens that an individual was sensitized to (r= 0.21; P=0.0049).
Conclusions:
More than half of asthmatic children in our cohort had sensitization to one or more aeroallergens suggesting atopy; sensitization was most commonly seen to housefly antigen and rice grain dust. Atopic children had significantly higher FENO measurements during follow up as compared to non-atopic children.
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Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma III: Clinical Manifestations

