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Association between sensitization and allergic diseases in 7-years-old Korean children
Eun Lee1, Dong In Suh2, So-Yeon Lee3
1Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Insights
Childhood sensitization patterns, including allergen type and degree, are linked to allergic diseases like asthma and allergic rhinitis. Understanding these patterns aids in identifying disease causes and varied presentations.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health
- Clinical Medicine
Background:
- Allergic diseases in children are often exacerbated by sensitization.
- Sensitization patterns influence disease severity and prognosis.
Purpose of the Study:
- To investigate the relationship between specific sensitization patterns and allergic diseases in children.
- To characterize how allergen type, number, and degree of sensitization correlate with allergic conditions.
Main Methods:
- A cohort of 548 children from the Panel Study of Korean Children (PSKC) was analyzed.
- Skin prick tests (SPTs) for 18 allergens, blood tests, and methacholine challenge tests were conducted at age 7.
- The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire was administered.
Main Results:
- The overall sensitization rate was 46.4%.
- Indoor allergen sensitization correlated with asthma, allergic rhinitis (AR), and atopic dermatitis (AD) symptoms.
- Outdoor allergen sensitization was linked to AR diagnosis. The number and degree of sensitization influenced AR and asthma diagnoses and symptoms.
Conclusions:
- Sensitization patterns provide valuable insights into the association between sensitization and allergic diseases.
- Analyzing allergen type, number, and degree helps identify underlying pathophysiologies and diverse phenotypes of pediatric allergic diseases.
Background:
Sensitization is associated with the exacerbation, severity, and prognosis of allergic diseases in children.
Objective:
We characterized the association between sensitization patterns and allergic diseases.
Methods:
A cohort of 548 children was enrolled from Panel Study of Korean Children (PSKC) study. Skin prick tests (SPTs) for 18 common allergens, blood tests, and methacholine bronchial challenge tests were performed at age 7. The Korean version of International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire was used.
Results:
The sensitization rate on SPTs was 46.4%. Sensitization to indoor allergens showed an association with symptoms of asthma (adjusted odds ratio [aOR], 2.39; 95% confidence intervals [95% CIs], 1.10-5.23), allergic rhinitis (AR, aOR 2.08, 95% CIs 1.42-3.06), and atopic dermatitis (AD, aOR 2.36, 95% CIs 1.24-4.50) in the preceding 12 months. In contrast, sensitization to outdoor allergens was associated with AR diagnosis only (aOR 2.40, 95% CIs 1.30-4.41). The number of sensitized allergens was associated with a lifetime diagnosis and symptoms in the preceding 12 months of AR and asthma, but not with AD or BHR. A higher degree of sensitization to indoor allergens was associated with symptoms in the preceding 12 months of asthma, AR, AD, and that for outdoor allergens was associated with symptoms in the prior 12 months of asthma and AR.
Conclusions:
The sensitization patterns including allergen type, number, and degree of sensitization are helpful for interpreting the association between sensitization and allergic diseases and identifying the pathophysiologies and diverse phenotypes of allergic diseases.
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