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Association of Cat Sensitization With Comorbid Asthma in Patients With Allergic Rhinitis: A Real-World Study
Wei-Hao Wang1,2,3, Xin Luo1,2,3, Zhen-Hao Xiao1,2,3
1Department of Otolaryngology-Head and Neck Surgery The Third Affiliated Hospital of Sun Yat-Sen University Guangzhou China.
Cat dander sensitization significantly increases the risk of allergic rhinitis and asthma comorbidity (AR+AS). Early detection of cat allergy can help manage severe allergic symptoms in at-risk individuals.
Area of Science:
- Immunology
- Allergology
- Respiratory Medicine
Background:
- The comorbidity of allergic rhinitis (AR) and asthma (AS), termed AR+AS, is rising and linked to severe allergic symptoms.
- The specific impact of cat dander sensitization on the development and severity of AR+AS remains incompletely understood.
Purpose of the Study:
- To investigate the association between cat dander sensitization and the comorbidity of allergic rhinitis and asthma (AR+AS).
- To identify key risk factors contributing to AR+AS, with a focus on cat allergen exposure and sensitization.
Main Methods:
- A retrospective study involving 1154 patients with AR alone and 213 patients with AR+AS.
- Serum allergen-specific IgE levels were measured using the UniCAP system.
- Multivariate logistic regression analysis was employed to determine risk factors for AR+AS.
Main Results:
- Cat dander sensitization was identified as a prominent risk factor for AR+AS (OR=3.743, p<0.001), with a higher positive rate in the AR+AS group (25.4% vs. 10.5%).
- Co-sensitization to house dust mites (HDM) and cat dander, along with cat ownership, significantly increased AR+AS prevalence in cat-sensitized individuals.
- In children, cat sensitization without cat ownership was associated with AR+AS, a correlation not observed in adults.
Conclusions:
- Cat dander sensitization is a significant risk factor for the comorbidity of allergic rhinitis and asthma (AR+AS).
- Co-sensitization to HDM and cat dander, and cat ownership, further elevate the risk of AR+AS in sensitized individuals.
- Early identification of cat dander sensitization is crucial for managing AR+AS and identifying at-risk populations.
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