在组分水平上早期吸入过敏原敏感化:对阿托皮性荷兰儿童的分析
Lonneke J Landzaat1, Joyce A M Emons1, Laura J H Sonneveld1
1Division of Pediatric Respiratory Medicine and Allergology, Department of Pediatrics, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Frontiers in allergy
|July 20, 2023
概括
对过敏性鼻炎的敏感化在荷兰的亚托皮儿童中很常见,从婴儿期开始. 家庭灰尘是儿童早期的主要触发因素,强调了早期诊断和管理的必要性.
科学领域:
- 儿科过敏和免疫学
- 呼吸系统医学 呼吸系统医学
- 免疫学 免疫学 免疫学
背景情况:
- 过敏性鼻炎是一种普遍存在的儿童呼吸道疾病.
- 对吸入过敏原的敏感性是其发展的一个关键因素.
- 有限的数据存在于非常年轻的亚托皮儿童的敏感性概况.
研究的目的:
- 在荷兰的亚托皮性儿童中研究IgE敏感性对吸入过敏原成分的IgE敏感性.
- 专注于4岁以下儿童过敏性鼻炎的早期发展.
- 评估敏感性概况的临床相关性.
主要方法:
- 对243名亚托皮儿童进行了横截面回顾性研究.
- 多重复合微阵列分析 (ISAC) 用于敏感性分析.
- 对五种过敏原源 (草,树花粉,高质量菌,猫,狗) 的IgE反应进行分析.
主要成果:
- 92%的儿童对吸入过敏原产生敏感性.
- 敏感性从婴儿时期就普遍存在 (87%),在1岁后增加.
- 家庭灰尘是儿童早期最常见的敏感剂.
结论:
- 对吸入过敏原的敏感性是常见的,在荷兰的亚托皮儿童中早期发生.
- 在幼儿中,特定的过敏原分子,如Der f1,Der p1和Fel d1是显著的.
- 在这个人群中,对过敏性鼻炎的早期评估和治疗至关重要.
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