Aihara M, Takahashi S, Oosuna I, Yasueda H, Tsubaki K, Ikezawa Z
Department of Dermatology, Urafune Hospital of Yokohama City University, School of Medicine.
Arerugi. 1999 Oct;48(10):1172-9.
We studied influence of Japanese cedar pollen (Jcp) on aggravation of atopic dermatitis (AD) during the pollination season. 48.5% of 97 patients with atopic dermatitis showed aggravation of dermatitis during the pollination season and 85% of them had Japanese cedar pollinosis, whereas only 44% of AD patients without the aggravation had the pollinosis. There was no difference of grades of dermatitis on face between the groups with or without the aggravation. Furthermore, we measured specific IgE to Jcp and Cry j 1, a major allergen of Jcp, by ELISA in the sera from the 54 patients with AD. The levels of specific IgE antibodies to both allergens in the group with the pollinosis were significantly higher than in the group without the pollinosis. However, significant difference of those was not recognized between the groups with or without the aggravation of AD. Therefore, our study has suggested that Japanese cedar pollen is likely to be one of causes of seasonal aggravation of AD in individuals sensitized to the pollen, and some other factors, e.g. Jcp-specific T cells, might play an important roll in addition to the Jcp-specific IgE.
我们研究了日本雪松花粉(Jcp)在授粉季节对特应性皮炎(AD)加重的影响。97例特应性皮炎患者中有48.5%在授粉季节出现皮炎加重,其中85%患有日本雪松花粉症,而在未加重的AD患者中只有44%患有花粉症。加重组和未加重组面部皮炎的分级没有差异。此外,我们通过ELISA法检测了54例AD患者血清中针对Jcp和Jcp主要过敏原Cry j 1的特异性IgE。花粉症组中针对这两种过敏原的特异性IgE抗体水平显著高于无花粉症组。然而,在AD加重组和未加重组之间未发现这些指标的显著差异。因此,我们的研究表明,日本雪松花粉可能是对该花粉致敏个体中AD季节性加重的原因之一,除了Jcp特异性IgE外,其他一些因素,如Jcp特异性T细胞,可能也起着重要作用。