Masuda K, Sakaguchi M, Fujiwara S, Kurata K, Yamashita K, Odagiri T, Nakao Y, Matsuki N, Ono K, Watari T, Hasegawa A, Tsujimoto H
Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Japan.
Vet Immunol Immunopathol. 2000 Feb 25;73(2):193-204. doi: 10.1016/s0165-2427(99)00166-x.
Clinically important allergens for the diagnosis and treatment of atopic dermatitis vary geographically. In order to identify the most prevalent allergens in atopic dogs in Japan, 42 dogs with a clinical diagnosis of atopy were tested using both in vivo (intradermal skin test (IDST)) and in vitro (antigen-specific IgE assay) allergy tests. Allergens used for IDST included 26 allergen extracts from eight allergen groups: trees, weeds, grasses, house dust mites (HDM), molds, foods, epithelia, and arthropods. Immunodot assay was used to measure antigen-specific IgE against 24 allergens from these eight groups and against fish such as cod and sole. In the 42 dogs, the most common positive allergen reaction was to HDM on both IDST (29/42 dogs or 69%) and in vitro testing (23/42 or 54.8%). The second most frequent positive allergen reaction was to Japanese cedar pollen (21/42 or 50.0% for IDST and 7/42 or 16.7% for in vitro testing). In both tests, less than 20% of dogs had positive reactions to molds or foods. Positive reactions to cat epithelia were frequently found on IDST, but rarely found on in vitro testing. Agreement between the two tests was found in 26 instances: HDM (21 dogs), Japanese cedar pollen (five dogs) and wheat (one dog). In this study, the two most common allergens involved in atopic dermatitis in dogs in Japan were HDM and Japanese cedar pollen.
特应性皮炎诊断和治疗中具有临床重要性的过敏原存在地域差异。为了确定日本特应性犬中最常见的过敏原,对42只临床诊断为特应性的犬进行了体内(皮内皮肤试验(IDST))和体外(抗原特异性IgE检测)过敏试验。IDST使用的过敏原包括来自八个过敏原组的26种过敏原提取物:树木、杂草、草、屋尘螨(HDM)、霉菌、食物、上皮和节肢动物。免疫斑点试验用于测量针对这八个组中的24种过敏原以及鳕鱼和比目鱼等鱼类的抗原特异性IgE。在这42只犬中,最常见的阳性过敏原反应在IDST(29/42只犬,即69%)和体外检测中(23/42只犬,即54.8%)均为对HDM过敏。第二常见的阳性过敏原反应是对日本柳杉花粉过敏(IDST为21/42只犬,即50.0%;体外检测为7/42只犬,即16.7%)。在两种检测中,对霉菌或食物呈阳性反应的犬不到20%。在IDST中经常发现对猫上皮的阳性反应,但在体外检测中很少发现。两种检测结果在26例中一致:HDM(21只犬)、日本柳杉花粉(5只犬)和小麦(1只犬)。在本研究中,日本犬特应性皮炎中涉及的两种最常见过敏原是HDM和日本柳杉花粉。