Korol D, Kaczmarski M
3rd Department of Paediatric Diseases, Medical University in Białystok, Poland.
Med Sci Monit. 2001 Sep-Oct;7(5):966-70.
Allergy belongs to the most frequent chronic diseases in developed countries. Its manifestation and development are determined by genetic predisposition as well as specific and non-specific environmental factors. The aim of this paper was to evaluate the type and incidence of allergic/atopic diseases among family members (1st and 2nd degree of kinship) of children with the diagnosis of hypersensitivity to cow's milk.
Positive family history of atopic and allergic diseases among the closest relatives was analysed in a group of 180 children with the diagnosis of hypersensitivity to cow's milk.
Allergoses were found in 163 (91.1%) families, affecting 55.5%, 36% and 50% mothers, fathers and siblings of the patients, respectively. The disease of the same type as in children was present in 37.2% siblings and in 11.7% parents. Forty-five per cent of patients were from high-risk families, where 2, 3 or 4 relatives were affected by the disease (in 37.8%, 6.7% and 0.56% cases, respectively).
Clinical manifestation of allergoses differed between various generations of the same family. The systems most often affected by the allergic process were skin, gastrointestinal tract and respiratory system.
过敏是发达国家最常见的慢性病之一。其表现和发展由遗传易感性以及特定和非特定的环境因素决定。本文的目的是评估诊断为牛奶过敏的儿童家庭成员(一级和二级亲属)中过敏性/特应性疾病的类型和发病率。
对180名诊断为牛奶过敏的儿童的近亲中特应性和过敏性疾病的阳性家族史进行分析。
在163个(91.1%)家庭中发现过敏症,分别影响患者的母亲、父亲和兄弟姐妹的比例为55.5%、36%和50%。与儿童患相同类型疾病的情况在37.2%的兄弟姐妹和11.7%的父母中存在。45%的患者来自高危家庭,其中2、3或4名亲属患有该疾病(分别占37.8%、6.7%和0.56%的病例)。
同一家庭不同代人之间过敏症的临床表现有所不同。最常受过敏过程影响的系统是皮肤、胃肠道和呼吸系统。