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[儿童马匹过敏暴发。56例近期病例回顾]

[An outbreak of allergy to horses in children. A review of 56 recent cases].

作者信息

Lelong M, Castelain M C, Bras C, Drain J P, Léonard J C, Robberecht M N, Libessart Y, Thelliez P, Miersman R

机构信息

Cap-Nord (club d'allergie pédiatrique de la région Nord-Pas-de-Calais), Lens, France.

出版信息

Pediatrie. 1992;47(1):55-8.

PMID:1337779
Abstract

Over the past 11 years, signs of allergy were observed in 56 children and adolescents in contact with horses. The cases consisted of 35 boys and 21 girls, 35 of them were under 10 years of age. The main clinical signs were ocular symptoms (36), asthma (30) and rhinopharyngitis (24). All the children had very positive cutaneous prick tests and specific IgE (class 3 and 4: 62%) and were polysensitized. In several children, the first manifestation occurred at the time of the first known contact with a horse or pony. No further contact was usually the only therapeutic solution. In disabled children, allergy to horses must be considered when clinical signs of allergy occur during therapeutic riding sessions.

摘要

在过去11年里,在56名接触马匹的儿童和青少年中观察到过敏迹象。病例包括35名男孩和21名女孩,其中35人年龄在10岁以下。主要临床症状为眼部症状(36例)、哮喘(30例)和鼻咽炎(24例)。所有儿童的皮肤点刺试验和特异性IgE均呈强阳性(3级和4级:62%),且为多敏状态。在一些儿童中,首次出现症状是在首次接触马或小马驹时。通常,不再接触是唯一的治疗方法。对于残疾儿童,在治疗性骑马课程中出现过敏临床症状时,必须考虑对马过敏的情况。

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