Kimata H
Department of Paediatrics and Allergy, Ujitakeda Hospital, Kyoto Prefecture, Japan.
Public Health. 2005 Dec;119(12):1145-9. doi: 10.1016/j.puhe.2005.03.014. Epub 2005 Aug 8.
The incidence of latex allergy is increasing in Japanese adults. However, the changing incidence of latex allergy in children with or without allergic diseases has not been reported in detail. After obtaining written informed consent from parents, Japanese children under 14 years of age were studied. In total, 776 non-atopic children, 802 children with allergic rhinitis (AR), 706 children with bronchial asthma (BA) and 844 children with atopic eczema/dermatitis syndrome (AEDS) were asked about symptoms of latex allergy, and tested by serum latex-specific IgE, skin prick test to latex allergen and latex-glove-wearing test between 2001 and 2003. All the patients were outpatients at Ujitakeda Hospital, while the non-atopic children were children of the staff of Ujitakeda Hospital or Unitika Ltd. This was a retrospective study. The incidence of latex allergy in 2001/2002/2003 was 1.4/3.1/4.7% in non-atopic children, 3.1/5.1/9.1% in AR patients, 3.6/6.5/10.3% in BA patients and 6.1/11.3/15.9% in AEDS patients, respectively. Moreover, although no cases of anaphylactic shock were noted in allergic patients in 2001, two and eight cases were noted in 2002 and 2003, respectively. These results indicate that the incidence of latex allergy is increasing in paediatric patients with allergic diseases. A latex-reduced environment may be desirable in future.
日本成年人中乳胶过敏的发病率正在上升。然而,关于患有或未患有过敏性疾病的儿童中乳胶过敏发病率的变化情况,尚未有详细报道。在获得家长的书面知情同意后,对14岁以下的日本儿童进行了研究。在2001年至2003年期间,总共对776名非特应性儿童、802名过敏性鼻炎(AR)患儿、706名支气管哮喘(BA)患儿和844名特应性湿疹/皮炎综合征(AEDS)患儿询问了乳胶过敏症状,并进行了血清乳胶特异性IgE检测、乳胶过敏原皮肤点刺试验和戴乳胶手套试验。所有患者均为宇治武田医院的门诊患者,而非特应性儿童是宇治武田医院或Unitika有限公司员工的子女。这是一项回顾性研究。2001年/2002年/2003年非特应性儿童中乳胶过敏的发病率分别为1.4%/3.1%/4.7%,AR患者中为3.1%/5.1%/9.1%,BA患者中为3.6%/6.5%/10.3%,AEDS患者中为6.1%/11.3%/15.9%。此外,虽然2001年过敏患者中未出现过敏性休克病例,但2002年和2003年分别出现了2例和8例。这些结果表明患有过敏性疾病的儿科患者中乳胶过敏的发病率正在上升。未来可能需要一个减少乳胶使用的环境。