Silny Wojciech, Czarnecka-Operacz Magdalena, Silny Paweł
Z Katedry i Kliniki Dermatologii, Akademii Medycznej w Poznaniu.
Wiad Lek. 2005;58(3-4):184-92.
Atopic dermatitis (AD) still remains a difficult clinical problem in terms of effective therapy. The aim of our study was to evaluate efficacy of specific immunotherapy performed with Novo-Helisen Depot allergy vaccines in the group of 36 children and youngsters with atopic dermatitis allergic to house dust mites (24 persons) and grass pollen allergens (12 patients), for the time period of 3 years. Skin reactivity (skin prick tests) and serum concentrations of antigen specific IgE were monitored in the course of treatment. The control group consisted of 20 patients with atopic dermatitis and IgE-mediated airborne allergy who were treated with conventional methods. Specific immunotherapy resulted in negativization of skin prick tests results and decrease of serum antigen specific IgE concentrations. On the contrary in the control group there was no tendency for negativization of skin prick tests and we observed an increase of serum concentration of antigen specific IgE directed against grass pollen allergens. Specific immunotherapy seems to be an effective therapeutic approach in selected cases of atopic dermatitis.
就有效治疗而言,特应性皮炎(AD)仍然是一个棘手的临床问题。我们研究的目的是评估使用诺沃 - 海利森长效过敏疫苗对36名对屋尘螨过敏(24人)和草花粉过敏原过敏(12人)的特应性皮炎儿童和青少年进行特异性免疫治疗3年的疗效。在治疗过程中监测皮肤反应性(皮肤点刺试验)和抗原特异性IgE的血清浓度。对照组由20名采用传统方法治疗的特应性皮炎和IgE介导的气传过敏患者组成。特异性免疫治疗导致皮肤点刺试验结果转阴,并降低了血清抗原特异性IgE浓度。相反,在对照组中,皮肤点刺试验没有转阴的趋势,并且我们观察到针对草花粉过敏原的抗原特异性IgE血清浓度增加。特异性免疫治疗在某些特应性皮炎病例中似乎是一种有效的治疗方法。