Kulthanan Kanokvalai, Wachirakaphan Charussri
Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkoknoi, Bangkok, Thailand.
Acta Derm Venereol. 2008;88(6):584-8. doi: 10.2340/00015555-0546.
The aim of this study was to review chronic idiopathic urticaria patients with positive skin prick testing to mites and the clinical relevance of this positivity. Case records of patients with chronic idiopathic urticaria who underwent skin prick testing during the years 2000 to 2007 were reviewed. The studied allergens included house dust mite allergens; Dermatophagoides pteronyssinus and farninae. A total of 172 patients were enrolled in the study. The prevalence of positive skin prick testing to mites among patients with chronic idiopathic urticaria was high (34.9%), but had little clinical relevance (3.3%) to their urticarial symptoms. Patients with mite-sensitization were more commonly male and more often had a personal or family history of atopy compared with those without mite-sensitization.
本研究旨在回顾对螨虫皮肤点刺试验呈阳性的慢性特发性荨麻疹患者,并探讨这种阳性反应的临床相关性。回顾了2000年至2007年间接受皮肤点刺试验的慢性特发性荨麻疹患者的病例记录。所研究的过敏原包括屋尘螨过敏原;粉尘螨和户尘螨。共有172名患者纳入本研究。慢性特发性荨麻疹患者中对螨虫皮肤点刺试验呈阳性的比例较高(34.9%),但与他们的荨麻疹症状的临床相关性较小(3.3%)。与无螨虫致敏的患者相比,螨虫致敏患者男性更为常见,且更常有个人或家族过敏史。