[对气传豚草花粉的致敏——德国过敏性呼吸道疾病的一个病因?]

[Sensitization to airborne ragweed pollen--a cause of allergic respiratory diseases in Germany?].

作者信息

Boehme M W J, Gabrio T, Dierkesmann R, Felder-Kennel A, Flicker-Klein A, Joggerst B, Kersting G, König M, Link B, Maisner V, Wetzig J, Weidner U, Behrendt H

机构信息

Landesgesundheitsamt Baden-Württemberg im Regierungspräsidium Stuttgart, Stuttgart, Germany.

出版信息

Dtsch Med Wochenschr. 2009 Jul;134(28-29):1457-63. doi: 10.1055/s-0029-1225300. Epub 2009 Jul 1.

Abstract

BACKGROUND AND OBJECTIVE

Allergic skin and respiratory diseases show a high prevalence in most industrial countries. In addition, during the last years ragweed colonization has increased in Europe. Ambrosia pollen ( AMBROSIA ARTEMISIIFOLIA L. - common ragweed) are highly allergenic. Due to the late flowering time (august/September) of ragweed this can result in increasing health threats for allergic populations. This is of particular importance for those who already are sensitive to some grass or tree pollen. These individuals can then suffer from allergies during nearly the whole year. The present study examined the prevalence of sensitization to ragweed in German children and possible health implications.

METHODS

Between 2004 and 2007 sera of 1323 10-years old children in Baden Württemberg were tested in-vitro for specific IgE-antibodies against common aeroallergens including ragweed pollen.

RESULTS

Specific IgE-antibodies to extracts of common ragweed pollen were present in 10 - 17 % of the tested sera depending on the year of investigation.

CONCLUSION

The determined specific IgE-antibodies may be the result of a direct sensitization to ragweed pollen or correspond to cross-reactivity to other plants of the asteraceae subfamily or some nutritional allergens. The detection of sensitization to ragweed pollen does not prove actual allergic disease. However, a ragweed derived allergy should be considered in the differential diagnosis when allergic symptoms are present in direct connection to the flowering-time of ragweed. Ragweed plants should be removed and the spread of the plant 'restricted', as experiences in other countries with already wide spreading show.

摘要

背景与目的

在大多数工业化国家,过敏性皮肤和呼吸道疾病的患病率很高。此外,在过去几年中,豚草在欧洲的分布范围有所增加。豚草花粉(豚草——普通豚草)具有高度致敏性。由于豚草开花时间较晚(8月/9月),这可能会给过敏人群带来越来越大的健康威胁。对于那些已经对某些草或树花粉敏感的人来说,这一点尤为重要。这些人几乎一整年都可能遭受过敏困扰。本研究调查了德国儿童对豚草的致敏率以及可能的健康影响。

方法

2004年至2007年期间,对巴登-符腾堡州1323名10岁儿童的血清进行了体外检测,以检测针对包括豚草花粉在内的常见气传过敏原的特异性IgE抗体。

结果

根据调查年份的不同,10% - 17%的受试血清中存在针对普通豚草花粉提取物的特异性IgE抗体。

结论

所测定的特异性IgE抗体可能是对豚草花粉直接致敏的结果,或者与菊科其他植物或某些食物过敏原的交叉反应有关。对豚草花粉致敏的检测并不能证明实际患有过敏性疾病。然而,当出现与豚草开花时间直接相关的过敏症状时,在鉴别诊断中应考虑豚草引起的过敏。正如其他豚草已广泛传播的国家的经验所示,应清除豚草植株并“限制”其传播。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索