Morfín-Maciel Blanca María, Flores Iveth, Rosas-Alvarado Alejandro, Bautista Maura, López-López Jorge Roberto
Hospital General de México, Servicio de Alergia e Inmunología, Dr. Balmis 148, colonia Doctores, CP 06726, México DF.
Rev Alerg Mex. 2009 Nov-Dec;56(6):198-203.
In Mexico City, where the Olive trees are scarce, the Oleaceae family has been recognized as one of the most important causes of pollen allergy, possibly related to cross-reactivity with other pollens of the Oleaceae family, as Fraxinus excelsior, Ligustrum vulgaris and Osmanthus americanus.
To know the prevalence of sensitization to the Oleaceae family in Mexico City, cross-reactivity, as well as concurrent sensitizations, and vegetables and fruits associated to oral allergy syndrome (OAS).
A prospective, longitudinal study was carried out during two months, among patients who attended the outpatient allergy clinic of the General Hospital of Mexico with symptoms suggestive of respiratory allergy. A questionnaire to search OAS was used, and skin Prick tests to pollens were performed.
Among 279 patients, 164 (58.8%) had respiratory allergy and positive skin prick test (SPT) to pollens. Olea europaea had the highest prevalence of SPT reactivity (52.4%), followed by Fraxinus excelsior (43.3%), Ligustrum vulgaris (36.6%) and Osmanthus americanus (15.9%). There were OAS in 53.5%, 50.7%, 50% and 53.8%, respectively, mainly related to peach, apple, kiwi, pear and banana. Olive monosensitization was found in 5.5%.
In this study, Olea europaea had the highest prevalence of positive reactivity to pollens in Mexico City, then its sensitization must be determined routinely.
在墨西哥城,橄榄树稀少,木犀科被认为是花粉过敏的最重要原因之一,这可能与木犀科其他花粉(如欧洲白蜡树、欧洲女贞和美国桂花)的交叉反应有关。
了解墨西哥城对木犀科的致敏率、交叉反应以及同时致敏情况,以及与口腔过敏综合征(OAS)相关的蔬菜和水果。
在两个月内,对墨西哥总医院门诊过敏诊所中出现呼吸道过敏症状的患者进行了一项前瞻性纵向研究。使用了一份用于筛查OAS的问卷,并对花粉进行了皮肤点刺试验。
在279名患者中,164名(58.8%)有呼吸道过敏且对花粉的皮肤点刺试验(SPT)呈阳性。油橄榄的SPT反应性患病率最高(52.4%),其次是欧洲白蜡树(43.3%)、欧洲女贞(36.6%)和美国桂花(15.9%)。OAS的发生率分别为53.5%、50.7%、50%和53.8%,主要与桃子、苹果、猕猴桃、梨和香蕉有关。发现单一油橄榄致敏的比例为5.5%。
在本研究中,油橄榄在墨西哥城对花粉的阳性反应患病率最高,因此必须常规确定其致敏情况。