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伊朗亚兹德市变应性鼻炎患者对昆虫气传变应原致敏情况的评估。

Assessment of sensitization to insect aeroallergens among patients with allergic rhinitis in Yazd City, Iran.

作者信息

Bemanian Mohammad Hassan, Alizadeh Korkinejad Narges, Shirkhoda Shima, Nabavi Mohammad, Pourpak Zahra

机构信息

Immunology, Asthma and Allergy Research Institute, Children Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Allergy Asthma Immunol. 2012 Sep;11(3):253-8.

Abstract

The frequency of allergic diseases such as allergic rhinitis is considerable in general population. Insect aeroallergens are important allergens which can induce airway inflammation. The aim of this study was to determine the prevalence of sensitization to insect aeroallergens in allergic rhinitis patients in Yazd as a desert city in Iran.A cross-sectional study was undertaken on 95 allergic rhinitis patients who were referred to allergy clinic of Yazd city. Skin prick tests (SPT) by standard extracts of three insect aeroallergens including Mosquito, Corn moth, Cockroach and two species of mites as common aeroallergens in allergic rhinitis (Dermatophagoid Farina, Dermatophagoid Peteronysinus) were done.SPT results showed that the most common insect aeroallergens were: mosquito (32.6%) followed by corn moth (26.3%) and cockroach (13.7%).The prevalence of SPT positive response to Dermatophagoid Peteronysinus, Dermatophagoid Farina were 8.4% and 7.4%, respectively. These results demonstrated that sensitization to insect aeroallergens was significantly more common compared to mites in patients with allergic rhinitis in Yazd city, a city surrounded by deserts. High prevalence of skin reactivity to mosquito and corn moth as insect aeroallergens in Yazd city with hot and dry climate in contrast to humid regions such as north of Iran, where mites are more frequent, indicates differences in the prevalence of aeroallergen reactivity in various areas with different climates. Our study could highlight the importance of insect aeroallergens for clinicians for better diagnosis and management of patients with allergic rhinitis.

摘要

在普通人群中,过敏性鼻炎等过敏性疾病的发病率相当高。昆虫气传变应原是可诱发气道炎症的重要变应原。本研究的目的是确定在伊朗沙漠城市亚兹德的过敏性鼻炎患者中对昆虫气传变应原致敏的患病率。

对转诊至亚兹德市过敏诊所的95例过敏性鼻炎患者进行了一项横断面研究。采用三种昆虫气传变应原(蚊子、玉米螟、蟑螂)的标准提取物以及两种在过敏性鼻炎中常见的气传变应原(粉尘螨、户尘螨)进行皮肤点刺试验(SPT)。

SPT结果显示,最常见的昆虫气传变应原是:蚊子(32.6%),其次是玉米螟(26.3%)和蟑螂(13.7%)。对户尘螨、粉尘螨SPT阳性反应的患病率分别为8.4%和7.4%。这些结果表明,在被沙漠环绕的亚兹德市,过敏性鼻炎患者中对昆虫气传变应原的致敏明显比螨更为常见。与伊朗北部等潮湿地区相比,亚兹德市气候炎热干燥,对蚊子和玉米螟这两种昆虫气传变应原皮肤反应性的高患病率表明,不同气候地区气传变应原反应性的患病率存在差异。我们 的研究可以突出昆虫气传变应原对临床医生更好地诊断和管理过敏性鼻炎患者的重要性。

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