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呼吸道过敏性疾病中支气管高反应性与遗传因素的关系:支气管哮喘和鼻过敏

[Relationship between bronchial hypersensitivity and hereditary factors in respiratory tract allergic diseases: bronchial asthma and nasal allergy].

作者信息

Kiya T

机构信息

Second Department of Internal Medicine, School of Medicine, Nagasaki University.

出版信息

Arerugi. 1990 May;39(5):465-75.

PMID:2393352
Abstract

Bronchial hypersensitivity was investigated by astograph in 25 nasal allergy patients without clinical symptoms of asthma and 103 healthy people from 20 asthmatic families. The data were compared with those obtained from 36 asthmatics. Intradermal skin tests and HLA typing were also performed on the members of asthmatic families. Bronchial hypersensitivity was present at a much higher rate in nasal allergy patients than in healthy people. It was also demonstrated that bronchial hypersensitivity was present even in non-asthmatics from asthmatic families, and the incidence of bronchial hypersensitivity tended to increase when complicated by nasal allergy. Increased bronchial hypersensitivity was shown in people from asthmatic families with positive skin tests to mites and house dust. Bronchial hypersensitivity seemed to be related to HLA-haplotype in the same family. The results of antigen sensitization as measured by intradermal skin reaction test suggested that hereditary factors play some role in the development of bronchial hypersensitivity.

摘要

采用呼吸感应容积描记仪对25例无哮喘临床症状的鼻过敏患者及来自20个哮喘家庭的103名健康人进行支气管高敏反应研究。将数据与36例哮喘患者的数据进行比较。还对哮喘家庭的成员进行了皮内皮肤试验和HLA分型。鼻过敏患者支气管高敏反应的发生率远高于健康人。研究还表明,即使是哮喘家庭中的非哮喘患者也存在支气管高敏反应,且合并鼻过敏时支气管高敏反应的发生率有增加趋势。对螨虫和屋尘皮肤试验呈阳性的哮喘家庭成员显示支气管高敏反应增加。同一家庭中支气管高敏反应似乎与HLA单倍型有关。皮内皮肤反应试验测定的抗原致敏结果表明,遗传因素在支气管高敏反应的发生中起一定作用。

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