Shokouhi Shoormasti Raheleh, Pourpak Zahra, Fazlollahi Mohammad Reza, Shabani Azadeh, Kazemnejad Anoshirvan, Ebadi Zahra, Tayebi Behnoosh, Darabi Behzad, Movahedi Masoud, Mahdaviani Seyed Alireza, Moin Mostafa
Immunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Immunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, Iran AND Virtual School of Tehran University of Medical Sciences, Tehran, Iran.
Iran J Allergy Asthma Immunol. 2017 Aug;16(4):298-306.
Aeroallergens play an important role in developing allergic diseases. The aim of this study was to determine the outdoor and indoor sensitization using a specific regional panel of aeroallergens in allergic patients. All patients with allergic symptoms referred to Immunology, Asthma and Allergy Research Institute (IAARI) in Tehran, Iran from December 2010 to July 2013 entered this cross sectional study. We evaluated serum samples for specific IgE against 20 selected aeroallergens provided by a specific panel (RIDA Allergy Screen test, IAARI panel). A p value less than 0.05 was considered as significant. The patients (n=602) were 49.8 % male and 50.2% female. The median age was 9 years. Positive specific IgE at least to one allergen was 53.2%. The percentages of patients with only outdoor or indoor sensitization were 37.5 and 19.7%, respectively. Moreover, 42.8% showed sensitization to both indoor and outdoor aeroallergens. The most common outdoor aeroallergens in decreasing order were plane tree (32.8%), Bermuda grass (32.2%), timothy grass (30.6%), saltwort (28.4%). The percentage of specific IgE to indoor allergens including mold and mite were 23.8 % and 22.2%, respectively. There was a statistically significant relationship between specific IgE to timothy grass and mold allergens between two genders (p=0.04 and p=0.02, respectively).The results of this study shows that outdoor aeroallergens can be considered as the most common causes of allergic symptoms in our allergic patients.
空气变应原在过敏性疾病的发生发展中起重要作用。本研究的目的是使用特定区域的空气变应原检测组来确定过敏性患者的室外和室内致敏情况。2010年12月至2013年7月期间,所有出现过敏症状并转诊至伊朗德黑兰免疫、哮喘和过敏研究所(IAARI)的患者均纳入本横断面研究。我们评估了血清样本中针对特定检测组提供的20种选定空气变应原的特异性IgE(RIDA过敏筛查试验,IAARI检测组)。p值小于0.05被认为具有统计学意义。患者(n = 602)中男性占49.8%,女性占50.2%。中位年龄为9岁。至少对一种变应原呈阳性特异性IgE的比例为53.2%。仅对室外或室内变应原致敏的患者比例分别为37.5%和19.7%。此外,42.8%的患者对室内和室外空气变应原均呈致敏状态。按降序排列,最常见的室外空气变应原依次为悬铃木(32.8%)、百慕大草(32.2%)、梯牧草(30.6%)、猪毛菜(28.4%)。对包括霉菌和螨虫在内的室内变应原的特异性IgE百分比分别为23.8%和22.2%。两种性别之间,对梯牧草和霉菌变应原的特异性IgE存在统计学显著关系(分别为p = 0.04和p = 0.02)。本研究结果表明,室外空气变应原可被视为我们过敏性患者过敏症状的最常见原因。