[过敏性疾病成人中对奇异果（美味猕猴桃）致敏和过敏的患病率]

[Prevalence of sensitization and allergy to kiwi fruit (Actinidia deliciosa) in adults with allergic diseases].

作者信息

Bedolla-Pulido Tonatiuh Ramses, Álvarez-Corona Silvia Araceli, Bedolla-Pulido Tonantzin Isis, Uribe-Cota Benjamín, González-Mendoza Tania, Bedolla-Barajas Martín

机构信息

Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Servicio de Alergia e Inmunología Clínica, Guadalajara, Jalisco, México.

出版信息

Rev Alerg Mex. 2018 Jan-Mar;65(1):19-24. doi: 10.29262/ram.v65i1.293.

DOI:10.29262/ram.v65i1.293

PMID:29723938

Abstract

BACKGROUND

The kiwi fruit (Actinidia deliciosa) is a food that has been recognized for its allergenic capability for more than 30 years. In general, kiwi allergy is characterized by local discomfort, but systemic reactions such as rash, angioedema, rhinitis, conjunctivitis or anaphylaxis can be triggered.

OBJECTIVE

To determine the prevalence of sensitization and allergy to kiwi in adults with allergic diseases.

METHODS

By means of a cross-sectional, retrolective study, data corresponding to 370 patients aged ≥16 years were analyzed.

RESULTS

226 patients had positive skin reaction against aeroallergens. The prevalence of food sensitization was 84/226 (37.2%; 95 % CI = 31.1 to 43.6). Overall, the prevalence of sensitization to kiwi fruit was 15/226 (6.6%; 95% CI = 3.9 to 10.7), and of kiwi allergy, 2/15 (13.3%; 95% CI = 2.5 to 39.1); one patient had symptoms consistent with oral allergy syndrome, and another, gastrointestinal and cutaneous manifestations.

CONCLUSION

The prevalence of sensitization to kiwi fruit is not a rare event; in contrast, symptoms related to its consumption are uncommon.

摘要

背景

猕猴桃（中华猕猴桃）是一种具有致敏性已被认知超过30年的食物。一般来说，猕猴桃过敏以局部不适为特征，但也可能引发皮疹、血管性水肿、鼻炎、结膜炎或过敏反应等全身反应。

目的

确定患有过敏性疾病的成年人中对猕猴桃致敏和过敏的患病率。

方法

通过一项横断面回顾性研究，分析了370名年龄≥16岁患者的数据。

结果

226名患者对空气过敏原皮肤反应呈阳性。食物致敏的患病率为84/226（37.2%；95%可信区间=31.1至43.6）。总体而言，对猕猴桃致敏的患病率为15/226（6.6%；95%可信区间=3.9至10.7），对猕猴桃过敏的患病率为2/15（13.3%；95%可信区间=2.5至39.1）；一名患者有与口腔过敏综合征相符的症状，另一名患者有胃肠道和皮肤表现。