Payandeh Payam, Fadaee Javad, Jabbari Azad Farahzad, Bakhshaii Mehdi, Sistani Samane
Department of Clinical Immunology and Allergy, Babol University of Medical Sciences, Babol, Iran.
Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Tanaffos. 2019 Feb;18(2):133-141.
Respiratory allergies are among the most common allergies in the world with an increasing number of people affected in recent decades. Determination of allergens prevalence in each area is considered as the first step in prevention of allergic diseases and developing novel and more effective immunotherapies. The aim of this study was to determine the prevalence of the most common allergens among patients with respiratory allergies in Mashhad, Iran.
This cross sectional study included 1246 people who were referred to Allergy Clinic of Mashhad University of Medical Sciences with respiratory allergic symptoms from 2012 to 2017 in which a questionnaire containing demographic information was completed and Skin Prick Test was performed for each patient.
Among 1246 patients with respiratory symptoms, there were 1084 patients with allergic rhinitis (87%), 69 patients with allergic asthma (5.5%), 14 patients with allergic rhinoconjunctivitis (1.1%) and 79 patients with both allergic rhinitis and asthma (6.3%) with an overall male to female ratio of 1.18. Rhinorrhea (86.3%), sneezing (81.1%) and itchy eyes (68.4%) were the most common symptoms in patients with respiratory allergic disorders in this study and the highest rate of sensitivity was to pollens including Salsola kali (82.3%), pigweed mix (65.1%), tree mix (51.7%) and ash (49.8%), respectively.
Generally, Salsola kali seems to be the main allergen in different respiratory allergies including allergic rhinitis, asthma and rhinoconjunctivitis in semi-arid climate of Mashhad, Iran.
呼吸道过敏是世界上最常见的过敏症之一,近几十年来受影响的人数不断增加。确定每个地区的过敏原流行情况被认为是预防过敏性疾病和开发新型更有效免疫疗法的第一步。本研究的目的是确定伊朗马什哈德呼吸道过敏患者中最常见过敏原的流行情况。
这项横断面研究纳入了2012年至2017年转诊至马什哈德医科大学过敏诊所且有呼吸道过敏症状的1246人,为每位患者填写了包含人口统计学信息的问卷并进行了皮肤点刺试验。
在1246例有呼吸道症状的患者中,有1084例过敏性鼻炎患者(87%)、69例过敏性哮喘患者(5.5%)、14例过敏性鼻结膜炎患者(1.1%)以及79例同时患有过敏性鼻炎和哮喘的患者(6.3%),总体男女比例为1.18。在本研究中,流涕(86.3%)、打喷嚏(81.1%)和眼睛瘙痒(68.4%)是呼吸道过敏性疾病患者最常见的症状,对花粉的过敏率最高,其中对猪毛菜(82.3%)、藜属混合花粉(65.1%)、树木混合花粉(51.7%)和白蜡树花粉(49.8%)的过敏率分别最高。
一般来说,在伊朗马什哈德半干旱气候下,猪毛菜似乎是包括过敏性鼻炎、哮喘和鼻结膜炎在内的不同呼吸道过敏的主要过敏原。