Celakovska Jarmila, Vankova Radka, Bukac Josef, Cermakova Eva, Andrys Ctirad, Krejsek Jan
Department of Dermatology and Venereology, Faculty Hospital, Medical Faculty of Charles University, 50002 Hradec Králové, Czech Republic.
Department of Clinical Immunology and Allergy, Faculty Hospital, Medical Faculty of Charles University, 50002 Hradec Králové, Czech Republic.
J Fungi (Basel). 2021 Mar 4;7(3):183. doi: 10.3390/jof7030183.
Progress in laboratory diagnostics of IgE-mediated allergies is being made through the use of component-resolved diagnosis. The aim of our study is to analyze the sensitization profile to allergen reagents in patients suffering from atopic dermatitis with the use of the ALEX 2-Allergy Explorer and especially to show the sensitization to molecular components of molds and yeast. The complete dermatological and allergological examination including the examination of the sensitization to allergen reagents with Allergy Explorer ALEX 2 testing was performed. The relation between the sensitization to molecular components of molds and yeast and the severity of atopic dermatitis, and the occurrence of bronchial asthma and allergic rhinitis was evaluated. Altogether, 100 atopic dermatitis patients were examined-48 men and 52 women, with an average age of 40.9 years. The sensitization to Mala s 6, Mala s 11, Sac c, Asp f 6, Cla h and Cla h 8 correlates to the severity of atopic dermatitis. The sensitization to Sac c, Alt a 6, Cla h, Cla h 8 was observed significantly more frequently in patients suffering from bronchial asthma to Mala s 6 in patients suffering from allergic rhinitis. In patients with severe form of atopic dermatitis (AD), a very high level of specific IgE was recorded to Mala s 11 (in 36%) and to Asp f 6 (in 12%).
通过使用组分分辨诊断技术,IgE介导的过敏症的实验室诊断正在取得进展。我们研究的目的是使用ALEX 2 - Allergy Explorer分析特应性皮炎患者对过敏原试剂的致敏情况,特别是展示对霉菌和酵母分子成分的致敏情况。进行了完整的皮肤病学和过敏学检查,包括使用Allergy Explorer ALEX 2检测对过敏原试剂的致敏检查。评估了对霉菌和酵母分子成分的致敏与特应性皮炎严重程度、支气管哮喘和过敏性鼻炎发生之间的关系。总共检查了100名特应性皮炎患者,其中48名男性和52名女性,平均年龄为40.9岁。对苹果籽提取物6、苹果籽提取物11、酿酒酵母提取物、烟曲霉提取物6、枝孢霉菌提取物和枝孢霉菌提取物8的致敏与特应性皮炎的严重程度相关。在支气管哮喘患者中,对酿酒酵母提取物、链格孢菌提取物6、枝孢霉菌提取物、枝孢霉菌提取物8的致敏观察频率显著更高;在过敏性鼻炎患者中,对苹果籽提取物6的致敏观察频率显著更高。在重度特应性皮炎(AD)患者中,对苹果籽提取物11(36%)和烟曲霉提取物6(12%)记录到非常高水平的特异性IgE。