Trinh Tu Hk, Nguyen Phuong Tm, Tran Tai T, Pawankar Ruby, Pham Duy L
Center for Molecular Biomedicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Front Allergy. 2023 Jan 4;3:1058865. doi: 10.3389/falgy.2022.1058865. eCollection 2022.
Climatic and geographical characteristics may alter the plant distribution and thereby the patterns of allergens.
To evaluate the profile of allergen sensitization in patients in southern Vietnam and its association with allergic diseases.
We collected data of 423 patients who visited the Unit of Allergy and Clinical Immunology, University Medical Center, Vietnam from 2014 to 2021, from their medical records. Patients underwent skin prick tests to the 12 most common aeroallergens. Clinical evaluation and diagnosis of allergic diseases was done in consert with their allergen sensitization status.
Mites and cockroach were the most prevalent sensitizing allergens, with the sensitization prevalences as followed: (Df) (59.8%), (Dp) (50.4%), (Bt) (49.6%), storage mites mix (10.4%), and cockroach (10.2%). Sensitization to Df was more predominant in males than in females (66% 54.1%). Dp-sensitized patients were younger than non-sensitized patients (29.01 ± 13.60 32.17 ± 14.89) whereas storage mites-sensitized patients were older than the non-sensitized groups (36.25 ± 13.53 28.76 ± 13.39) (< 0.05 for all). A considerable proportion of patients with urticaria, allergic rhinitis, and atopic dermatitis were sensitized to mites. Polysensitization to different species of house dust mites (Dp, Df) and storage mites (Bt) was prevalent among patients sensitized to any kind of mites.
Among people living in southern Vietnam, HDM mites, and cockroach were the predominant allergens. Further studies on the factors regulating the association between allergen sensitization with allergic diseases and polysensitization are crucial.
气候和地理特征可能改变植物分布,进而改变过敏原模式。
评估越南南部患者的过敏原致敏情况及其与过敏性疾病的关联。
我们从越南大学医学中心过敏与临床免疫学科室2014年至2021年的病历中收集了423例患者的数据。患者接受了针对12种最常见气传过敏原的皮肤点刺试验。根据患者的过敏原致敏状态进行过敏性疾病的临床评估和诊断。
螨类和蟑螂是最常见的致敏过敏原,致敏率如下:粉尘螨(Df)(59.8%)、屋尘螨(Dp)(50.4%)、德国小蠊(Bt)(49.6%)、仓储螨混合物(10.4%)和蟑螂(10.2%)。男性对Df的致敏率高于女性(66%对54.1%)。Dp致敏患者比未致敏患者年轻(29.01±13.60对32.17±14.89),而仓储螨致敏患者比未致敏组年龄大(36.25±13.53对28.76±13.39)(均P<0.05)。相当一部分荨麻疹、过敏性鼻炎和特应性皮炎患者对螨类致敏。对不同种类屋尘螨(Dp、Df)和仓储螨(Bt)的多重致敏在对任何一种螨类致敏的患者中很普遍。
在生活在越南南部的人群中,屋尘螨和蟑螂是主要过敏原。进一步研究调节过敏原致敏与过敏性疾病及多重致敏之间关联的因素至关重要。