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肠易激综合征患者的镍敏感性

Nickel Sensitivity in Patients With Irritable Bowel Syndrome.

作者信息

Coşgun Süleyman, Polat Umut, Kaya Muhammed, Sezikli Mesut

机构信息

Internal Medicine, Gastroenterology, Kütahya University of Health Sciences, Kütahya, TUR.

Internal Medicine, Emet Dr. Fazıl Doğan State Hospital, Kütahya, TUR.

出版信息

Cureus. 2023 Sep 13;15(9):e45196. doi: 10.7759/cureus.45196. eCollection 2023 Sep.

Abstract

AIM

Nickel (Ni) is the most common contact allergen in the population. We aimed to investigate whether there is a relationship between Ni sensitivity and irritable bowel syndrome (IBS) in our study.

MATERIALS AND METHODS

This study was conducted in 50 patients with IBS who were followed up between March 2018 and July 2018, and 40 healthy people as a control group in a single center with a dermatology department. European standard contact allergen series Ni preparate and corticosteroid pomace were applied to the back region of the study subjects. The evaluation was performed at 48, 72, and 96 hours according to the scheme proposed by the International Contact Dermatitis Research Group (ICDRG). Those who reacted at 72 hours were considered to have Ni allergy.  Results: The female/male ratio was 24/26 and 18/22 in the patient and control groups, respectively. The mean ages of the patient and control groups were 42.82 (±10.65) and 39.77 (±11.21) years, respectively. Ni sensitivity was present in 40% of the patient group and 17.5% of the control group (p=0.03).

CONCLUSION

We believe that the presence of Ni sensitivity is important in the pathogenesis of IBS disease. In our study, Ni sensitivity was found to be quite high in IBS patients compared to the normal population.

摘要

目的

镍(Ni)是人群中最常见的接触性变应原。在本研究中,我们旨在调查镍敏感性与肠易激综合征(IBS)之间是否存在关联。

材料与方法

本研究在一家设有皮肤科的单中心进行,对2018年3月至2018年7月期间随访的50例IBS患者以及40名健康人作为对照组进行研究。将欧洲标准接触性变应原系列镍制剂和皮质类固醇凡士林应用于研究对象的背部区域。根据国际接触性皮炎研究组(ICDRG)提出的方案,在48、72和96小时进行评估。在72小时出现反应的患者被认为对镍过敏。结果:患者组和对照组的女性/男性比例分别为24/26和18/22。患者组和对照组的平均年龄分别为42.82(±10.65)岁和39.77(±11.21)岁。患者组中40%存在镍敏感性,对照组中为17.5%(p=0.03)。

结论

我们认为镍敏感性的存在在IBS疾病的发病机制中很重要。在我们的研究中,发现IBS患者的镍敏感性与正常人群相比相当高。

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