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芬兰青少年对常见变应原的皮肤点刺试验反应性。

Skin prick test reactivity to common allergens in Finnish adolescents.

作者信息

Haahtela T, Björkstén F, Heiskala M, Suoniemi I

出版信息

Allergy. 1980 Jul;35(5):425-31. doi: 10.1111/j.1398-9995.1980.tb01789.x.

Abstract

We studied 708 adolescents aged 15-17 years in the 9th grade of school in Imatra. Of the eligible population born in 1962 77% were included. All were skin prick tested with 16 extracts from two manufacturers with 12 common allergens, which included pollens, epithelia, mite, house dust and fish. At least one positive, immediate reaction (weal diameter 3 mm or larger) occurred in 49% and at least two positive reactions in 43% of those studied. The boys were observed to be significantly more reactive than the girls. The allergen preparations to which positive reactions were most prevalent were house dust, cat and horse epithelium, and mite extract. Large differences in the prevalence of positive reactions were observed with different preparations of the same allergen. Pollen allergens tended to cause the largest positive weal reactions, and the weal size distribution with some pollens was distinctly bimodal. A scheme for calculating allergen potency in histamine-equivalent-prick (HEP) units is presented. It is noted that the result is greatly dependent on the population group chosen for testing.

摘要

我们对伊马特拉市9年级的708名15至17岁青少年进行了研究。在1962年出生的符合条件的人群中,77%被纳入研究。所有人都用来自两家制造商的16种提取物进行了皮肤点刺试验,这些提取物含有12种常见过敏原,包括花粉、上皮、螨虫、屋尘和鱼类。在研究对象中,49%至少出现一次阳性即刻反应(风团直径3毫米或更大),43%至少出现两次阳性反应。观察到男孩的反应性明显高于女孩。阳性反应最普遍的过敏原制剂是屋尘、猫和马的上皮以及螨虫提取物。对于同一过敏原的不同制剂,阳性反应的患病率存在很大差异。花粉过敏原往往会引起最大的阳性风团反应,并且一些花粉的风团大小分布明显呈双峰型。本文提出了一种以组胺等效点刺(HEP)单位计算过敏原效价的方案。需要注意的是,结果在很大程度上取决于所选择的用于测试的人群组。

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