Guerra F, Galán Carmen C, Daza J C, Miguel R, Moreno C, González J, Domínguez E
Unidad de Alergia, Hospital Reina Sofía de Córdoba, Spain.
J Investig Allergol Clin Immunol. 1995 May-Jun;5(3):166-70.
The level of ash pollen grains (Fraxinus spp.) detected in the air in the city of Cordoba rarely surpasses the daily average of 8 g/m3 and is always detectable during the winter and the beginning of the spring. This fact, together with the knowledge of the presence of perennial symptoms in patients monosensitive to Olea in this area, allows us to suspect the possibility of cross-reactivity between both taxa. The skin tests carried out on a total of 1500 pollinotic patients with an extract of Fraxinus pollen offer us a global sensitization frequency of 59%. Furthermore, the Fx+ patients generally have a higher frequency of rural origin or they live in the most southerly district of the province. As for the age and sex of the patient, significant differences were found for the age groups between 5-10 years and over 25 but the frequency for both sexes was equal. As for the clinical features, differences in the family and personal antecedents of atopy were not observed, although rhinoconjunctival clinical antecedents seemed to prevail slightly over asthma antecedents. In relation to the duration of the symptoms, the patients presented a long evolution in their symptomatology. The great majority of the patients were polysensitive; only 8% were found to be monosensitive, with unimportant differences in their evolution after immunotherapeutic treatment. On the other hand, 92% of the Fx+ patients presented reactions to Olea pollen (but only 41% of the Fx- patients did), whereas 62% showed sensitivity to Cupressus, marking a strong contrast with the Fx-patients, who all tested negative for Cupressus pollen.(ABSTRACT TRUNCATED AT 250 WORDS)
在科尔多瓦市空气中检测到的白蜡树花粉粒(白蜡树属)水平很少超过每日平均8微克/立方米,并且在冬季和春季初总能检测到。这一事实,再加上已知该地区对油橄榄单敏感的患者存在常年症状,使我们怀疑这两个分类群之间可能存在交叉反应。对总共1500名花粉症患者进行的白蜡树花粉提取物皮肤试验显示,总体致敏频率为59%。此外,Fx+患者通常来自农村的频率更高,或者他们居住在该省最南端的地区。至于患者的年龄和性别,在5至10岁和25岁以上的年龄组之间发现了显著差异,但两性的频率相同。至于临床特征,虽然鼻结膜炎临床病史似乎略多于哮喘病史,但在特应性的家族和个人病史方面未观察到差异。关于症状持续时间,患者的症状表现出长期演变。绝大多数患者是多敏感的;仅发现8%是单敏感的,免疫治疗后其病情演变差异不大。另一方面,92%的Fx+患者对油橄榄花粉有反应(但Fx-患者中只有41%有反应),而62%对柏属花粉敏感,这与Fx-患者形成强烈对比,Fx-患者对柏属花粉检测均为阴性。(摘要截断于250字)