Schütz-Kiss D, Popp W, Wagner C, Reiser K, Havelec L, Zwick H
Abteilung für Atmungs- und Lungenkrankheiten, Krankenhaus der Stadt Wien-Lainz, Wien.
Wien Klin Wochenschr. 1995;107(11):331-5.
The present study investigated the sensitization to inhalatory allergens in a randomized cross-section of the population of Vienna (altogether 3000 men and women). A representative sample of 600 persons was invited to an examination consisting of a skin prick test and determination of serum total IgE and allergen-specific IgE. In addition, the same tests were performed in persons with asthma or allergic rhinitis on the basis of a history of these conditions in the replies to a screening questionnaire. Our results showed comparatively high sensitization rates to grass pollen (28%), house dust mite (25%) and cat dander (20%) in the randomized group A. In the symptom-free "healthy" subgroup of the randomized population sample (Group B) there were remarkably high sensitization rates to house dust mite (21%), grass pollen (17%) and cat dander (12%). For the group with allergic rhinitis (Group D) sensitization to grass pollen exceeded 60%, followed by cat dander (44%), birch pollen (36%) and house dust mite (35%). In the asthmatic persons (Group C) the leading allergens were cat dander (40%) and the house dust mite (37%), followed by grass pollen (33%) and birch pollen (20%). Regarding the overall sensitization to inhalatory allergens 61% of the asthmatic group showed a positive prick test. Increased serum levels of total IgE or specific IgE were found in 76% of cases, which underlines the allergic origin of this disease. In the randomized group 51% were sensitized to inhalatory allergens, whilst 39% were subclinically sensitized without ever having had any allergic complaints.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究调查了维也纳随机抽取的一部分人群(共3000名男性和女性)对吸入性过敏原的致敏情况。邀请了600人的代表性样本进行检查,包括皮肤点刺试验以及血清总IgE和过敏原特异性IgE的测定。此外,根据筛查问卷中对哮喘或过敏性鼻炎病史的回复,对患有这些疾病的人进行了同样的测试。我们的结果显示,在随机分组的A组中,对草花粉(28%)、屋尘螨(25%)和猫皮屑(20%)的致敏率相对较高。在随机抽取的人群样本中无症状的“健康”亚组(B组)中,对屋尘螨(21%)、草花粉(17%)和猫皮屑(12%)的致敏率非常高。对于过敏性鼻炎组(D组),对草花粉的致敏率超过60%,其次是猫皮屑(44%)、桦树花粉(36%)和屋尘螨(35%)。在哮喘患者(C组)中,主要过敏原是猫皮屑(40%)和屋尘螨(37%),其次是草花粉(33%)和桦树花粉(20%)。关于对吸入性过敏原的总体致敏情况,61%的哮喘组患者皮肤点刺试验呈阳性。76%的病例发现血清总IgE或特异性IgE水平升高,这突出了该疾病的过敏起源。在随机分组的人群中,51%对吸入性过敏原致敏,而39%为亚临床致敏,从未有过任何过敏症状。(摘要截选至250词)