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特应性皮炎患者和健康受试者对屋尘螨的接触性过敏

Contact allergy to Dermatophagoides in atopic dermatitis patients and healthy subjects.

作者信息

Manzini B M, Motolese A, Donini M, Seidenari S

机构信息

Department of Dermatology, University of Modena, Italy.

出版信息

Contact Dermatitis. 1995 Oct;33(4):243-6. doi: 10.1111/j.1600-0536.1995.tb00475.x.

DOI:10.1111/j.1600-0536.1995.tb00475.x
PMID:8654075
Abstract

To compare different house-dust-mite-derived allergenic materials and to correlate the presence of IgE to Dermatophagoides with patch test results, 313 atopic dermatitis (AD) patients and 100 healthy volunteers (HV) underwent patch tests with: Dermatophagoides pteronyssinus (DPT) lyophilized purified alpha fraction in buffered saline/glycerol 50% and/or in petrolatum (Bayropharm); 50% DPT and 50% Dermatophagoides farinae (DF) whole bodies in petrolatum and petrolatum oil (Allergopharma-Bracco); DPT and DF whole bodies in petrolatum and petrolatum oil (Lofarma). We found 39% positive reactions among AD subjects and 13% in HV. The presence of serum-specific IgE did not influence the patch test results. 38% of AD patch-test-positive patients and 4 of 13 HV, respectively, showed a positive prick test and/or RAST to Dermatophagoides. Similar sensitization rates were observed with the allergenic material from Bayropharm (54% positives) and Allergopharma-Bracco (51% positives), whereas the preparations from Lofarma gave a 20% response rate.

摘要

为比较不同的屋尘螨衍生变应原物质,并将针对粉尘螨的IgE的存在情况与斑贴试验结果相关联,313例特应性皮炎(AD)患者和100名健康志愿者(HV)接受了以下斑贴试验:粉尘螨(DPT)冻干纯化α组分,置于50%缓冲盐水/甘油中及/或凡士林(Bayropharm)中;50% DPT和50%粗脚粉螨(DF)全虫体,置于凡士林和凡士林油中(Allergopharma-Bracco);DPT和DF全虫体,置于凡士林和凡士林油中(Lofarma)。我们发现AD受试者中有39%出现阳性反应,HV中有13%出现阳性反应。血清特异性IgE的存在并不影响斑贴试验结果。分别有38%的AD斑贴试验阳性患者和13名HV中的4名,对粉尘螨的点刺试验和/或放射性变应原吸附试验(RAST)呈阳性。使用Bayropharm的变应原物质(54%阳性)和Allergopharma-Bracco的变应原物质(51%阳性)观察到相似的致敏率,而Lofarma的制剂的反应率为20%。

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引用本文的文献

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Comparison of atopy patch testing to skin prick testing for diagnosing mite-induced atopic dermatitis: a systematic review and meta-analysis.用于诊断螨诱导的特应性皮炎的变应原斑贴试验与皮肤点刺试验的比较:一项系统评价和荟萃分析。
Clin Transl Allergy. 2017 Nov 29;7:41. doi: 10.1186/s13601-017-0178-3. eCollection 2017.
2
Patch testing with dermatophagoides and its correlation with chronic eczema and atopic dermatitis.用尘螨进行斑贴试验及其与慢性湿疹和特应性皮炎的相关性。
Indian J Dermatol. 2009 Jul;54(3):243-6. doi: 10.4103/0019-5154.55633.
3
[Atopy patch testing with aeroallergens and food].
[使用气传变应原和食物进行特应性斑贴试验]
Hautarzt. 2005 Dec;56(12):1133-40. doi: 10.1007/s00105-005-1055-x.