Guerra F, Daza J C, Miguel R, Moreno C, Galán C, Domínguez E, Sánchez Guijo P
Reina Sofia Teaching Hospital, Department of General Pathology, University of Córdoba, Spain.
J Investig Allergol Clin Immunol. 1996 Mar-Apr;6(2):117-20.
The detection of high levels of Cupressaceae pollen concentration in the air from January to April for several years in our area prompted analysis of the incidence and allergenic significance of sensitivity to this pollen. Furthermore, this is the highest winter-blooming taxa in the city of Córdoba. Skin prick tests were carried out over a one-year period on 1532 patients suffering from respiratory disorders (asthma and/or rhinoconjunctivitis). A total of 42 variables were studied in Cupressus-positive and Cupressus-negative patients; the data obtained were analyzed using a statistical software package. Sensitivity to Cupressus was found in 13% of all outpatients attending the unit, 18% of patients with respiratory disorders and 35% of patients with pollinosis. No significant differences were found between Cupressus-positive (C+) and Cupressus-negative (C-) patients with regard to mean age, sex, patient environment (i.e., rural, semi-rural, urban), personal or family history of atopy, clinical symptoms or evolution after immunotherapy (which did not include this antigen). More C+ patients were found in the higher age brackets (over 25 years old; p < 0.05); C+ patients showed greater duration (p < 0.05) and slower development (p < 0.05) of symptoms, and were also found to be more sensitive to other pollens (p < 0.001). All the Cupressus-sensitive patients also reacted positively to Olea and Fraxinus, compared to 77% and 51% in the two Cupressus-negative groups.
几年来,在我们地区,1月至4月空气中柏科花粉浓度一直处于较高水平,这促使我们对这种花粉敏感性的发病率及致敏意义进行分析。此外,这是科尔多瓦市冬季开花最多的植物类群。我们对1532名患有呼吸系统疾病(哮喘和/或鼻结膜炎)的患者进行了为期一年的皮肤点刺试验。对柏树花粉呈阳性反应和呈阴性反应的患者共研究了42个变量;使用统计软件包对获得的数据进行分析。在该科室就诊的所有门诊患者中,13%对柏树花粉敏感,呼吸系统疾病患者中这一比例为18%,花粉症患者中为35%。在平均年龄、性别、患者生活环境(即农村、半农村、城市)、个人或家族过敏史、临床症状或免疫治疗后的病情发展(免疫治疗不包括该抗原)方面,柏树花粉呈阳性反应(C+)和呈阴性反应(C-)的患者之间未发现显著差异。在年龄较大的人群(25岁以上)中,C+患者更多(p<0.05);C+患者的症状持续时间更长(p<0.05),发展速度更慢(p<0.05),并且对其他花粉也更敏感(p<0.001)。与两个柏树花粉呈阴性反应的组中分别为77%和51%的患者相比,所有对柏树花粉敏感的患者对油橄榄和白蜡树也呈阳性反应。