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[新生儿嗜碱性粒细胞计数对预测过敏性疾病并无用处]

[Basophil count of the newborn is not useful in prediction of allergic diseases].

作者信息

Calbi M, Giacchetti L, Coppola A, Triggiani M

机构信息

Sezione di Pediatria e Neonatologia, Clinica Villa Bianca di Napoli, Italia.

出版信息

Pediatr Med Chir. 1996 Mar-Apr;18(2):169-72.

PMID:8767579
Abstract

Basophil granulocytes and their mediators are involved in the pathogenesis of allergic inflammation. We evaluated basophil count, blood histamine content, eosinophil count and serum total IgE levels in one hundred-thirteen healthy newborns at birth. 108 children were prospectively studied with a follow-up to 18 months of age for development of topic disorders. No difference was found in newborns with biparental family history of atopy (FHA) in comparison with newborns with monoparental FHA and with newborns without FHA. Children who developed atopic disorders had neonatal basophil count higher than those who did not develop atopic symptoms (p = 0.03). No significant correlation was found between basophil and eosinophil counts (r = 0.013), between basophil count and serum total IgE levels (r = 0.012) and between basophil count and blood histamine content. Positive predictive value and sensitivity of basophil count for allergy up to 18 months of age was respectively only 33% and 27%. Our data indicate that an increased basophil count at birth is not associated with FHA and is not a good predictive marker of atopy.

摘要

嗜碱性粒细胞及其介质参与过敏性炎症的发病机制。我们对113名健康新生儿出生时的嗜碱性粒细胞计数、血组胺含量、嗜酸性粒细胞计数及血清总IgE水平进行了评估。对108名儿童进行了前瞻性研究,随访至18个月龄,观察是否发生特应性疾病。有双亲特应性家族史(FHA)的新生儿与单亲FHA新生儿及无FHA新生儿相比,未发现差异。发生特应性疾病的儿童其新生儿期嗜碱性粒细胞计数高于未出现特应性症状的儿童(p = 0.03)。嗜碱性粒细胞计数与嗜酸性粒细胞计数之间(r = 0.013)、嗜碱性粒细胞计数与血清总IgE水平之间(r = 0.012)以及嗜碱性粒细胞计数与血组胺含量之间均未发现显著相关性。18个月龄前嗜碱性粒细胞计数对过敏的阳性预测值和敏感性分别仅为33%和27%。我们的数据表明,出生时嗜碱性粒细胞计数增加与FHA无关,也不是特应性的良好预测指标。

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