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[环境过敏原与过敏性疾病]

[Environmental allergens and allergic diseases].

作者信息

Akiyama K

机构信息

Clinical Research Center for Allergy and Rheumatology, National Sagamihara Hospital.

出版信息

Rinsho Byori. 1997 Jan;45(1):13-8.

PMID:9022336
Abstract

Prevalence of allergic diseases in Japan has been increasing these 30 years. About 3%/5% of adult/ child general population are suffering from bronchial asthma these days. Housedust-mite, pollen, fungi and food have been identified as causative allergen. But recent change of life style in Japan is thought as the most important cause of increase of allergic diseases, such as change from life in wooden houses to concrete buildings. A full-day air-conditioning is comfortable not only for residents but also for microorganisms such as mite and fungi. Therefore, chance to expose to these allergens has been increasing. It is well-known that mite allergen is the most important causative allergen of bronchial asthma. Allergen analysis made us possible to measure the amount of allergen contents in our environment. It is known that 2 micrograms of Der 1 allergen of mite per 1 g of dust is enough to sensitize the host and 10 micrograms per 1 g dust can induce asthma attack. As mite allergens are rich in a sleeping mattress, asthma patients with mite allergy sometimes get asthma attack during sleeping at night. Pet dander such as cat and hamster are also popular causative allergens of asthma. About 30% of asthma patients show positive immediate skin response to these allergens. Releasing the pet from patients' home sometimes brought immediate relief from their symptoms.

摘要

在过去30年里,日本过敏性疾病的患病率一直在上升。如今,约3%/5%的成年/儿童普通人群患有支气管哮喘。屋尘螨、花粉、真菌和食物已被确认为致病过敏原。但日本近期生活方式的改变被认为是过敏性疾病增加的最重要原因,比如从住在木屋转变为住在混凝土建筑里。全天使用空调不仅让居民感到舒适,也让螨虫和真菌等微生物感到舒适。因此,接触这些过敏原的机会一直在增加。众所周知,螨过敏原是支气管哮喘最重要的致病过敏原。过敏原分析使我们能够测量环境中过敏原的含量。已知每1克灰尘中有2微克螨的Der 1过敏原就足以使宿主致敏,每1克灰尘中有10微克就能诱发哮喘发作。由于螨过敏原在床垫中含量丰富,对螨过敏的哮喘患者有时在夜间睡觉时会发作哮喘。猫和仓鼠等宠物皮屑也是常见的哮喘致病过敏原。约30%的哮喘患者对这些过敏原的即时皮肤反应呈阳性。将宠物从患者家中送走有时能使他们的症状立即得到缓解。

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