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[我们过敏诊所中儿童的日本雪松花粉症]

[Japanese cedar pollinosis in children in our allergy clinic].

作者信息

Masuda S, Takeuchi K, Yuta A, Okawa C, Ukai K, Sakakura Y

机构信息

Department of Otorhinolaryngology, Mie University School of Medicine.

出版信息

Arerugi. 1998 Nov;47(11):1182-9.

PMID:9893335
Abstract

Recently, it is pointed out that the incidence of Japanese cedar pollinosis has increased in children. We studied on the rate of sensitization and the onset of the disease in children under sixteen who visited allergy clinic in the Department of Otorhinolaryngology in Mie University Hospital. The percentage of positive rate of skin test and IgE antibodies of house dust mite was about 80 to 90% in 1981, 1991, and 1996. However, the percentage of positive rate of skin test and IgE antibodies of Japanese cedar pollen was 43% and 26%, respectively in 1981, but both increased to 58% in 1996. Most of Japanese cedar pollinosis patients also had house dust mite allergy. Among 115 pediatric patients who visited our allergy clinics in the past seven years, 32.2% were allergic to house dust mite alone, 8.6% were allergic to Japanese cedar pollen alone, 40.9% were allergic to both, and 6.1% were allergic to house dust mite, Japanese cedar pollen, and orchard grass pollen. 68% of the total 115 patients were boys, but significantly more girls had the pollinosis. 17.4% of those who are sensitized to the pollen were asymptomatic during the pollen season. Thus, it was confirmed that the rate of children sensitized to the pollen has apparently increased for the past twenty years. We should take care of those children who are sensitized to the pollen but asymptomatic during the pollen season.

摘要

最近,有人指出日本雪松花粉症在儿童中的发病率有所上升。我们对访问三重大学医院耳鼻咽喉科过敏门诊的16岁以下儿童的致敏率和发病率进行了研究。1981年、1991年和1996年,屋尘螨皮肤试验和IgE抗体的阳性率约为80%至90%。然而,1981年日本雪松花粉皮肤试验和IgE抗体的阳性率分别为43%和26%,但到1996年两者均升至58%。大多数日本雪松花粉症患者也对屋尘螨过敏。在过去七年中访问我们过敏门诊的115名儿科患者中,32.2%仅对屋尘螨过敏,8.6%仅对日本雪松花粉过敏,40.9%对两者都过敏,6.1%对屋尘螨、日本雪松花粉和果园草花粉过敏。115名患者中68%为男孩,但患花粉症的女孩明显更多。17.4%对花粉致敏的人在花粉季节无症状。因此,已证实过去二十年来对花粉致敏的儿童比例明显增加。我们应该照顾那些对花粉致敏但在花粉季节无症状的儿童。

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