Systemic Atopy and Immunoglobulin Deficiency in Turkish Patients with Vernal Keratoconjunctivitis

被引:11
作者
Bozkurt, Banu [1 ]
Artac, Hasibe [2 ]
Arslan, Nasha [3 ]
Gokturk, Bahar [4 ]
Bozkurt, Mete Kaan [5 ]
Reisli, Ismail [4 ]
Irkec, Murat [6 ]
机构
[1] Selcuk Univ, Fac Med, Dept Ophthalmol, Konya, Turkey
[2] Selcuk Univ, Fac Med, Dept Pediat Allergy & Immunol, Konya, Turkey
[3] Ipekyolu State Hosp, Van, Turkey
[4] Necmettin Erbakan Univ, Meram Med Fac, Dept Pediat Allergy & Immunol, Konya, Turkey
[5] Selcuk Univ, Selcuklu Med Fac, Dept Ophthalmol, Konya, Turkey
[6] Hacettepe Univ, Fac Med, Dept Ophthalmol, TR-06100 Ankara, Turkey
关键词
Allergic sensitization; Immunoglobulin deficiency; Serum specific IgE level; Skin prick tests; Vernal keratoconjunctivitis; EOSINOPHIL CATIONIC PROTEIN; IGA DEFICIENCY; CASE SERIES; EXPRESSION; CHILDREN; ALLERGEN; EYE; IMMUNODEFICIENCIES; DERMATITIS; CHILDHOOD;
D O I
10.3109/09273948.2012.723110
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To determine the prevalence of systemic atopy and immunoglobulin (Ig) deficiencies in vernal keratoconjunctivitis (VKC). Methods: Sixty-seven VKC subjects (79.1% boys) with a mean age of 11.3 +/- 4.3 years were included. Serum Ig levels and specific IgE levels were measured using the nephelometric method and reversed enzyme immunoassay with sandwich ELISA technique, respectively. The patients underwent epidermal skin tests with commercial extracts. Results: Family history of atopy and associated systemic allergies were detected in 32.8 and 40.3% of the subjects, respectively. Blood eosinophilia, elevated total, and specific IgE and positive skin tests were detected in 33.8, 42.2, 50, and 35% of the subjects, respectively. Out of 62 subjects, low levels of IgA, IgG, IgM, and IgG3 were detected in 12.9, 8, 6.5, and 1.6% of the patients, respectively. Conclusion: IgE-mediated mechanisms are involved in approximately 40% of VKC patients. A new finding was the higher incidence of Ig deficiency.
引用
收藏
页码:21 / 26
页数:6
相关论文
共 44 条
[1]  
ADDISON DJ, 1981, T OPHTHAL SOC UK, V101, P9
[2]   IgA Deficiency: Correlation Between Clinical and Immunological Phenotypes [J].
Aghamohammadi, Asghar ;
Cheraghi, Taher ;
Gharagozlou, Mohammad ;
Movahedi, Masoud ;
Rezaei, Nima ;
Yeganeh, Mehdi ;
Parvaneh, Nima ;
Abolhassani, Hassan ;
Pourpak, Zahra ;
Moin, Mostafa .
JOURNAL OF CLINICAL IMMUNOLOGY, 2009, 29 (01) :130-136
[3]  
Aksu G, 2006, TURKISH J PEDIATR, V48, P19
[4]  
Allansmith MR, 1982, EYE IMMUNOLOGY, P118
[5]  
[Anonymous], GLOB STRAT ASTHM MAN
[6]  
Oliveira Lauro Augusto de, 2007, Arq. Bras. Oftalmol., V70, P991, DOI 10.1590/S0004-27492007000600020
[7]   Allergic and immunologic disorders of the eye. Part II: Ocular allergy [J].
Bielory, L .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2000, 106 (06) :1019-1032
[8]   Vernal keratoconjunctivitis [J].
Bonini, S ;
Coassin, M ;
Aronni, S ;
Lambiase, A .
EYE, 2004, 18 (04) :345-351
[9]   Vernal keratoconjunctivitis revisited - A case series of 195 patients with long-term follow-up [J].
Bonini, S ;
Bonini, S ;
Lambiase, A ;
Marchi, S ;
Pasqualetti, P ;
Zuccaro, O ;
Rama, P ;
Magrini, L ;
Juhas, T ;
Bucci, MG .
OPHTHALMOLOGY, 2000, 107 (06) :1157-1163
[10]   Allergic chronic inflammation of the ocular surface in vernal keratoconjunctivitis [J].
Bonini, Stefano ;
Lambiase, Alessandro ;
Sgrulletta, Roberto ;
Bonini, Sergio .
CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY, 2003, 3 (05) :381-387