Analysis of Allergens in 5 473 Patients with Allergic Diseases in Harbin, China

被引:13
作者
Chang Man Li [1 ,2 ]
Shao Bing [1 ]
Liu Yan Hong [2 ]
Li Lu Lu [2 ]
Pei Li Chun [3 ]
Wang Bin You [1 ]
机构
[1] Harbin Med Univ, Dept Mol Epidemiol, Harbin 150081, Heilongjiang, Peoples R China
[2] Harbin Med Univ, Affiliated Hosp 2, Dept Lab Med, Harbin 150086, Heilongjiang, Peoples R China
[3] Harbin Med Univ, Affiliated Hosp 2, Dept Geriatr, Harbin 150086, Heilongjiang, Peoples R China
关键词
Aeroallergens; Food allergens; Specific IgE; Harbin; China; FOOD ALLERGY; PHASE-III; DIAGNOSIS; ASTHMA; SENSITIZATION; MANAGEMENT; SYMPTOMS; CHILDREN; PANEL;
D O I
10.3967/bes2013.017
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Objective To analyze the allergic status to common inhalant allergens and food allergens in clinical patients in Harbin in northeastern China and provide evidence to develop the prevention strategy of allergic disease. Methods The data were collected from 5 473 patients with clinical suspected allergic diseases seeking medical care in the Second Affiliated Hospital of Harbin Medical University. Among these patients, 2 530 (46.2%) were males aged 0-86 years, the youngest was only 1 month old and 2 579 (47.1%) were young children and teenagers. The serum specific Immunoglobulin E (sIgE) to 14 kinds of common allergens and serum total IgE were detected by using AllergyScreen test (Mediwiss Analytic GmbH, Moers, Germany). Results In 5 473 subjects the positive rate of sIgE was 33.1% (n=1 813). Cow milk (6.9%) and wheat (3.1%) were the most common food allergens, followed by house dust mite mix (12.5%) and mould mix (9.4%) and the age and gender specific differences in the positive rate were significant. For the children aged <7 years the positive rates to cow milk, beef-mutton, and egg white/egg yolk were high, but the positive rates to house dust mite mix, ragweed estragon, and mould mix were low (P<0.05). For the adults the positive rates to aeroallergens were high while the rates to food allergens were low. Conclusion The results from this study showed that the food allergens in Harbin had geographic characteristics, which support the viewpoint that the environment factors play an important role in the incidence of allergic diseases. Also, the detection of sIgE and total IgE are essential to identify relevant allergens for the purpose of early diagnosis, management and prevention of allergic disease.
引用
收藏
页码:886 / 893
页数:8
相关论文
共 28 条
[1]   Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema:: ISAAC [J].
Beasley, R ;
Keil, U ;
von Mutius, E ;
Pearce, N ;
Aït-Khaled, N ;
Anabwani, G ;
Anderson, HR ;
Asher, MI ;
Björkstéin, B ;
Burr, ML ;
Clayton, TO ;
Crane, J ;
Ellwood, P ;
Lai, CKW ;
Mallol, J ;
Martinez, FD ;
Mitchell, EA ;
Montefort, S ;
Robertson, CF ;
Shah, JR ;
Sibbald, B ;
Stewart, AW ;
Strachan, DP ;
Weiland, SK ;
Williams, HC .
LANCET, 1998, 351 (9111) :1225-1232
[2]   Guidelines for the diagnosis and management of food allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report [J].
Boyce, Joshua A. ;
Assa'a, Amal ;
Burks, A. Wesley ;
Jones, Stacie M. ;
Sampson, Hugh A. ;
Wood, Robert A. ;
Plaut, Marshall ;
Cooper, Susan E. ;
Fenton, Matthew J. ;
Arshad, S. Hasan ;
Bahna, Sami L. ;
Beck, Lisa A. ;
Byrd-Bredbenner, Carol ;
Camargo, Carlos A., Jr. ;
Eichenfield, Lawrence ;
Furuta, Glenn T. ;
Hanifin, Jon M. ;
Jones, Carol ;
Kraft, Monica ;
Levy, Bruce D. ;
Lieberman, Phil ;
Luccioli, Stefano ;
McCall, Kathleen M. ;
Schneider, Lynda C. ;
Simon, Ronald A. ;
Simons, F. Estelle R. ;
Teach, Stephen J. ;
Yawn, Barbara P. ;
Schwaninger, Julie M. .
NUTRITION, 2011, 27 (02) :253-267
[3]  
Chen Jing, 2012, Zhonghua Er Ke Za Zhi, V50, P5
[4]   Detection of cross-reactivity for atopic immunoglobulin E against multiple allergens [J].
Chiou, YH ;
Yuo, CY ;
Wang, LY ;
Huang, SP .
CLINICAL AND DIAGNOSTIC LABORATORY IMMUNOLOGY, 2003, 10 (02) :229-232
[5]   Diagnosis of allergy syndromes: do symptoms always mean allergy? [J].
Eigenmann, PA .
ALLERGY, 2005, 60 :6-9
[6]  
Fiocchi A, 2010, PEDIAT ALLERG IMM-UK, V21, P1, DOI [10.1111/j.1399-3038.2010.01068.x, 10.1097/WOX.0b013e3181defeb9]
[7]   Effects of early nutritional interventions on the development of atopic disease in infants and children: The role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas [J].
Greer, Frank R. ;
Sicherer, Scott H. ;
Burks, A. Wesley .
PEDIATRICS, 2008, 121 (01) :183-191
[8]   Diagnostic and analytical performance of a screening panel for allergy [J].
Herzum, I ;
Blümer, N ;
Kersten, W ;
Renz, H .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2005, 43 (09) :963-966
[9]   The frequency of food allergy in Australia and Asia [J].
Hill, DJ ;
Hosking, CS ;
Zhie, CY ;
Leung, R ;
Baratwidjaja, K ;
Iikura, Y ;
Iyngkaran, N ;
Gonzalez-Andaya, A ;
Wah, LB ;
Hsieh, KH .
ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY, 1997, 4 (1-2) :101-110
[10]   Improving the management of atopic disease [J].
Holgate, ST ;
Lack, G .
ARCHIVES OF DISEASE IN CHILDHOOD, 2005, 90 (08) :826-831