Allergen Skin Test Reactivities in Children with Allergic Rhinitis Allegic Conjunctivitis Atopic Dermatitis and Asthma at Surin Hospital
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Abstract
Background: Both indoor and outdoor allergens are an important risk factor in atopic disease development. There is no data about the prevalence of skin test positivities to aeroallergens in children with atopic disease in Surin Provine.
Objective: To detect the prevalence of skin test positivities to indoor and outdoor allergens in children with atopic disease
Setting: Pediatric allergy clinic, Surin Hospital.
Research Design: Cross-sectional Discriptive Study
Method: Children with allergic rhinitis, allergic conjunctivitis, allergic rhinoconjunctivitis,
atopic dermatitis and asthma at Surin Hospital were enrolled. Skin test with indoor allergen, molds and grass pollens were performed by stallerpointes and interpreted according to the standard procedure. SPSS version 11 was used to analysed the data.
Results: There were 173 patients (64.74% male (112case), 35.26% female (61cases))
with average age of 8.46 years. Among the 173 patients, 129 (74.6%) had at least one positive skin prick test reaction. The most frequent allergens were Dermatophagoides pteronyssinus (60.7%) follow by Dermatophagoides farinae (56.6%), mixed cockroach(47.4%), Johnson grass (37.0%), Bermuda grass (30.0%), Cat (18.5%), Dog (7.5%) and Mold (4.6%). Prevalence of positive skin prick test to pollens were significantly increased according to allergic conjunctivitis, allergic rhinoconjunctivitis (odd ratio 4.350, 2.650) respectively.
Conclusion: The prevalence of skin test positivity at least one allergen in children with allergic disease at Surin Hospital was 74.6%. Dermatophagoides pteronyssinus, Dermatophagoides farinae, mixed cockroach, Johnson and Bermuda grass were the five most common allergens. Allergic conjunctivitis and Allergic rhinoconjunctivitis had risk factor for positive skin test to grass pollens.
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References
Vichayanond P, Jirapongsananuruk O, Visitsuntorn N, Tuchinda M. Prevalence of asthma, rhinitis and eczema in children from the Bangkok area using 7 the ISAAC (International Study for Asthma and Allergy in Children) questionnaires. J Med Assoc Thai. 1998; 81:175-84
ศรายุทธ ทองหล่อ, จรุงจิตร งามไพบูลย์. ความชุกของโรคภูมิแพ้ของประชากรเด็กในจังหวัดสุรินทร์. ขอนแก่นเวชสาร 2552; 32:3:392-9.
The International study of Asthma and Allergies in Childhood (ISAAC) steering committee. Worldwide variations in The prevalence of asthma symptoms: the international study of Asthma and Allergies in Childhood (ISAAC). Eur Respir J 1998;12:315-35.
National Heart, Lung and blood Institute. Global Initiative for Asthma. National Institute of Health publication number 95-3659, Bethesda, Marryland, January 1995.
Murray AB, Ferguson AC. Dust-free bedroom in the treatment of asthmatic children with house dust or house dust mite allergy a controlled trial. Pediatrics 1983;71:418-22.
American Academy and College of Allergy, Asthma and Immunology. Practice parameters for allergy diagnostic testing. Ann Allergy Asthma Immunol 1995;75:543-625.
Kidon Mi, See Y, Goh A, Chay OM, Balakrishnan A. Aeroallergen sensitization in pediatric allergic rhinitis in Singapore. Pediatr Allergy Immunol. 2004 Aug;15 (4):340-3.
Verini M, Rossi N, Verrotti A, Pelaccia G, Nicodemo A, Chiarelli F. Sensitization to environmental antigens in asthmatic children from a central Italian area. Sci Total Environ. 2001 Apr 10 10;270 (l-3):63-9.
Muthita Trakultivakorn. Prevalence of allergen skin test positivities in children with asthma and allergic rhinitis at Maharaj Nakorn Chiang Mai Hospital. Thai J Pediatr. 2000;39(3):195-203
Aree Kongpanichkul. Pakit Vichyanond, Montri Tuchinda. Allergen skin test reactivities among asthmatic Thai children. J Med Assoc Thai. l997;80(2):69-75.
Aberg N, Engstrom I. Natural history of allergic diseases in children. Acta Paediatr Scand 1990;79206-11
Bener A, Safa W, Abdulhalik S, Lestrin- gant GG. An analysis of skin prick test reactions in asthmatics in a hot climate and desert environment. Allerg Immunol (Paris). 2002 Oct;34 (8):281-6.