4岁以内儿童食入性与吸入性过敏原特点及相互关系

    Characteristics and correlation between ingested and inhaled allergens during infancy

    • 摘要: 目的: 探讨婴幼儿期食入性与吸入性过敏原的特点及其相互关系.方法: 使用UniCAP系统测定370例过敏患儿血清特异性牛奶IgE、鸡蛋IgE、尘螨IgE水平,分析3种过敏原在各年龄段的过敏率,以及吸入性过敏原与食入性过敏原有否存在交叉过敏现象.结果: 牛奶与鸡蛋的过敏率随着年龄增长呈下降趋势,3岁后过敏率明显降低;而尘螨的过敏率则随着年龄增高呈上升趋势,2岁后过敏率明显增高.>2~3岁牛奶与尘螨存在交叉过敏,其余阶段无交叉过敏.结论: 婴幼儿早期过敏以食物性过敏为主,随着年龄增长可逐渐产生耐受,向吸入性过敏原方向发展,故在食物过敏症状减轻时,仍需警惕吸入性过敏原诱发的过敏现象.

       

      Abstract: Objective: To determine the characteristics of ingested allergens and inhaled allergens in infancy and the relationship between them.Methods: 370 infants with allergic diseases were included in this study.Serum-specific IgE to milk,egg and pyroglyphidae were measured in all the patients with UniCAP System;the allergic rate of the three kinds of allergens in different ages,the cross allergy phenomenon between ingested allergens and inhaled allergens were all analyzed.Results: The prevalence of milk allergy and egg allergy went down with the age increasing,and the prevalence decreased obviously after the age of 3;The prevalence of pyroglyphidae allergy went down with the age increasing,and the prevalence increased obviously after the age of 2.There was no cross allergic phenomenon between the milk and pyroglyphidae except the >2-3 age group.Conclusions: Allergic phenomena in infancy and early childhood are mainly caused by ingested allergens,and will gradually develop tolerance with the age increasing and turn to inhalant allergens.So when ingested allergy symptoms are relieved,attention still should be paid to inhaled allergen-induced allergic phenomena.

       

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