J Asthma Allergy Clin Immunol.
1999 Oct;19(5):696-702.
Change of causative inhalant allergens in respiratory allergic patients
in Chungbuk district
Abstract
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BACKGROUND: Detection of causative allergens in respiratory allergy patients is
important for diagnosis and selection of treatment modality. Allergen sensitization
depends on the genetic susceptibility and environmental exposure to allergens.
MATERIAL AND METHOD: In this study, we tried to find causative inhalant allergens
in respiratory allergy patients who underwent skin prick test with common 55 inhalant
allergens and RAST at Chungbuk National University Hospital in Chungbuk district.
We also evaluated the changes of causative allergens because the environment here
may be quite different, since the main population lives in the urban area and
industrialization began later than in the other cities and districts.
RESULTS
The major allergen was house dust mite, and its sensitivity rate did not
change annually. Other indoor allergens such as cockroach, and animal dander including
cat and dog showed similar trends. But the sensitization rate to tree and weed pollen
except grass had significantly increased since 1995. Among pollens, the increase of
sensntization to weed pollen was more marked. Ratio of sensitization rate to double
or triple kinds of allergens also increased.
CONCLUSION
Taken together, house dust mite is still the major allergen, but rate to
pollen sensitization, especially to weed pollen has increased rapidly and significantly.
It is suggested that causative allergens in repiratory allergy patients has begun to
shift to pollen recently.