J Korean Med Sci.  2017 Jun;32(6):926-932. 10.3346/jkms.2017.32.6.926.

Regional Difference of Causative Pollen in Children with Allergic Rhinitis

Affiliations
  • 1Department of Pediatrics, CHA Gumi Medical Center, CHA University School of Medicine, Gumi, Korea.
  • 2Department of Pediatrics, Busan St. Mary Hospital, Busan, Korea.
  • 3Department of Pediatrics, Inha University School of Medicine, Incheon, Korea. dhyunlim@inha.ac.kr
  • 4Environmental Health Center for Allergic Rhinitis, Inha University Hospital, Ministry of Environment, Incheon, Korea.

Abstract

The aim of this study was to investigate role of common pollen in Korean school-aged children with allergic rhinitis (AR) in 5 provinces (Incheon Metropolitan City-Gyeonggi Province, Chungcheongbuk-do, Gwangju Metropolitan City, Busan Metropolitan City, and Jeju Special Self-Governing Province), using a questionnaire and skin prick test, and to assess the differences among the residential regions. Among the enrolled 14,678 total children, 1,641 (22.0%) had AR. The sensitization rate to pollen (38.7%) was the second highest among examined allergens and significant differences were in the sensitization rates to trees, weeds, and grasses among the 5 provinces (P < 0.05). The sensitization to trees (25.2%) was the highest common among the pollen types and significant differences also were observed in the sensitization rates to alder, birch, Japanese cedar, oak, and elm among the 5 provinces. The sensitization rate to weeds (19.9%) was the second highest and significant differences were observed in the sensitization rate to Japanese hop, mugwort, and ragweed among the 5 provinces. The sensitization rate to house dust mite was 86.8%, the highest among examined allergens and that to Dermatophagoides farinae exhibited regional differences (P = 0.003) but not to D. farinae (P = 0.584). The sensitization rate to mold (13.5%) was the highest in Jeju and lowest in Busan, and a statistically significant difference was detected among the 5 provinces. These results support that examined pollen allergens are strongly associated with residential region due to regional causative pollen differences among children with AR within Korea to investigate the main pollen allergens.

Keyword

Rhinitis; Pollen; Children; Region

MeSH Terms

Allergens
Alnus
Ambrosia
Artemisia
Asian Continental Ancestry Group
Betula
Busan
Child*
Chungcheongbuk-do
Cryptomeria
Dermatophagoides farinae
Fungi
Gwangju
Humans
Korea
Poaceae
Pollen*
Pyroglyphidae
Rhinitis
Rhinitis, Allergic*
Skin
Trees
Allergens

Figure

  • Fig. 1 Sensitization rate of causative allergen in school-aged children with AR in 5 provinces, within Korea. (A) Pollen, (B) Tree, (C) Weed, (D) Grass, (E) House dust mite, and (F) Mold. AR = allergic rhinitis, GG & IC = Incheon Metropolitan City-Gyeonggi Province, CB = Chungcheongbuk-do, GJ = Gwangju Metropolitan City, BS = Busan Metropolitan City, JJ = Jeju Special Self-Governing Province.


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