Gaziantep'te göğüs hastalıkları polikliniğinde tespit edilen alerji deri testi sonuçları

Year 2013, Volume: 19 Issue: 3, 152 - 154, 01.04.2013

Nazan Bayram Meral Uyar Osman Elbek Öner Dikensoy Ayten Filiz

Abstract

Environmental factors play an important role in allergic sensitization. The aim of this study was to determine the spectrum of aeroallergen sensitivity of patients. The skin prick test results of patients with symptoms compatible with allergic diseases between March 2002 and December 2004 were retrospectively evaluated in Gaziantep University Pulmonary outpatient clinic. Of 1627 patients in whom skin prick tests (Stallergenes, France) were performed, 528 (32.5%) patients had at least one positive result among 8 allergens. The mean age of patients who had positive allergic skin test was 33.03 ± 11.80 (16-69), and 335 (63.4%) of those were female. Two hundred twenty five (52%) patients had positive skin prick test for one allergen tested, while 253 (48%) patients had positive skin prick test for multiple allergens. Phleum pratensis was the most common allergen found to be positive in 221 (41.8%) patients. The prevalence of positive tests were as follows; cockroach (32.9%), Dermatophagoides pteronyssinus (32.7%), Olea europea (27%), cat dander (14.9%), Parieteria officinalis (11.7%), Cladosporium (9.8%) and Alternaria (8.9%).Phleum pratensis and cockroach were the most common allergens causing a sensitivity reaction detected in our clinic.

Keywords

Allergy skin test; atopic diseases; respiratory allergens

Allergy skin test results of an outpatient pulmonary clinic in Gaziantep

Abstract

Çevresel etkenler alerjik sensitizasyonda önemli rol oynar. Bu çalışmanın amacı, bölgemizdeki olgularda duyarlanma oluşturan solunumsal alerjen spektrumunu belirlemekti. Gaziantep Üniversitesi Göğüs Hastalıkları polikliniğine Mart 2002-Aralık 2004 yılları arasında alerjik hastalıkla uyumlu şikayetlerle müracaat eden olguların deri prik test sonuçları retrospektif olarak değerlendirildi. Deri prik testi (Stallergenes, Fransa) uygulanan 1627 hastadan 528'i (%32.5) 8 alerjenden en az birine karşı duyarlanma gösteriyordu. Deri testi pozitif olan hastaların yaş ortalaması 33.03±11.80 (16-69) idi ve 335'i (%63.4) kadındı. Sadece 1 alerjene karşı duyarlanma gösteren hasta sayısı 225 (%52) iken 253 (%48) olguda çoklu alerjen duyarlılığı saptandı. En sık saptanan etken Phleum pratensis'di (221 olgu, %41.8). Diğer pozitif sonuçların prevalansı ise şöyleydi: Hamamböceği (%32.9), Dermatophagoides pteronyssinus (%32.7), Olea europea (%27), kedi tüyü (%14.9), Parieteria officinalis (%11.7), Cladosporium (%9.8) ve Alternaria (%8.9). Kliniğimizde en sık saptanan deri testi duyarlılığı ajanları Phleum pratensis ve hamamböceği idi.

Keywords

Allerji deri testi; atopik hastalıklar; solunumsal allerjenler

References

• 1. Cockcroft DW. Allergens. In: Barnes P, Drazen J, Rennard S, Thomson N, eds. Asthma and COPD: Basic Mechanisms and Clinical Management. London, Academic Press, 2002;384-93.
• 2. Cockcroft DW, Murdock KY, Berscheid BA. Relationship between atopy and bronchial responsiveness to histamine in a random population. Ann Allergy 1984;53(1):26-9.
• 3. Djukanovic R, Feather I, Gratziou C, Walls A, Peroni D, Bradding P, et al. Effect of natural allergen exposure during the grass pollen season on airways inflammatory cells and asthma symptoms. Thorax 1996;51(6):575-81.
• 4. Aas K, Belin L. Standardization of diagnostic work in allergy. Acta Allergologica 1972;27(5-6):439-68.
• 5. Aas K. Some variables in skin prick testing. Allergy 1980;35(3):250-2.
• 6. Çelik GE. Risk faktörü olarak allerjenler. In: Gemicioğlu B, ed. Tanımdan Tedaviye Astım. İstanbul: İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Göğüs Hastalıkları Kitapları Dizisi-3, 2004;157-84.
• 7. Uzel A, Çapan N, Yurdakul AS, Dursun B. Evaluation of the relationship between cockroach sensitivity and house-dust-mite sensitivity in Turkish asthmatic patients. Respir Med 2005;99(8):1032-7.
• 8. Turgut CŞ, Tezcan D, Uzuner N, Köse S, Karaman Ö. İzmir ili ve çevresinde allerjen duyarlılık oranları. SSK Tepecik Hast Derg 2003;13(1):19-24.
• 9. Edis EÇ, Tabakoğlu E, Çağlar T, Hatipoğlu ON, Altıay G. Trakya bölgesinde pulmoner semptomlarla başvuran hastalarda alerji deri testi sonuçları. Trakya Üniv Tıp Fak Derg 2007;24(1):12-6.
• 10. Mungan D, Celik G, Sin B, Bavbek S, Demirel Y, Misirligil Z. Characteristic features of cockroach hypersensitivity in Turkish asthmatic patients. Allergy 1998;53(9):870-3.
• 11. Dikensoy Ö, Bayram NG, Filiz A, İkidağ B. Gaziantep Üniversite Hastanesi astma Polikliniğine kayıtlı hastaların retrospektif değerlendirilmesi. Akciğer Arşivi 2001;2(3):127-32.
• 12. D'Amato G, Spieksma FT, Liccardi G, Jager S, Russo M, Kontou-Fili K, et al. Pollen-related allergy in Europe. Allergy 1998;53(6):567-78.
• 13. Ceylan E, Gencer M, Sak ZHA, Şentürk Z, Bayat A. Harran Üniversitesinde izlenen astımlı olgularda ağaç polen duyarlılığı. Astım Allerji İmmünoloji 2006;4(2):67-74.
• 14. Bollinger ME, Egleston PA, Wood RA. Cat antigens in homes with or without cat may induce allergic symptoms. J Allergy Clin Immunol 1996;97(4):907-14.
• 15. Custovic A, Taggart SS, Woodcock A. House dust mite and cat allergen in different indoor environment. Clin Exp Allergy 1994;24(12):1164-8.
• 16. Akcakaya N, Cokugras H, Camcioglu Y, Ozdemir M. Skin test hypersensitivity for childhood asthma in Istanbul during a period of 16 years. Allergol Immunopathol (Madr) 2005;33(1):15-9.
• 17. Mungan D, Celik G, Bavbek S, Misirligil Z. Pet allergy: how important for Turkey where there is a low pet ownership rate. Allergy Asthma Proc 2003;24(2):137-42.
• 18. Gulbahar O, Sin A, Mete N, Kokuludag A, Kirmaz C, Sebik F. Sensitization to cat allergens in non-cat owner patients with respiratory allergy. Ann Allergy Asthma Immunol 2003;90(6):635-9.
• 19. Terzioglu E, Sin A, Kokuludag A, Kirmaz C, Erdem N, Sebik F, et al. Sensitivity to Parietaria pollen in Izmir, Turkey as determined by skin prick and serum specific IgE values. J Investig Allergol Clin Immunol 1998;8(3):180-3.
• 20. Harmancı E, Metintaş M. The type of sensitization to pollens in allergic patients in Eskisehir (Anatolia), Turkey. Allergol Immunopathol (Madr) 2000;28(2):63-6.
• 21. Bavbek S, Erkekol FO, Çeter T, Mungan D, Ozer F, Pınar M, et al. Sensitization to Alternaria and Cladosporium in patients with respiratory allergy and outdoor counts of mold spores in Ankara atmosphere, Turkey. J Asthma 2006;43(6):421-6.
• 22. Torres-Rodríguez JM, Pulido-Marrero Z, Vera-García Y. Respiratory allergy to fungi in Barcelona, Spain: clinical aspects, diagnosis and specific treatment in a general allergy unit. Allergol Immunopathol (Madr) 2012;40(5):295-300.
• 23. Targonski P, Persky V, Ramekrishnan V. Effect of environmental molds on risk of death from asthma during the pollen season. J Allergy Clin Immunol 1995;95(5 pt 1):955-61.
• 24. O'Hollaren MT, Yunginger JW, Offord KP, Somers MJ, O'Connell EJ, Ballard DJ, et al. Exposure to an aeroallergen as a possible precipitating factor in respiratory arrest in young patients with asthma. N Engl J Med 1991;324(6):359-63.