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A Study on Fungal Allergen Sensitization Rates Among Children with Allergic Rhinitis in the Southern Marmara Region

Yıl 2021, Cilt: 21 Sayı: 2, 111 - 118, 20.09.2021

Öz

Objective: The aim of this study was to investigate the frequency of fungal allergen sensitivities and the factors associated with fungal allergen sensitivities in children with allergic rhinitis. Method: 331 children aged 2-18 years who were diagnosed with allergic rhinitis and had sensitivity to at least one inhalant allergen in skin prick tests were prospectively included in the study. The skin prick test was performed with standard allergen solutions. Results: 62.5% of the patients with allergic rhinitis were boys and 37.5% were girls, and the onset of symptoms was 6.77±4.06 years old. Mite sensitivity (68.8%) was the most common in children with allergic rhinitis, followed by grass pollen sensitivity (48.9%). Sensitivity to at least one fungal allergen was detected at a rate of 10.6% (n=35), the most common among this group being Alternaria alternata (88.5%). The age of onset of allergic rhinitis symptoms was found to be significantly earlier in the group with fungal allergen sensitivity compared to the group without fungal allergen sensitivity (5.23±3.44 years/6.95±4.09 years, respectively, p=0.019). For the presence of sensitivity to fungal allergens; Corylus avellena sensitivity or dog allergen sensitivity were found to be significant risk factors. In terms of additional asthma in patients with allergic rhinitis; Dermatophagoides farinae sensitivity or presence of cockroach sensitivity were found to be significant risk factors. Conclusion: Sensitivity to fungal allergens is observed at a remarkable rate in children with allergic rhinitis. Most of the sensitivity to fungal allergens is Alternaria alternata sensitivity.

Kaynakça

  • 1. Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol 2008;122(2 suppl):1-84. google scholar
  • 2. Dykewicz MS, Wallace DV, Amrol DJ, Baroody FM, Bernstein JA, Craig TJ, et al. Rhinitis 2020: A practice parameter update. J Allergy Clin Immunol 2020;146(4):721-767. google scholar
  • 3. Meng Y, Wang C, Zhang L. Recent developments and highlights in allergic rhinitis. Allergy 2019;74:2320-8. google scholar
  • 4. Corsico R, Cinti B, Feliziani V, Gallesio MT, Liccardi G, Loreti A, et al. Prevalance of sensitization to alternaria in allergic patients in Italy. Ann Allergy Asthma Immunol 1998;80:71-6. google scholar
  • 5. Hocaoğlu AB, Karaman Ö. Çocukluk Çağında Allerjik Rinit- Derleme. Güncel Pediatri 2010;8:105-12. google scholar
  • 6. Dickerson PJK, Li J. Effects of damp and mould in the home on respiratory health: a review of the literature. Allergy 1998;53:120-8. google scholar
  • 7. Heinzerling L, Frew AJ, Bindslev-Jensen C, Bonini S, Bousquet J, Bresciani M, et al. Standard skin ptik testing and sensitization to inhalant allergens across Europe-a survey from the GA(2)LEN network. Allergy 2005;60:1287-300. google scholar
  • 8. Position paper: Allergen standardisation and skin tests. The European Academy of Allergology and Clinical Immunology. Allergy 1993;48:48-82. google scholar
  • 9. Gentile DA, Shapiro GG, Skoner DP. Allergic Rhinitis. Leung DYM, Sampson HA, Geha RS, Szefler, SJ editors. Pediatric Allergy: Principles and practice. Mosby-Year Book, Inc, St. Louis, MO. 2003:287-97. google scholar
  • 10. Wright AL, Holberg CJ, Martinez FD, Halonen M, Morgan W, Taussig LM. Epidemiology of physician-diagnosed allergic rhinitis in childhood. Pediatrics 1994;94:895-901. google scholar
  • 11. Harmancı K, Bakıtaş A, Türktaş İ. Sensitization to Aeroallergens in Preschool Children with Respiratory Problems in Ankara, Turkey. Turkish Respiratory Journal 2006;7(1):10-4. google scholar
  • 12. Yazicioglu M, Oner N, Cetlik C, Okutan O, Pala O. Sensitization to common allergens, especially pollens, among children with respiratory allergy in the Trakya region of Turkey. Asian Pac J Allergy Immunol 2004;22:183-90. google scholar
  • 13. Balatsouras DG, Koukoutsis G, Ganelis P, Fassolis A, Korres GS, Kaberos A. Study of Allergic Rhinitis in Childhood. Int J Otolaryngol 2011. doi:10.1155/2011/487532. google scholar
  • 14. Meltzer EO, Blaiss MS, Derebery MJ, Mahr TA, Gordon BR, Sheth KK, et al. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey. J Allergy Clin Immunol 2009;124(suppl):S43-70. google scholar
  • 15. Lee JT, Lam ZCM, Lee WT, Kuo LC, Jayant V, Singh G, et al. Familial Risk of Allerjic Rhinitis and Atopic Dermatitis among Chinese Families in Singapore. Ann Acad Med Singapore 2004;33:71-4. google scholar
  • 16. Kidon MI, See Y, Goh A, Chay OM, Balakrishnan A. Aeroallergen sensitization in pediatric allergic rhinitis in Singapore: Is airconditioning a factor in the tropics? Pediatr Allergy Immunol 2004;15:340-3. google scholar
  • 17. Kidon MI, Chiang WC, Liew WK, Lim SH, See Y, Goh A, et al. Sensitization to dust mites in children with allergic rhinitis in Singapore: does it matter if you scratch while you sneeze? Clin Exp Allergy 2005;35:434-40. google scholar
  • 18. Bostancı I, Turktas I, Turkyılmaz C. Sensitization to aeroallergens in Ankara, Turkey. Allergy 1999;54:1328-36. google scholar
  • 19. Dold S, Wjst M, von Mutius E, Reitmeir P, Stiepel E. Genetic risk for asthma, alllergic rhinitis, and atopic dermatitis. Arch Dis Child 1992;67:1018-22. google scholar
  • 20. Sobki SH, Zakzouk SM. Point prevalence of allergic rhinitis among Saudi children. Rhinology 2004;42:137-40. google scholar
  • 21. Elmas B, Özdemir Ö. Sensitization Prevalence of Children with Allergic Rhinitis for Inhalant and Food Allergens in the Province of Sakarya, Turkey. JAREM 2017;7:63-9. google scholar
  • 22. Yazicioglu M, Oner N, Cetlik C, Okutan O, Pala O. Sensitization to common allergens, especially pollens, among children with respiratory allergy in the Trakya region of Turkey. Asian Pac J Allergy Immunol 2004;22:183-90. google scholar
  • 23. Harmancı K, Bakıtaş A, Türktaş İ. Sensitization to Aeroallergens in Preschool Children with Respiratory Problems in Ankara, Turkey. Turkish Respiratory Journal 2006;7(1):10-4. google scholar
  • 24. Bavbek S, Erkekol FO, Ceter T, Mungan D, Ozer F, Pinar 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. google scholar
  • 25. Moral L, Roig M, Gadre J, Alos A, Toral T, Fuentes MJ. Allergen sensitization in children with asthma and rhinitis: marked variations related to age and microgeographical factors. Allergol Immunopathol (Madr) 2008;36:128-33. google scholar
  • 26. Sritipsukho P. Aeroallergen Sensitivity Among Thai Children with Allergic Respiratory Disease:A Hospital-Based Study. Asian Pac J Allergy and Immunol 2004;22:91-5. google scholar
  • 27. Kidon MI, See Y, Goh A, Chay OM, Balakrishnan A. Aeroallergen sensitization in pediatric allergic rhinitis in Singapore: Is airconditioning a factor in the tropics? Pediatr Allergy Immunol 2004;15:340-3. google scholar
  • 28. Kidon MI, Chiang WC, Liew WK, Lim SH, See Y, Goh A, et al. Sensitization to dust mites in children with allergic rhinitis in Singapore: does it matter if you scratch while you sneeze? Clin Exp Allergy 2005;35:434-40. google scholar
  • 29. Yilmaz A, Tuncer A, Sekerel BE, Adalioglu G. Cockroach allergy in a group of Turkish children with respiratory allergies. Turk J Pediatr 2004;46:344-9. google scholar
  • 30. Küçükosmanoğlu E, Keskin Ö. Gaziantep’te Çocuklarda Solunum Allerjenleri Duyarlılığı. Astım Allerji İmmünoloji 2008;6:141-5. google scholar
  • 31. Codispoti CD, Bernstein DI, Levin L, Reponen T, Ryan PH, Biagini Myers JM, et al. Early-life mold and tree sensitivity is associated with allergic eosinophilicrhinitis at 4 years of age. Ann Allergy Asthma Immunol 2015;114(3):193-8. google scholar

Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması

Yıl 2021, Cilt: 21 Sayı: 2, 111 - 118, 20.09.2021

Öz

Amaç: Alerjik rinit tanılı çocuklarda, mantar alerjen duyarlılıkları görülme sıklığını ve mantar alerjen duyarlılıkları ile ilişkili faktörlerin araştırılması amaçlanmıştır. Gereç ve Yöntem: Alerjik rinit tanılı ve deri prik testlerinde en az bir inha- lan alerjene karşı duyarlılık saptanmış olan, 2-18 yaşlarında 331 çocuk olgu prospektif olarak çalışmaya alındı. Hastalara standart alerjen solusyonları ile deri prik testi yapıldı. Bulgular: Alerjik rinitli olguların %62,5’i erkek ve %37,5’i kız, semptomların başlangıç zamanı 6,77±4,06 yaş olarak saptandı. Alerjik rinitli çocuklarda en sık akar duyarlılığı (%68,8), ikinci sırada ise çimen polen duyarlılığı (%48,9) tespit edildi. En az bir mantar alerjenine karşı duyarlılık %10,6 (n=35) oranında saptandı, bu grup içinde en sık Alternaria alternata (%88,5) duyarlılığı saptandı. Mantar alerjeni duyarlılığı olan grupta mantar alerjeni duyarlılığı saptanmayan gruba göre alerjik rinit semptomlarının başlama yaşı anlamlı olarak daha erken saptandı (sırasıyla 5,23±3,44 yaş/6,95±4,09 yaş, p=0,019). Mantar alerjenleri duyarlılığı varlığı için; Corylus avellena duyarlılığının veya köpek alerjen duyarlılığının anlamlı risk faktörleri olduğu saptandı. Alerjik rinitli hastalarda ek olarak astım görülmesi açısından; Dermatofagoides farinae duyarlılığı veya hamam böceği duyarlılığı varlığının anlamlı risk faktörleri olduğu tespit edildi. Sonuç: Alerjik rinitli çocuklarda mantar alerjenlerine karşı duyarlılık, dikkate değer bir oranda görülmektedir. Mantar alerjenlerine duyarlılığın büyük kısmını Alternaria alternata duyarlılığı oluşturmaktadır.

Kaynakça

  • 1. Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol 2008;122(2 suppl):1-84. google scholar
  • 2. Dykewicz MS, Wallace DV, Amrol DJ, Baroody FM, Bernstein JA, Craig TJ, et al. Rhinitis 2020: A practice parameter update. J Allergy Clin Immunol 2020;146(4):721-767. google scholar
  • 3. Meng Y, Wang C, Zhang L. Recent developments and highlights in allergic rhinitis. Allergy 2019;74:2320-8. google scholar
  • 4. Corsico R, Cinti B, Feliziani V, Gallesio MT, Liccardi G, Loreti A, et al. Prevalance of sensitization to alternaria in allergic patients in Italy. Ann Allergy Asthma Immunol 1998;80:71-6. google scholar
  • 5. Hocaoğlu AB, Karaman Ö. Çocukluk Çağında Allerjik Rinit- Derleme. Güncel Pediatri 2010;8:105-12. google scholar
  • 6. Dickerson PJK, Li J. Effects of damp and mould in the home on respiratory health: a review of the literature. Allergy 1998;53:120-8. google scholar
  • 7. Heinzerling L, Frew AJ, Bindslev-Jensen C, Bonini S, Bousquet J, Bresciani M, et al. Standard skin ptik testing and sensitization to inhalant allergens across Europe-a survey from the GA(2)LEN network. Allergy 2005;60:1287-300. google scholar
  • 8. Position paper: Allergen standardisation and skin tests. The European Academy of Allergology and Clinical Immunology. Allergy 1993;48:48-82. google scholar
  • 9. Gentile DA, Shapiro GG, Skoner DP. Allergic Rhinitis. Leung DYM, Sampson HA, Geha RS, Szefler, SJ editors. Pediatric Allergy: Principles and practice. Mosby-Year Book, Inc, St. Louis, MO. 2003:287-97. google scholar
  • 10. Wright AL, Holberg CJ, Martinez FD, Halonen M, Morgan W, Taussig LM. Epidemiology of physician-diagnosed allergic rhinitis in childhood. Pediatrics 1994;94:895-901. google scholar
  • 11. Harmancı K, Bakıtaş A, Türktaş İ. Sensitization to Aeroallergens in Preschool Children with Respiratory Problems in Ankara, Turkey. Turkish Respiratory Journal 2006;7(1):10-4. google scholar
  • 12. Yazicioglu M, Oner N, Cetlik C, Okutan O, Pala O. Sensitization to common allergens, especially pollens, among children with respiratory allergy in the Trakya region of Turkey. Asian Pac J Allergy Immunol 2004;22:183-90. google scholar
  • 13. Balatsouras DG, Koukoutsis G, Ganelis P, Fassolis A, Korres GS, Kaberos A. Study of Allergic Rhinitis in Childhood. Int J Otolaryngol 2011. doi:10.1155/2011/487532. google scholar
  • 14. Meltzer EO, Blaiss MS, Derebery MJ, Mahr TA, Gordon BR, Sheth KK, et al. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey. J Allergy Clin Immunol 2009;124(suppl):S43-70. google scholar
  • 15. Lee JT, Lam ZCM, Lee WT, Kuo LC, Jayant V, Singh G, et al. Familial Risk of Allerjic Rhinitis and Atopic Dermatitis among Chinese Families in Singapore. Ann Acad Med Singapore 2004;33:71-4. google scholar
  • 16. Kidon MI, See Y, Goh A, Chay OM, Balakrishnan A. Aeroallergen sensitization in pediatric allergic rhinitis in Singapore: Is airconditioning a factor in the tropics? Pediatr Allergy Immunol 2004;15:340-3. google scholar
  • 17. Kidon MI, Chiang WC, Liew WK, Lim SH, See Y, Goh A, et al. Sensitization to dust mites in children with allergic rhinitis in Singapore: does it matter if you scratch while you sneeze? Clin Exp Allergy 2005;35:434-40. google scholar
  • 18. Bostancı I, Turktas I, Turkyılmaz C. Sensitization to aeroallergens in Ankara, Turkey. Allergy 1999;54:1328-36. google scholar
  • 19. Dold S, Wjst M, von Mutius E, Reitmeir P, Stiepel E. Genetic risk for asthma, alllergic rhinitis, and atopic dermatitis. Arch Dis Child 1992;67:1018-22. google scholar
  • 20. Sobki SH, Zakzouk SM. Point prevalence of allergic rhinitis among Saudi children. Rhinology 2004;42:137-40. google scholar
  • 21. Elmas B, Özdemir Ö. Sensitization Prevalence of Children with Allergic Rhinitis for Inhalant and Food Allergens in the Province of Sakarya, Turkey. JAREM 2017;7:63-9. google scholar
  • 22. Yazicioglu M, Oner N, Cetlik C, Okutan O, Pala O. Sensitization to common allergens, especially pollens, among children with respiratory allergy in the Trakya region of Turkey. Asian Pac J Allergy Immunol 2004;22:183-90. google scholar
  • 23. Harmancı K, Bakıtaş A, Türktaş İ. Sensitization to Aeroallergens in Preschool Children with Respiratory Problems in Ankara, Turkey. Turkish Respiratory Journal 2006;7(1):10-4. google scholar
  • 24. Bavbek S, Erkekol FO, Ceter T, Mungan D, Ozer F, Pinar 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. google scholar
  • 25. Moral L, Roig M, Gadre J, Alos A, Toral T, Fuentes MJ. Allergen sensitization in children with asthma and rhinitis: marked variations related to age and microgeographical factors. Allergol Immunopathol (Madr) 2008;36:128-33. google scholar
  • 26. Sritipsukho P. Aeroallergen Sensitivity Among Thai Children with Allergic Respiratory Disease:A Hospital-Based Study. Asian Pac J Allergy and Immunol 2004;22:91-5. google scholar
  • 27. Kidon MI, See Y, Goh A, Chay OM, Balakrishnan A. Aeroallergen sensitization in pediatric allergic rhinitis in Singapore: Is airconditioning a factor in the tropics? Pediatr Allergy Immunol 2004;15:340-3. google scholar
  • 28. Kidon MI, Chiang WC, Liew WK, Lim SH, See Y, Goh A, et al. Sensitization to dust mites in children with allergic rhinitis in Singapore: does it matter if you scratch while you sneeze? Clin Exp Allergy 2005;35:434-40. google scholar
  • 29. Yilmaz A, Tuncer A, Sekerel BE, Adalioglu G. Cockroach allergy in a group of Turkish children with respiratory allergies. Turk J Pediatr 2004;46:344-9. google scholar
  • 30. Küçükosmanoğlu E, Keskin Ö. Gaziantep’te Çocuklarda Solunum Allerjenleri Duyarlılığı. Astım Allerji İmmünoloji 2008;6:141-5. google scholar
  • 31. Codispoti CD, Bernstein DI, Levin L, Reponen T, Ryan PH, Biagini Myers JM, et al. Early-life mold and tree sensitivity is associated with allergic eosinophilicrhinitis at 4 years of age. Ann Allergy Asthma Immunol 2015;114(3):193-8. google scholar
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Çocuk Sağlığı ve Hastalıkları
Bölüm Araştırma Makaleleri
Yazarlar

Muhittin Bodur 0000-0002-2588-8195

Yakup Canıtez 0000-0001-8929-679X

Şükrü Çekiç 0000-0002-9574-1842

Gökhan Ocakoğlu 0000-0002-1114-6051

Nihat Sapan 0000-0002-7601-8392

Yayımlanma Tarihi 20 Eylül 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 21 Sayı: 2

Kaynak Göster

APA Bodur, M., Canıtez, Y., Çekiç, Ş., Ocakoğlu, G., vd. (2021). Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması. Çocuk Dergisi, 21(2), 111-118.
AMA Bodur M, Canıtez Y, Çekiç Ş, Ocakoğlu G, Sapan N. Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması. Çocuk Dergisi. Eylül 2021;21(2):111-118.
Chicago Bodur, Muhittin, Yakup Canıtez, Şükrü Çekiç, Gökhan Ocakoğlu, ve Nihat Sapan. “Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması”. Çocuk Dergisi 21, sy. 2 (Eylül 2021): 111-18.
EndNote Bodur M, Canıtez Y, Çekiç Ş, Ocakoğlu G, Sapan N (01 Eylül 2021) Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması. Çocuk Dergisi 21 2 111–118.
IEEE M. Bodur, Y. Canıtez, Ş. Çekiç, G. Ocakoğlu, ve N. Sapan, “Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması”, Çocuk Dergisi, c. 21, sy. 2, ss. 111–118, 2021.
ISNAD Bodur, Muhittin vd. “Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması”. Çocuk Dergisi 21/2 (Eylül 2021), 111-118.
JAMA Bodur M, Canıtez Y, Çekiç Ş, Ocakoğlu G, Sapan N. Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması. Çocuk Dergisi. 2021;21:111–118.
MLA Bodur, Muhittin vd. “Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması”. Çocuk Dergisi, c. 21, sy. 2, 2021, ss. 111-8.
Vancouver Bodur M, Canıtez Y, Çekiç Ş, Ocakoğlu G, Sapan N. Güney Marmara Bölgesindeki Alerjik Rinitli Çocuklarda Mantar Alerjenlerine Duyarlılık Oranlarının Araştırılması. Çocuk Dergisi. 2021;21(2):111-8.