Abant İzzet Baysal Üniversitesi Tıp Fakültesinde uygulanan deri prik testlerinin sonuçları
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Dosyalar
Tarih
2008
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada deri prik testlerinde saptanan aeroallerjenlerin dağılımı, bu allerjenlerin yaş grupları ve hastalık türü ile ilişkilerinin incelenmesi amaçlandı. Yöntem: Polikliniğimizde Ağustos 2004-Eylül 2006 tarihleri arasında deri prik testleri uygulanmış ve en az bir allerjene pozitiflik saptanan hastalar geriye dönük olarak incelendi. Bulgular: Bu çalışmadaki 168 kişinin 96’sı (%57) kadın, 72’si (%43) erkek olup yaş ortalaması 42.4 ± 16.7 (12–75) idi. Deri prik testlerinde en sık sırasıyla 119 (%71) kişide akarlara, 71 (%42) kişide mantarlara ve 61 (%36) kişide ot polenlerine karşı pozitiflik saptandı. Yaş ile ot polenlerine karşı pozitiflik arasında negatif korelasyon vardı (r= -212, p= 0.009). Astım + allerjik rinit (AR) olanlarda yalnızca AR olanlara göre hayvan epitelleri (p= 0.002) ve mantarlara (p<0.05) karşı pozitiflik oranı daha fazla idi. Astımlılarda (allerjik rinit eşlik eden ve etmeyenlerde) yalnızca allerjik riniti olanlara göre nefes darlığı, hırıltı ve göğüste tıkanıklık şikayetlerinin sıklığı belirgin olarak daha fazla idi (p<0.001). Burun tıkanıklığı, hapşırma ve gözlerde yaşarma şikayetleri ise allerjik rinitlilerde (astım eşlik eden ve etmeyenlerde) yalnızca astımlılara göre belirgin olarak daha fazla saptandı (p<0.001). Sonuç: Bolu’da deri prik testlerinde en sık saptanan aeroallerjenler sırasıyla ev tozu akarları, mantarlar ve ot polenleri idi. Allerjik yakınmaları olan ve allerjik hastalık (astım ve allerjik rinit gibi) tanısı konulan hastalarda deri prik testleri ile aeroallerjenlere karşı duyarlılığın belirlenmesi hastaların allerjenlerden korunmasına ve allerjik hastalıkların daha iyi tedavi edilmesine katkı sağlayabilir.
Aim: In this study, it was aimed to investigate the dispersion of aeroallergens, and the relationship of these allergens between age groups and types of allergic diseases Methods: The patients were evaluated retrospectively whom applied skin prick test between August 2004 and September 2006 at our clinic and found positive response to at least one allergen. Results: One hundred and sixty eight patients (72 male and 96 female) were recruited the study. Mean age was 42.4 ± 16.7 year (12–75). Positive response was determined in the skin prick tests against to house dust mites in 119 (71%), molds in 71 (42%), and grass pollens in 61 (36%) patients, respectively. Negative correlation was detected between age and grass pollens (r= -212, p= 0.009). Prevalence of allergy to the molds (p<0.05) and animal epithelium (p= 0.002) in cases of asthma accompanied allergic rhinitis was higher compared with patients with only allergic rhinitis. Frequencies of dyspnea, wheezing, and tightness of chest in asthma patients (with allergic rhinitis or not) were significantly higher than in patients with allergic rhinitis (p<0.001). Whereas frequencies of sneezing, nasal obstruction, and nasal discharge were higher in allergic rhinitis patients (accompanied asthma or not) were higher than in asthma patients (p<0.001). Conclusion: As a result, most commonly seen aeroallergens in Bolu were determined as house dust mites, molds, and grass pollens, respectively. Patients with allergic complaints and allergic diseases (e.g. asthma and allergic rhinitis), the documentation of aeroallergens by skin prick tests may contribute to avoid the allergens and to treat of the allergic diseases better.
Aim: In this study, it was aimed to investigate the dispersion of aeroallergens, and the relationship of these allergens between age groups and types of allergic diseases Methods: The patients were evaluated retrospectively whom applied skin prick test between August 2004 and September 2006 at our clinic and found positive response to at least one allergen. Results: One hundred and sixty eight patients (72 male and 96 female) were recruited the study. Mean age was 42.4 ± 16.7 year (12–75). Positive response was determined in the skin prick tests against to house dust mites in 119 (71%), molds in 71 (42%), and grass pollens in 61 (36%) patients, respectively. Negative correlation was detected between age and grass pollens (r= -212, p= 0.009). Prevalence of allergy to the molds (p<0.05) and animal epithelium (p= 0.002) in cases of asthma accompanied allergic rhinitis was higher compared with patients with only allergic rhinitis. Frequencies of dyspnea, wheezing, and tightness of chest in asthma patients (with allergic rhinitis or not) were significantly higher than in patients with allergic rhinitis (p<0.001). Whereas frequencies of sneezing, nasal obstruction, and nasal discharge were higher in allergic rhinitis patients (accompanied asthma or not) were higher than in asthma patients (p<0.001). Conclusion: As a result, most commonly seen aeroallergens in Bolu were determined as house dust mites, molds, and grass pollens, respectively. Patients with allergic complaints and allergic diseases (e.g. asthma and allergic rhinitis), the documentation of aeroallergens by skin prick tests may contribute to avoid the allergens and to treat of the allergic diseases better.
Açıklama
Anahtar Kelimeler
Deri Prik Testleri, Astım, Allerjik Rinit, Skin Prick Tests, Asthma, Allergic Rhinitis
Kaynak
Düzce Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
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0
Sayı
1
