Research article

Inhalation allergen sensitization patterns in children with allergic rhinitis and asthma

  • These two authors contributed equally.
  • Received: 17 October 2024 Revised: 02 November 2024 Accepted: 08 November 2024 Published: 20 November 2024
  • Objective 

    To investigate the differences in sensitization status and patterns of inhaled allergens in children with allergic rhinitis, cough allergic asthma, and bronchial asthma, to avoid allergens, and to explore the relationship between the sensitization status and patterns of inhaled allergens in allergic rhinitis and asthma.

    Method 

    A retrospective evaluation was conducted on 1028 children with allergic rhinitis and asthma who underwent allergen specific IgE antibody testing at Xiamen University Affiliated Women's and Children's Hospital from 2022 to 2024. Based on basic medical information and clinical results, they were divided into allergic rhinitis group, cough allergic asthma group, and bronchial asthma group.

    Results 

    The most common inhaled allergen detected in this study was house dust mite, followed by house dust and mold. The positive frequency of most inhaled allergens in the bronchial asthma group was much higher than that in the cough allergic asthma group. The allergic rhinitis group had a higher frequency of sensitization to a single inhaled allergen, while the bronchial asthma group had a higher frequency of sensitization to quadruple sensitization. For single inhaled allergens, the bronchial asthma group had a higher frequency of strong positive sensitization. Patients with allergic rhinitis who were sensitive to house dust had a 2.763-fold increased risk of developing bronchial asthma. Patients with cough allergic asthma who were sensitive to house dust mites, cat hair, or house dust had a 3-fold increased risk of developing bronchial asthma. Multiple sensitization increases the likelihood of cough allergic asthma transforming into bronchial asthma.

    Conclusion 

    The most common allergens detected in this study were house dust mites, house dust, and mold. Children with bronchial asthma were associated with sensitization to most inhaled allergens, especially strong positive sensitization and multiple sensitization.

    Citation: Xiujuan Li, Jianmin Lin, Yan Li, Min Zhu, Minchuan Lin, Chenxi Li. Inhalation allergen sensitization patterns in children with allergic rhinitis and asthma[J]. AIMS Allergy and Immunology, 2024, 8(4): 254-264. doi: 10.3934/Allergy.2024015

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  • Objective 

    To investigate the differences in sensitization status and patterns of inhaled allergens in children with allergic rhinitis, cough allergic asthma, and bronchial asthma, to avoid allergens, and to explore the relationship between the sensitization status and patterns of inhaled allergens in allergic rhinitis and asthma.

    Method 

    A retrospective evaluation was conducted on 1028 children with allergic rhinitis and asthma who underwent allergen specific IgE antibody testing at Xiamen University Affiliated Women's and Children's Hospital from 2022 to 2024. Based on basic medical information and clinical results, they were divided into allergic rhinitis group, cough allergic asthma group, and bronchial asthma group.

    Results 

    The most common inhaled allergen detected in this study was house dust mite, followed by house dust and mold. The positive frequency of most inhaled allergens in the bronchial asthma group was much higher than that in the cough allergic asthma group. The allergic rhinitis group had a higher frequency of sensitization to a single inhaled allergen, while the bronchial asthma group had a higher frequency of sensitization to quadruple sensitization. For single inhaled allergens, the bronchial asthma group had a higher frequency of strong positive sensitization. Patients with allergic rhinitis who were sensitive to house dust had a 2.763-fold increased risk of developing bronchial asthma. Patients with cough allergic asthma who were sensitive to house dust mites, cat hair, or house dust had a 3-fold increased risk of developing bronchial asthma. Multiple sensitization increases the likelihood of cough allergic asthma transforming into bronchial asthma.

    Conclusion 

    The most common allergens detected in this study were house dust mites, house dust, and mold. Children with bronchial asthma were associated with sensitization to most inhaled allergens, especially strong positive sensitization and multiple sensitization.



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    Acknowledgments



    The 2022 Xiamen Health Guidance Program (grant number 3502Z20224ZD1220, founded by XiamenBureau of Science and Technology).

    Conflict of interest



    The authors declare no conflict of interest.

    Author contributions



    XJ Li provided the study concept and design. XJ Li and JM Lin wrote and revised the manuscript.XJ Li, JM Lin, CX Li and Y Li participated in discussion and made a significant contribution to the interpretation of the results. M Zhu and MC lin collected the data, and performed the experiments. XJ Li and CX Li performed the statistical analyses. All authors read and approved the final version of the manuscript.

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