粤北地区慢性荨麻疹和慢性湿疹变应原皮肤点刺试验结果分析
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:胡婷(1986.8-),女,广东韶关人,硕士,主治医师,主要从事损容性、色素性、过敏性疾病的诊治工作及激光、 微创注射、面部年轻化治疗方面研究

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R758.23; R758.24

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Analysis of Allergen Skin Prick Test Results of Chronic Urticaria and Chronic Eczema in Northern Guangdong
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    摘要:

    目的 分析粤北地区慢性荨麻疹和慢性湿疹变应原皮肤点刺试验结果。方法 采用变应原皮肤 点刺试验对我科门诊866例慢性过敏性皮肤病患者(慢性荨麻疹675例和慢性湿疹191例)进行30种标 准变应原(吸入组14种,食物组16种)检测,设0.1%组胺为阳性对照液,生理盐水为阴性对照液,分 析各组变应原分布特点以及不同性别阳性率。结果 在慢性荨麻疹患者中,吸入组变应原阳性率最高的 前5位为屋尘螨(81.33%)、秋季花粉(81.19%)、夏季花粉(78.67%)、蚕丝(77.93%)、冬季花粉 (75.26%);在慢性湿疹患者中,屋尘螨的阳性率最高(74.35%),其次是蚕丝(72.25%)、秋季花粉 (69.11%)、冬季花粉(67.02%)、兽羽毛(65.45%);男性慢性荨麻疹患者兽羽毛、秋季花粉、狗毛 的阳性率高于女性(P <0.05),慢性荨麻疹和慢性湿疹患者的食物组变应原阳性率排名前5位相同,依 次为黄豆、墨鱼、虾、塘鱼、鱿鱼(P <0.05)。结论 屋尘螨、花粉、蚕丝、黄豆、墨鱼、虾是粤北地 区慢性过敏性皮肤病患者的主要变应原。

    Abstract:

    Objective To analyze the allergen skin prick test results of chronic urticaria and chronic eczema in northern Guangdong. Methods Allergen skin prick test was used to detect 30 kinds of standard allergens ( 14 kinds in inhalation group and 16 kinds in food group ) in 866 patients with chronic allergic skin diseases (675 cases of chronic urticaria and 191 cases of chronic eczema). 0.1% histamine was used as positive control solution and normal saline was used as negative control solution. The distribution characteristics of allergens in each group and the positive rate of different genders were analyzed. Results Among the patients with chronic urticaria, the top five allergen positive rates in the inhalation group were house dust mite (81.33%), autumn pollen (81.19%), summer pollen (78.67%), silk (77.93%), and winter pollen (75.26%). Among the patients with chronic eczema, the positive rate of house dust mite was the highest (74.35%), followed by silk (72.25%), autumn pollen (69.11%), winter pollen (67.02%), and animal feathers (65.45%). The positive rate of animal feathers, autumn pollen and dog hair in male patients with chronic urticaria was higher than that in female patients (P <0.05). The positive rate of allergen in the food group of patients with chronic urticaria and chronic eczema was the same in the top five places, followed by soybean, cuttlefish, shrimp, pond fish and squid (P <0.05). Conclusion House dust mites, pollen, silk, soybean, cuttlefish and shrimp are the main allergens of patients with chronic allergic dermatosis in northern Guangdong.

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胡 婷,陈宏辉,郭衡山,等.粤北地区慢性荨麻疹和慢性湿疹变应原皮肤点刺试验结果分析[J].医学美学美容,2023,32(5):64-67.

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  • 在线发布日期: 2023-07-22
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