临床经验

儿童特应性皮炎153例变应原皮试分析

汤建萍,曾迎红,周斌

 

[摘  要]  目的  探讨儿童特应性皮炎(AD)的病因。

方法  153AD患儿进行了变应原皮试。

结果  阳性率83.01%,其中吸入组阳性率80.1%,食物组74.6%,二组阳性率差异无显著性。常见的阳性变应原为室内尘土(73.5%)、粉尘螨(70.9%)、多价昆虫(56.9%)、虾(46.4%)、芝麻(40.0%)。年龄3岁以内组、3~7岁组和7岁以上组的吸入组皮试阳性率分别为46.7%82.9%85%,其差异有显著性(P<0.005)

结论  吸入性和食物变应原是儿童特应性皮炎的主要病因之一,吸入性变应原过敏多发生在3岁以上。

[关键词]  皮炎,特应性;儿童;变应原皮试

[中图分类号]  R 711.72      [文献标识码]  B    [文章编号]  1001-7089(2005)09-0-0

 Clinical Analysis of Allergen Intradermal Tests on Children with Atopic Dermatitis

 TANG JianpingZENG YinghongZHOU Bin

(Department of DermatologyHunan Childrens HospitalChangsha 410007China)

 Abstract:  Objective   To investigate the etiology of atopic dermatitis(AD).

 Methods   153 children with AD were given allergen intradermal tests.

 Results   The positive rate of allergen intradermal tests in AD children was 83.01%(127/153)the position rates of aeroallergen group and food group were 80.13% and 74.55% respectively.There was no significant difference between two groups.The common positive allergens  were  HD (73.5%)dermatophagoides farinae (70.9%)insects (56.9%)shrimp (46.4%)sesame seed (40.0%).The positive rates of aeroallergen group in AD children of <33-7,>7 years old groups were 46.7% 82.9% and 85% respectivelythere was significant difference  (P<0.005).

 Conclusion   Aeroallergen and food were one of main causes of AD children.Aeroallergen allergy was common  in AD children of more than 3 years old.

 Key words   Atopic dermatitisChildAllergen intradermal test

 

[作者单位]  湖南省儿童医院皮肤科,湖南 长沙  410007

[作者简介]  汤建萍(1960-),女,主任医师,医学学士,主要从事儿童皮肤病的研究。

 

 

临床经验目录


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