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Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2014, Number 1

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Alerg Asma Inmunol Pediatr 2014; 23 (1)

Sensibilization to pollens and association with the Clinic of Allergic Rhinitis and Bronchial Asthma in children from Camagüey province

Murillo RC, Abou KF, Rodríguez SO, Cuevas CHU, Laurrabaquio MAM, Tinoco MIO, Cruz SMÁ, Cruz MMÁ

Language: Spanish
References: 25
Page: 15-19
PDF size: 171.33 Kb.


ABSTRACT

Background: Bronchial asthma and allergic rhinitis are two of the health problems in Cuba. However, there are no studies of all the allergens causing allergic sensitization in most countries. Material and methods: A descriptive study was performed on a sample of patients referred to the Allergic Service at Clinic Previsora from June 2011 to May 2012. The sample consisted of 300 patients with rhinitis and/or asthma. The study included those patients with a Prick Test 3 3 mm response to pollen from Ambrosia psilostachya, Amaranthus leucocarpus, Helianthus annuus, Rumex acetosella, Lolium perenne, Cupressus lindleyi and Cocos nucifera. Patients were grouped according to disease and response to the skin test and nasal provocation. Each clinical variable was contrasted to the size of the wheal. Results: In this sample, 140 patients –46.6%– were positive for pollen, 71 with rhinitis, 40 with asthma and 29 with both conditions. From the group of patients positive for pollen, those with an average wheal of 3 mm showed sensitization higher than 36%. Ambrosia and Lolium were the allergens with greatest sensitivity –44.28% and 43.57%, respectively– without a significant difference with other pollens (p › 0.05). The largest clinical symptoms consisted of sneezing (n = 128), cough (n = 74) and nasal discharge (n = 65). The wheal mode (n = 5) was associated with shortness of breath, whereas lower values (n = 3) corresponded to sneezing and nasal discharge. Conclusion: Pollen represents a significant cause of allergic sensitization, showing an association between skin tests and nasal provocation test. The wheal diameter is related to clinical symptoms severity.


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