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      전형적인 알레르기 증상으로 내원한 6세 미만 소아 환자에서 항원 감작 패턴: 단일 기관 연구 = AARD : ORIGINAL ARTICLE ; Sensitization patterns to common allergens in Korean children younger than 6 years of age presenting with typical symptoms or signs of allergic diseases: a single center study

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      다국어 초록 (Multilingual Abstract)

      Purpose: Population studies have reported that sensitization to inhalant allergens is rare in young children; however, most subjects in those studies had little or no symptoms or signs highly suggestive of allergic diseases. The aim of the present study was to assess the prevalence of sensitization to inhalant allergens in young children with symptoms and/or signs of allergic disease. Methods: We analyzed the results of all specific IgE tests performed at our hospital laboratory in children younger than 6 years presenting with symptoms and/or signs highly suggestive of allergic diseases between 2008 and 2013. Specific IgE tests for Dermatophagoides pteronyssinus, Dermatophagoides farinae, Alternaria alternata, German cockroach, cat dander, egg white or egg yolk, milk, peanut, and soybean were performed on 295 children; a specific IgE concentration ≥0.35 or ≥0.2 IU/mL was considered positive. We also compared allergen sensitization rates using the two cutoff values. Results: One hundred eighty-one children (61.4%) were positive to at least 1 allergen tested and 53 children (18.9%) were positive to at least 1 inhalant allergen when a specific IgE concentration ≥0.35 IU/mL was considered positive. The children were more likely to have asthma or allergic rhinitis when they were sensitized to any inhalant allergen, particularly house dust mites. The prevalence of sensitization to inhalant allergens increased with age (P<0.001). There was no significant difference in the prevalence of polysensitization among different age groups, but sensitization to both inhalant and food allergens significantly increased with age. Conclusion: Our results suggest that specific IgE tests to common inhalant allergens, particularly the house dust mites, may be considered when performing blood screening tests for young children presenting with symptoms and/or signs of allergic diseases
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      Purpose: Population studies have reported that sensitization to inhalant allergens is rare in young children; however, most subjects in those studies had little or no symptoms or signs highly suggestive of allergic diseases. The aim of the present stu...

      Purpose: Population studies have reported that sensitization to inhalant allergens is rare in young children; however, most subjects in those studies had little or no symptoms or signs highly suggestive of allergic diseases. The aim of the present study was to assess the prevalence of sensitization to inhalant allergens in young children with symptoms and/or signs of allergic disease. Methods: We analyzed the results of all specific IgE tests performed at our hospital laboratory in children younger than 6 years presenting with symptoms and/or signs highly suggestive of allergic diseases between 2008 and 2013. Specific IgE tests for Dermatophagoides pteronyssinus, Dermatophagoides farinae, Alternaria alternata, German cockroach, cat dander, egg white or egg yolk, milk, peanut, and soybean were performed on 295 children; a specific IgE concentration ≥0.35 or ≥0.2 IU/mL was considered positive. We also compared allergen sensitization rates using the two cutoff values. Results: One hundred eighty-one children (61.4%) were positive to at least 1 allergen tested and 53 children (18.9%) were positive to at least 1 inhalant allergen when a specific IgE concentration ≥0.35 IU/mL was considered positive. The children were more likely to have asthma or allergic rhinitis when they were sensitized to any inhalant allergen, particularly house dust mites. The prevalence of sensitization to inhalant allergens increased with age (P<0.001). There was no significant difference in the prevalence of polysensitization among different age groups, but sensitization to both inhalant and food allergens significantly increased with age. Conclusion: Our results suggest that specific IgE tests to common inhalant allergens, particularly the house dust mites, may be considered when performing blood screening tests for young children presenting with symptoms and/or signs of allergic diseases

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      참고문헌 (Reference)

      1 Govaere E, "The influence of age and gender on sensitization to aero-allergens" 18 : 671-678, 2007

      2 Kjaer HF, "The association between early sensitization patterns and subsequent allergic disease. The DARC birth cohort study" 20 : 726-734, 2009

      3 Arshad SH, "Sensitization to common allergens and its association with allergic disorders at age 4 years: a whole population birth cohort study" 108 : E33-, 2001

      4 김지현, "Sensitization to Aeroallergens in Korean Children: A Populationbased Study in 2010" 대한의학회 26 (26): 1165-1172, 2011

      5 So Hyun Park, "Sensitization rates of airborne pollen and mold in children" 대한소아과학회 55 (55): 372-379, 2012

      6 Porsbjerg C, "Risk factors for onset of asthma: a 12-year prospective follow-up study" 129 : 309-316, 2006

      7 Roberts G, "Relationship between aeroallergen and food allergen sensitization in childhood" 35 : 933-940, 2005

      8 Hoffmann-Petersen B, "Prevalence of IgE sensitization in Danish children with suspected asthma" 24 : 727-733, 2013

      9 Illi S, "Perennial allergen sensitisation early in life and chronic asthma in children: a birth cohort study" 368 : 763-770, 2006

      10 Kulig M, "Natural course of sensitization to food and inhalant allergens during the first 6 years of life" 103 : 1173-1179, 1999

      1 Govaere E, "The influence of age and gender on sensitization to aero-allergens" 18 : 671-678, 2007

      2 Kjaer HF, "The association between early sensitization patterns and subsequent allergic disease. The DARC birth cohort study" 20 : 726-734, 2009

      3 Arshad SH, "Sensitization to common allergens and its association with allergic disorders at age 4 years: a whole population birth cohort study" 108 : E33-, 2001

      4 김지현, "Sensitization to Aeroallergens in Korean Children: A Populationbased Study in 2010" 대한의학회 26 (26): 1165-1172, 2011

      5 So Hyun Park, "Sensitization rates of airborne pollen and mold in children" 대한소아과학회 55 (55): 372-379, 2012

      6 Porsbjerg C, "Risk factors for onset of asthma: a 12-year prospective follow-up study" 129 : 309-316, 2006

      7 Roberts G, "Relationship between aeroallergen and food allergen sensitization in childhood" 35 : 933-940, 2005

      8 Hoffmann-Petersen B, "Prevalence of IgE sensitization in Danish children with suspected asthma" 24 : 727-733, 2013

      9 Illi S, "Perennial allergen sensitisation early in life and chronic asthma in children: a birth cohort study" 368 : 763-770, 2006

      10 Kulig M, "Natural course of sensitization to food and inhalant allergens during the first 6 years of life" 103 : 1173-1179, 1999

      11 Platts-Mills TA, "Indoor allergens and asthma: report of the Third International Workshop" 100 (100): S2-S24, 1997

      12 Frew AJ, "Immunotherapy of allergic disease" 111 (111): S712-S719, 2003

      13 Verhoeff AP, "House dust mite allergen (Der p I) and respiratory symptoms in children: a case-control study" 24 : 1061-1069, 1994

      14 Baatenburg de Jong A, "High prevalence of sensitization to aeroallergens in children 4 yrs of age or younger with symptoms of allergic disease" 20 : 735-740, 2009

      15 Bateman ED, "Global strategy for asthma management and prevention: GINA executive summary" 31 : 143-178, 2008

      16 Sicherer SH, "Food allergy" 5 (5): S116-S125, 2012

      17 Zuberbier T, "EAACI/GA(2)LEN/EDF/WAO guideline: definition, classification and diagnosis of urticaria" 64 : 1417-1426, 2009

      18 Douwes J, "Does early indoor microbial exposure reduce the risk of asthma? The Prevention and Incidence of Asthma and Mite Allergy birth cohort study" 117 : 1067-1073, 2006

      19 Brenninkmeijer EE, "Diagnostic criteria for atopic dermatitis: a systematic review" 158 : 754-765, 2008

      20 Fasce L, "Atopy in wheezing infants always starts with monosensitization" 28 : 449-453, 2007

      21 신정욱, "Atopy and House Dust Mite Sensitization as Risk Factors for Asthma in Children" 연세대학교의과대학 46 (46): 629-634, 2005

      22 Depner M, "Atopic sensitization in the first year of life" 131 : 781-788, 2013

      23 김은진, "Assessment of Total/Specific IgE Levels Against 7 Inhalant Allergens in Children Aged 3 to 6 Years in Seoul, Korea" 대한천식알레르기학회 5 (5): 162-169, 2013

      24 Brozek JL, "Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision" 126 : 466-476, 2010

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2026 평가예정 재인증평가 신청대상 (재인증)
      2020-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2017-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2016-12-01 평가 등재후보로 하락 (계속평가) KCI등재후보
      2013-04-05 학술지명변경 한글명 : 대한소아알레르기및호흡기학회지 -> Allergy Asthma & Respiratory Diseases
      외국어명 : THE Korean Academy of Pediatric Allergy and Respiratory Disease -> 알레르기 천식 호흡기질환
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      2010-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재 1차 FAIL (등재유지) KCI등재
      2007-05-30 학회명변경 한글명 : 대한소아알레르기 및 호흡기학회 -> 대한 소아알레르기 호흡기학회 KCI등재
      2006-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.34 0.34 0.49
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.41 0.41 0.971 0.19
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