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Abstract
Respiratory allergies, especially rhinitis and asthma, are becoming increasingly common. Given that in northwestern Parana there is little data on the subject, our objective was to verify the causative agents of respiratory allergies and their complications in patients treated at a private pulmonology service in the municipality of Maringa, Parana. The study was observational, retrospective, lasting from January 2004 to December 2005. Patients were evaluated clinically, and the Prick TestR was performed. The age, positive test, major allergen reagents, presence or absence of atopy, rhinitis or asthma were noted for each individual. Of 396 individuals, 236 (59.3%) were positive for one or more allergens, whereas 80 (20.2%) were positive for three antigens and 85 (21.5%) to four or more. The reactivity of individuals was more frequent for house dust (207), Dermatophagoides pteronyssimus (184), Dermatophagoides farinae (158) and Blomia tropicalis (95). House dust, D. pteronyssimus and D. farinae occurred mainly in subjects with moderate to severe atopy. Over 70% of individuals from six to 20 years of age had atopy. Considering the high level of atopy in patients seen by the pulmonology service in Maringa, it is essential to undertake environment programs, along with monitoring and medical treatment of atopic individuals.
Highlights
Respiratory allergies, especially rhinitis and asthma, are becoming increasingly common
Foi avaliado o quadro clínico de todos os indivíduos, sendo classificados com ou sem atopia
Em 40,7% dos indivíduos o teste alérgico foi negativo para todos os alérgenos testados (Tabela 1)
Summary
Área de Estudo: o município de Maringá, localizado na região Noroeste do Paraná possui clima subtropical superúmido (NIMER, 1997). Tipo de Estudo e Coleta de Dados: o trabalho retrospectivo foi realizado em serviço privado de pneumologia do município de Maringá, Estado do Paraná. A coleta de dados nos prontuários se deu a partir de resultados dos indivíduos atendidos no período de janeiro de 2004 a dezembro de 2005 e que realizaram o teste alérgico de hipersensibilidade imediata. O teste utilizado foi o de Punctura – Prick. Test® (FDA-Allergenic), no antebraço direito, utilizando puntores descartáveis para cada aeroalérgeno testado. A leitura dos testes foi efetuada 15 minutos após, por dois indivíduos. Foi avaliado o quadro clínico de todos os indivíduos, sendo classificados com ou sem atopia. Esta foi identificada como leve, moderada ou alta, de acordo com as recomendações do fornecedor do teste. Comitê de Ética em Seres Humanos da Universidade Estadual de Maringá, Estado do Paraná (Parecer no 171/2004 - Copep)
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