Abstract

Background Immunoglobulin E (IgE) is the most important promoter of allergic inflammation. However, there are few systematic studies on IgE in age range, genders, disease spectrum, and time regularity. Aim To screen the common allergens, allergen spectrum, and IgE difference between type 2 inflammatory allergic diseases and other allergic diseases in Weifang, China. Methods A retrospective study was performed by estimating patients' clinical data suffering from allergic diseases (urticaria, pollinosis, allergic rhinitis, atopic dermatitis, and bronchial asthma) between May 2019 and April 2020 using an allergen detection kit of Macro-Union Pharmaceutical. Results 732 of the 1367 patients showed different antigen positive, and the positive rate was 53.5%. The most common allergens were dust mites, mixed fungi, Artemisia pollen, cat/dog dander, and cockroaches. There were 27.0% (369/1367) of the patients with single positive allergen-specific IgE (sIgE), 26.5% (363/1367) with multiple-positive IgE. The total immunoglobulin E (tIgE) levels varied with gender, age, and type of disease. There was a difference in the distribution of allergens between children and adults. A positive correlation between the serum-specific IgE and the corresponding local inhaled allergen density was observed. Conclusions In this study, we found that type 2 inflammatory allergic diseases have higher serum IgE and a higher probability of inhaled sIgE positive. According to age, gender, and condition, serological IgE detection of allergens provides new insight into the early diagnosis and prevention of allergic diseases.

Highlights

  • Immunoglobulin E (IgE)-mediated allergic diseases are usually multisymptomatic, including allergic rhinitis (AR), allergic asthma (AS), urticaria, atopic dermatitis (AD), and eczema, which have become significant public health issues

  • Gender, and Serum total immunoglobulin E (tIgE) in All Participants. 1367 patients and 79 nonatopic subjects were included in the study

  • There was a significant difference in tIgE between groups regarding gender (p < 0:001) (Table 2)

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Summary

Introduction

IgE-mediated allergic diseases are usually multisymptomatic, including allergic rhinitis (AR), allergic asthma (AS), urticaria, atopic dermatitis (AD), and eczema, which have become significant public health issues. IgE-mediated mast cell activation, degranulation, and release of histamine and inflammatory mediators play critical roles in the pathogenesis of allergic diseases [5]. Aim. To screen the common allergens, allergen spectrum, and IgE difference between type 2 inflammatory allergic diseases and other allergic diseases in Weifang, China. A retrospective study was performed by estimating patients’ clinical data suffering from allergic diseases (urticaria, pollinosis, allergic rhinitis, atopic dermatitis, and bronchial asthma) between May 2019 and April 2020 using an allergen detection kit of Macro-Union Pharmaceutical. We found that type 2 inflammatory allergic diseases have higher serum IgE and a higher probability of inhaled sIgE positive. Gender, and condition, serological IgE detection of allergens provides new insight into the early diagnosis and prevention of allergic diseases

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