An analysis on IgE antibody testing in patients with nasal symptoms − Specific IgE antibody possession status in Okinawa
Purpose : Okinawa Prefecture has a specific IgE antibody possession status that differs from that of the rest of Japan, so we investigated the changes in this status over the last 10 years. Subjects and methods : Specific IgE antibody test results for house dust mites (mites), house dust 1 (HD), cat...
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| Published in | jibi to rinsho Vol. 68; no. 2; pp. 77 - 82 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
JIBI TO RINSHO KAI
20.03.2022
耳鼻と臨床会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0447-7227 2185-1034 |
| DOI | 10.11334/jibi.68.2_77 |
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| Abstract | Purpose : Okinawa Prefecture has a specific IgE antibody possession status that differs from that of the rest of Japan, so we investigated the changes in this status over the last 10 years. Subjects and methods : Specific IgE antibody test results for house dust mites (mites), house dust 1 (HD), cat dander, dog dander, cedar, Candida, and Aspergillus were analyzed. Results : We analyzed 269 cases with nasal symptoms. The highest positive rates were observed in those with allergic rhinitis. The rate of positivity for at least 1 item was 91.5% in cases of allergic rhinitis, followed by 45.5% in those with eosinophil sinusitis/allergic fungal sinusitis. Regarding those with nasal allergies, 88.2%, 83.2% and 30.2% were positive for mites, HD and cat dander, respectively, which was higher than that in the rest of Japan. In contrast, the rate of positivity for cedar was 8.4%, for dactylis was 6.1% and for ragweed was 3.1%. The multiple antigen-positive rate for nasal allergy was low, and the larger the mite class, the higher the multiple antigen-positive rate. Conclusion : The sensitization rate of mites and house dust is increasing, and guidance on the living environment is essential. In addition, the prevalence of antibodies against cat dander is rising, making it necessary to pay close attention to future trends. Okinawa Prefecture is the best place for health tourism against pollinosis. |
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| AbstractList | Purpose : Okinawa Prefecture has a specific IgE antibody possession status that differs from that of the rest of Japan, so we investigated the changes in this status over the last 10 years. Subjects and methods : Specific IgE antibody test results for house dust mites (mites), house dust 1 (HD), cat dander, dog dander, cedar, Candida, and Aspergillus were analyzed. Results : We analyzed 269 cases with nasal symptoms. The highest positive rates were observed in those with allergic rhinitis. The rate of positivity for at least 1 item was 91.5% in cases of allergic rhinitis, followed by 45.5% in those with eosinophil sinusitis/allergic fungal sinusitis. Regarding those with nasal allergies, 88.2%, 83.2% and 30.2% were positive for mites, HD and cat dander, respectively, which was higher than that in the rest of Japan. In contrast, the rate of positivity for cedar was 8.4%, for dactylis was 6.1% and for ragweed was 3.1%. The multiple antigen-positive rate for nasal allergy was low, and the larger the mite class, the higher the multiple antigen-positive rate. Conclusion : The sensitization rate of mites and house dust is increasing, and guidance on the living environment is essential. In addition, the prevalence of antibodies against cat dander is rising, making it necessary to pay close attention to future trends. Okinawa Prefecture is the best place for health tourism against pollinosis.
目的：沖縄県は全国とは異なる特異的 IgE 抗体保有状況があり、直近 10 年の変化を調査した。対象および方法：コナヒョウヒダニ（ダニ）、ハウスダスト 1（HD）、ネコ皮屑、イヌ皮屑、スギ、カンジダ、アスペルギルスの特異的 IgE 抗体検査結果を解析した。結果：鼻症状を持つ 269 例の解析を行った。鼻アレルギー群で最も陽性率が高く、少なくとも 1 項目で陽性である率は鼻アレルギー群 91.5％、次いで好酸球性副鼻腔炎・アレルギー性副鼻腔真菌症群 45.5％であった。鼻アレルギー群ではダニ 88.2％、HD 83.2％、ネコ皮屑 30.2％が陽性で全国と比較して高率であった。一方スギ 8.4％、カモガヤ 6.1％、ブタクサ 3.1％であった。鼻アレルギー群の重複抗原陽性率は低く、ダニのクラスが大きいほど重複抗原陽性率が高くなっていた。結論：ダニ、HD の感作率は上昇しており、住生活環境に関する指導が重要である。またネコ皮屑に対する抗体保有率が上昇しており、今後の動向を注視する必要がある。一方、花粉症に対するヘルスツーリズムには沖縄県は最適の地といえる。 Purpose : Okinawa Prefecture has a specific IgE antibody possession status that differs from that of the rest of Japan, so we investigated the changes in this status over the last 10 years. Subjects and methods : Specific IgE antibody test results for house dust mites (mites), house dust 1 (HD), cat dander, dog dander, cedar, Candida, and Aspergillus were analyzed. Results : We analyzed 269 cases with nasal symptoms. The highest positive rates were observed in those with allergic rhinitis. The rate of positivity for at least 1 item was 91.5% in cases of allergic rhinitis, followed by 45.5% in those with eosinophil sinusitis/allergic fungal sinusitis. Regarding those with nasal allergies, 88.2%, 83.2% and 30.2% were positive for mites, HD and cat dander, respectively, which was higher than that in the rest of Japan. In contrast, the rate of positivity for cedar was 8.4%, for dactylis was 6.1% and for ragweed was 3.1%. The multiple antigen-positive rate for nasal allergy was low, and the larger the mite class, the higher the multiple antigen-positive rate. Conclusion : The sensitization rate of mites and house dust is increasing, and guidance on the living environment is essential. In addition, the prevalence of antibodies against cat dander is rising, making it necessary to pay close attention to future trends. Okinawa Prefecture is the best place for health tourism against pollinosis. |
| Author | KAYO, Yuki TAKEDA, Shogo MAEDA, Hiroyuki HIRAKAWA, Hitoshi MIYAHIRA, Takahiro SUZUKI, Mikio NAKASONE, Waku TOYAMA, Masatomo HIGA, Tomoyo |
| Author_FL | 嘉陽 祐紀 當山 昌那 比嘉 朋代 平川 仁 武田 翔吾 宮平 貴裕 仲宗根 和究 鈴木 幹男 真栄田 裕行 |
| Author_FL_xml | – sequence: 1 fullname: 鈴木 幹男 – sequence: 2 fullname: 當山 昌那 – sequence: 3 fullname: 嘉陽 祐紀 – sequence: 4 fullname: 仲宗根 和究 – sequence: 5 fullname: 宮平 貴裕 – sequence: 6 fullname: 武田 翔吾 – sequence: 7 fullname: 比嘉 朋代 – sequence: 8 fullname: 真栄田 裕行 – sequence: 9 fullname: 平川 仁 |
| Author_xml | – sequence: 1 fullname: SUZUKI, Mikio organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: KAYO, Yuki organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: MAEDA, Hiroyuki organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: HIRAKAWA, Hitoshi organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: HIGA, Tomoyo organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: TOYAMA, Masatomo organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: NAKASONE, Waku organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: MIYAHIRA, Takahiro organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus – sequence: 1 fullname: TAKEDA, Shogo organization: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of the Ryukyus |
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| References | 10) Minami T et al : Regional differences in the prevalence of sensitization to environmental allergens − Analysis on IgE antibody testing conducted at major clinical testing laboratories throughout Japan from 2002 to 2011 −. Allergol Int 68 : 440-449, 2019. 2) 知念信雄 他 ： 沖縄県における鼻アレルギーの実態．琉球大保健医誌 3 ： 387-394，1981 3) 小杉忠誠 他 ： MAST システムによる沖縄県地方のアレルギー疾患におけるアレルゲン感作状態の検討．アレルギー 41 ： 766-771，1992 6) 中岡 嘉 ・ 千葉 康 ： 沖縄県児童のアレルギー疾患の実態．日本小児アレルギー学会誌 8 ： 73-80，1994 4) 山下 懐 他 ： アレルギー性鼻炎を有する沖縄県在住者における RAST 検査結果．アレルギーの臨床 30 ： 1112-1116，2010 8) 榎本雅夫 他 ： 室内換気システムと室内チリダニ量について．耳展 47 ： 417-423，2004 9) 橋本 知 他 ： コナヒョウヒダニとヤケヒョウヒダニの出現パターンに及ぼす温湿度の影響．衛生動物 44 ： 185-195，1993 1) 金城勇徳 他 ： 沖縄地方の気管支喘息 − 即時型アレルゲン皮内反応成績の検討 −．琉球大医会誌 6 ： 104-113，1983 7) 山下 懐 他 ： 沖縄県における通年花粉飛散状況及びアレルギー性鼻炎の RAST 検査結果について．日鼻誌 48 ： 236，2009 5) 日本耳鼻咽喉科免疫アレルギー感染症学会鼻アレルギー診療ガイドライン作成委員会 ： 第 2 章疫学 2020 年版鼻アレルギー診療ガイドライン − 通年性鼻炎と花粉症 −．8-13 頁，ライフ・サイエンス，東京，2020 11) 馬場 駿 他 ： 鼻アレルギー患者血清を用いた MAST システムによる同時多項目アレルゲン特異的 IgE 抗体の測定．アレルギー 38 ： 874，1989 12) 安場広高 ： 気管支喘息における好酸球性副鼻腔炎（ECRS）の合併～合併率，肺機能，微生物の特異 IgE 抗体について．三菱京都病院医学総合雑誌 26 ： 45-48，2019 |
| References_xml | – reference: 3) 小杉忠誠 他 ： MAST システムによる沖縄県地方のアレルギー疾患におけるアレルゲン感作状態の検討．アレルギー 41 ： 766-771，1992． – reference: 8) 榎本雅夫 他 ： 室内換気システムと室内チリダニ量について．耳展 47 ： 417-423，2004． – reference: 10) Minami T et al : Regional differences in the prevalence of sensitization to environmental allergens − Analysis on IgE antibody testing conducted at major clinical testing laboratories throughout Japan from 2002 to 2011 −. Allergol Int 68 : 440-449, 2019. – reference: 1) 金城勇徳 他 ： 沖縄地方の気管支喘息 − 即時型アレルゲン皮内反応成績の検討 −．琉球大医会誌 6 ： 104-113，1983． – reference: 6) 中岡 嘉 ・ 千葉 康 ： 沖縄県児童のアレルギー疾患の実態．日本小児アレルギー学会誌 8 ： 73-80，1994． – reference: 7) 山下 懐 他 ： 沖縄県における通年花粉飛散状況及びアレルギー性鼻炎の RAST 検査結果について．日鼻誌 48 ： 236，2009． – reference: 9) 橋本 知 他 ： コナヒョウヒダニとヤケヒョウヒダニの出現パターンに及ぼす温湿度の影響．衛生動物 44 ： 185-195，1993． – reference: 2) 知念信雄 他 ： 沖縄県における鼻アレルギーの実態．琉球大保健医誌 3 ： 387-394，1981． – reference: 5) 日本耳鼻咽喉科免疫アレルギー感染症学会鼻アレルギー診療ガイドライン作成委員会 ： 第 2 章疫学 2020 年版鼻アレルギー診療ガイドライン − 通年性鼻炎と花粉症 −．8-13 頁，ライフ・サイエンス，東京，2020． – reference: 11) 馬場 駿 他 ： 鼻アレルギー患者血清を用いた MAST システムによる同時多項目アレルゲン特異的 IgE 抗体の測定．アレルギー 38 ： 874，1989． – reference: 4) 山下 懐 他 ： アレルギー性鼻炎を有する沖縄県在住者における RAST 検査結果．アレルギーの臨床 30 ： 1112-1116，2010． – reference: 12) 安場広高 ： 気管支喘息における好酸球性副鼻腔炎（ECRS）の合併～合併率，肺機能，微生物の特異 IgE 抗体について．三菱京都病院医学総合雑誌 26 ： 45-48，2019． |
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| Title | An analysis on IgE antibody testing in patients with nasal symptoms − Specific IgE antibody possession status in Okinawa |
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