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Influence of Sensitization Patterns on Fractional Exhaled Nitric Oxide in Asthmatic Children

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机构: [1]Capital Med Univ, Dept Allergy, Beijing Key Lab Pediat Dis Otolaryngol Head & Nec, Beijing Childrens Hosp, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Childrens Hosp, Dept Allergy, 56 NanlishiRoad, Beijing 100045, Peoples R China
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关键词: Asthma Atopy Exhaled nitric oxide Perennial allergens Sensitization patterns Skin prick test

摘要:
Fractional exhaled nitric oxide (FeNO) has been suggested as a non-invasive biomarker of airway inflammation, which is increased in atopic subjects. Whether sensitization to particular allergens is a predictive factor for increased FeNO levels is not yet fully understood. We conducted a retrospective cross-sectional study. From October to December in 2015, the medical documents of 127 mild, steroid-naive asthmatic children and 34 healthy agematched children were enrolled in this study. The results of the FeNO measurements, skin prick test, and the spirometry were collected for analysis. Sensitization patterns to the 18 aeroallergens (5 categories: mites, molds, animal dander, pollen, and other) were determined in study population. A significant increase in FeNO level was observed in poly-sensitized asthmatic children (34.7 part per billion, (ppb) [28.3-41.1 p. p. b]), compared with mono-sensitized asthmatics (30.7 p. p. b [18.3-43.2 p. p. b]) and with non-sensitized asthmatics (17.3 p. p. b [10.8-24.5 p. p. b]). With sensitization to perennial allergens (mites, mold, and animal dander), blood eosinophil counts were significantly associated with increased FeNO (p< 0.05 for all). The highest FeNO level was identified in children sensitized to a combination of the perennial, seasonal, and other allergens, when compared with those sensitized to one category of allergen alone (p= 0.004). Our study showed that variations in FeNO level were associated with individuals' sensitization patterns. Being sensitized to some particular allergens might contribute to prompt the airway inflammation.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 过敏 4 区 免疫学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 过敏 4 区 免疫学
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出版当年[2015]版:
Q4 IMMUNOLOGY Q4 ALLERGY
最新[2023]版:
Q4 ALLERGY Q4 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Capital Med Univ, Dept Allergy, Beijing Key Lab Pediat Dis Otolaryngol Head & Nec, Beijing Childrens Hosp, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Dept Allergy, Beijing Key Lab Pediat Dis Otolaryngol Head & Nec, Beijing Childrens Hosp, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Childrens Hosp, Dept Allergy, 56 NanlishiRoad, Beijing 100045, Peoples R China
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