[原著］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

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Immediate type intradermal tests using 48 allergens were performed on 127 patients with bronchial asthma. 1. The number of positive allergens was 6.0 in average in cases of atopic asthma and 1.2 in those of nonatopic asthma. 2. High positivity of house dustand Candida were noted as same as in the mainland of Japan. Cotton, rush mat, silk, hemp cloth, feather and rice straw were followed. Penicilhum, alternaria, aspergillus and cladosporium were lower in positivity than that in the mainland of Japan. Many Kinds of pollen showed relatively high positivity, but further tests, for instance, confirmation of end point of skin test, IgE antibody and questionnaire of clinical history will be required for determination of true allergen. 3. Patients with positive skin test for house dust with itcing or pseudopodium formation frequently seemed to correlate positive IgE antibody for house dust or mite, but not to be determinant. 4. A dilution of 10^<-5> or lower end point of skin test for house dust could be a marker of diagnosis of atopic asthma for house dust or mite. 5. A coincidence between positive house dust skin test and lgE antibody for house dust or mite were found in 81.3% of patients. False negativity of house dust skin test was rare, so it shows that skin test could be appreciated as important and useful screening test to determine true allergen. 6. Sugarcane, australian pinetree and palm tree ( Phoenix loebelenii O. ) are thought to be characteristic plants in Okinawa. Positivity of skin test for pollens of them were revealed 22.7%, 6.8% and 15.1% respectively. In further study, screening of allergenicity of pollens of other special plants in Okinawa should be investigated.
琉球大学医学部,Faculty of Medicine, University of the Ryukyusの論文

著者

金城勇徳
北部地区医師会病院

[原著］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

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