アレルギー性鼻炎患者のCAP-RAST成績

概要

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In an attempt to determine the usefulness of insect RAST, 267 patients with nasal allergy were tested with CAP-RAST: mite, candida, alternaria, cat dander, orchard grass, ragweed, mugwort, Japanese hops, Japanese cedar, Japanese cypress, cotton, silk, larval chironomid midge, adult chironomid midge, and silkworm moth allergen supplied by Pharmacia AB. We also performed intradermal skin tests with extracts of 12 allergens: mite, house dust, cat dander, candida, alternaria, Japanese cedar, Japanese cypress, orchard grass, ragweed, mugwort, Japanese hops, and silk.1) The highest rate of RAST in 267 patients was 73.8% for Japanese cedar, followed by 53.2% for mite, 50.6% for Japanese cypress, and 47.6% for orchard grass.2) The positive response to insect RAST was also high: silkworm moth 32.1% and adult chironomid midge 19.4%. These results suggest that silkworm moth, chironomid, and silk are important allergens in nasal allergy.