Occupational allergy caused by flowers

Occupational allergy caused by flowers
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DOI:
10.1111/j.1398-9995.1998.tb03872.x
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发表时间:
1998-02-01
期刊:
影响因子:
12.4
通讯作者:
de Groot, H
de Groot, H
中科院分区:
医学1区
文献类型:
--
作者:
de Jong, NW;Vermeulen, AM;de Groot, H

文献摘要

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我们描述了14个连续的病人投诉,由于处理花。症状从过敏性鼻结膜炎、哮喘到荨麻疹不等。大多数患者都从事花卉行业。皮肤点刺试验(SPT)用来自17种不同花卉的自制花粉提取物进行,这些花卉是荷兰最常见的种植和销售。对艾蒿、菊花和一枝黄花进行RAST。对花过敏的诊断是基于工作相关的症状,由于处理花,阳性SPT与新的提取物,和阳性RAST。SPT与病史的一致性为74%,SPT与RAST的一致性为77%。母菊属、菊花属、一枝黄花属)和石蒜科(Alstroemeria和水仙属)的花粉。自制花提取物可用于确认IgE介导的花过敏。艾蒿可以作为可能的花卉过敏的筛选试验。对大多数患者来说,过敏导致了职业的改变。
We describe 14 consecutive patients with complaints due to the handling of flowers. The symptoms varied from allergic rhinoconjunctivitis and asthma to urticaria. Most patients had professions in the flower industry. Skin prick tests (SPT) were performed with home-made pollen extracts from 17 different flowers known to be the most commonly grown and sold in The Netherlands. RAST against mugwort, chrysanthemum, and solidago was performed. The diagnosis of atopy against flowers was based on work-related symptoms due to the handling of flowers, positive SPT with newer extracts, and positive RAST. The concordance between SPT and case history was 74%, and that between SPT and RAST was 77% Extensive cross-sensitization was seen to pollen of several members of the Compositae family (e.g., Matricaria, chrysanthemum, solidago) and to pollen of the Amaryllidaceae family (Alstroemeria and Narcissus). Homemade flower extracts can be used to confirm IgE-mediated flower allergy. Mugwort can be used as a screening test for possible flower allergy. For most patients, the allergy led to a change of profession.