Retrospective analysis of aeroallergen’s sensitization patterns in Edmonton, Canada

Abstract Background Sensitization to common environmental aeroallergens plays a significant role in the pathogenesis and severity of respiratory allergic disorders, specifically asthma and allergic rhinitis. Understanding sensitization patterns helps clinicians tailor care more effectively. This stu...

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Main Authors: Hanan Ahmed, Maria B. Ospina, Kyriaki Sideri, Harissios Vliagoftis
Format: Article
Language:English
Published: BMC 2019-02-01
Series:Allergy, Asthma & Clinical Immunology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13223-019-0320-y
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author Hanan Ahmed
Maria B. Ospina
Kyriaki Sideri
Harissios Vliagoftis
author_facet Hanan Ahmed
Maria B. Ospina
Kyriaki Sideri
Harissios Vliagoftis
author_sort Hanan Ahmed
collection DOAJ
description Abstract Background Sensitization to common environmental aeroallergens plays a significant role in the pathogenesis and severity of respiratory allergic disorders, specifically asthma and allergic rhinitis. Understanding sensitization patterns helps clinicians tailor care more effectively. This study examines patterns of sensitization to aeroallergens in subjects suspected of having an allergic disease in Edmonton and catchment area. Methods Retrospective chart review of skin prick test (SPT) results to 11 environmental aeroallergens performed between January 1st and June 30th 2014 at a University-based clinic, where patients are referred for SPT by allergists, respirologists, otolaryngologists, internists and general practitioners. Potential differences in aeroallergen sensitization patterns were evaluated. Results A total of 623 patients (36.9% males; 63.1% females), aged 4–84 years (mean age 38.6 years) had SPT done, of which 438 (70.3%) had a positive test for at least one aeroallergen (atopy). There were no significant sex differences in the frequency of atopy (males: 71.3% versus females: 69.7%; p = 0.373). The frequency of sensitivity to particular allergens among atopic subjects was: cat (53.1%), house dust mites (50.3%), grass (39.2%), birch (23.7%), alternaria (23.7%), dog (17.3%), poplar (12.1%), cedar (9.6%), aspergillus (9.6%), hormodendrum (8%), and penicillium (6.2%). Of 438 atopic patients, 110 (25.1%) were mono sensitized, 199 (45.4%) oligosensitized (2–3 allergens), and 129 (29.5%) polysensitized (≥ 4 allergens). There were no significant differences between males and females in the odds of being oligo-sensitized (OR: 0.95; 95% CI 0.58, 1.57). Polysensitization was significantly more frequent in males 37.2% than in females 24.8%; (OR: 0.95; 95% CI 0.58, 1.57). Conclusion Cat is the most frequent perennial allergen and timothy grass pollen the most frequent seasonal allergen in Edmonton and catchment area. There was no significant difference in the frequency of atopy between males and females. However, males were more likely to be polysensitized compared to females.
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spelling doaj.art-dfb709d81d8e41bd8cfb469fc0cdcd762022-12-22T00:33:53ZengBMCAllergy, Asthma & Clinical Immunology1710-14922019-02-011511610.1186/s13223-019-0320-yRetrospective analysis of aeroallergen’s sensitization patterns in Edmonton, CanadaHanan Ahmed0Maria B. Ospina1Kyriaki Sideri2Harissios Vliagoftis3Department of Medicine, McMaster UniversityDepartments of Obstetrics & Gynecology and MedicineDivision of Pulmonary Medicine, Department of Medicine, and Alberta Respiratory Center, University of AlbertaDivision of Pulmonary Medicine, Department of Medicine, and Alberta Respiratory Center, University of AlbertaAbstract Background Sensitization to common environmental aeroallergens plays a significant role in the pathogenesis and severity of respiratory allergic disorders, specifically asthma and allergic rhinitis. Understanding sensitization patterns helps clinicians tailor care more effectively. This study examines patterns of sensitization to aeroallergens in subjects suspected of having an allergic disease in Edmonton and catchment area. Methods Retrospective chart review of skin prick test (SPT) results to 11 environmental aeroallergens performed between January 1st and June 30th 2014 at a University-based clinic, where patients are referred for SPT by allergists, respirologists, otolaryngologists, internists and general practitioners. Potential differences in aeroallergen sensitization patterns were evaluated. Results A total of 623 patients (36.9% males; 63.1% females), aged 4–84 years (mean age 38.6 years) had SPT done, of which 438 (70.3%) had a positive test for at least one aeroallergen (atopy). There were no significant sex differences in the frequency of atopy (males: 71.3% versus females: 69.7%; p = 0.373). The frequency of sensitivity to particular allergens among atopic subjects was: cat (53.1%), house dust mites (50.3%), grass (39.2%), birch (23.7%), alternaria (23.7%), dog (17.3%), poplar (12.1%), cedar (9.6%), aspergillus (9.6%), hormodendrum (8%), and penicillium (6.2%). Of 438 atopic patients, 110 (25.1%) were mono sensitized, 199 (45.4%) oligosensitized (2–3 allergens), and 129 (29.5%) polysensitized (≥ 4 allergens). There were no significant differences between males and females in the odds of being oligo-sensitized (OR: 0.95; 95% CI 0.58, 1.57). Polysensitization was significantly more frequent in males 37.2% than in females 24.8%; (OR: 0.95; 95% CI 0.58, 1.57). Conclusion Cat is the most frequent perennial allergen and timothy grass pollen the most frequent seasonal allergen in Edmonton and catchment area. There was no significant difference in the frequency of atopy between males and females. However, males were more likely to be polysensitized compared to females.http://link.springer.com/article/10.1186/s13223-019-0320-yAeroallergensSensitizationAtopySkin prick testing
spellingShingle Hanan Ahmed
Maria B. Ospina
Kyriaki Sideri
Harissios Vliagoftis
Retrospective analysis of aeroallergen’s sensitization patterns in Edmonton, Canada
Allergy, Asthma & Clinical Immunology
Aeroallergens
Sensitization
Atopy
Skin prick testing
title Retrospective analysis of aeroallergen’s sensitization patterns in Edmonton, Canada
title_full Retrospective analysis of aeroallergen’s sensitization patterns in Edmonton, Canada
title_fullStr Retrospective analysis of aeroallergen’s sensitization patterns in Edmonton, Canada
title_full_unstemmed Retrospective analysis of aeroallergen’s sensitization patterns in Edmonton, Canada
title_short Retrospective analysis of aeroallergen’s sensitization patterns in Edmonton, Canada
title_sort retrospective analysis of aeroallergen s sensitization patterns in edmonton canada
topic Aeroallergens
Sensitization
Atopy
Skin prick testing
url http://link.springer.com/article/10.1186/s13223-019-0320-y
work_keys_str_mv AT hananahmed retrospectiveanalysisofaeroallergenssensitizationpatternsinedmontoncanada
AT mariabospina retrospectiveanalysisofaeroallergenssensitizationpatternsinedmontoncanada
AT kyriakisideri retrospectiveanalysisofaeroallergenssensitizationpatternsinedmontoncanada
AT harissiosvliagoftis retrospectiveanalysisofaeroallergenssensitizationpatternsinedmontoncanada