Özlem Naciye ŞAHİN, Pınar YAPRAK, Figen GÜLEN, Alp Korkut PERÇİN

Sık solunum yolu enfeksiyonu ve uzamış öksürük atakları olan çocuklarda küf duyarlılığı

Amaç: Bu çalışmada sık solunum yolu enfeksiyonu geçiren, rutubetli evlerde yaşayan çocuklarda polen, akar ve küf duyarlılıkları incelendi ve ebeveynlerin ayrılığı, eğitim durumu, etnik köken, kardeş sahibi olma ve kardeşlerin atopi durumunun atopi gelişimi üzerindeki etkileri değerlendirildi.Hastalar ve Yöntemler: Haziran 2012 - Eylül 2013 tarihleri arasında Acıbadem Bodrum hastanesine küf maruziyeti ile yılda en az altı solunum yolu enfeksiyonu SYE ve uzamış öksürük atakları ile başvuran ve deri prick testi yapılan 63 çocuk 28 kız, 35 erkek; ort. yaş 80.2 ay; dağılım 24-97 ay çalışmaya dahil edildi. Deri prick testi pozitif DTP olan hastalar alt solunum yolu ASY veya üst solunum yolu ÜSY tutulumlarına göre gruplandırıldı ve küf, akar ve polen duyarlılık durumları incelendi.Bulgular: Hastaların üçte birinde DTP saptandı. Bu hastaların ebeveynlerinde yüksek oranda doktor tanılı alerji varlığı izlendi p

Anahtar Kelimeler:

Alerji, küf, solunum yolu

Mold hypersensitivity in children with frequent respiratory tract infection and prolonged cough attacks

Objectives: This study aims to investigate pollen, mite and mold sensitivities among children with frequent respiratory tract infection living in damp apartments and to evaluate the effects of separated parents, education status, ethnicity, the presence of siblings, and their atopy status on the development of atopy. Patients and Methods: Between June 2012 and September 2013, 63 children 28 girls, 35 boys; mean age 80.2 years; range 24 to 97 years who were admitted to Acıbadem Bodrum Hospital with at least six respiratory tract infection per year with mold exposure and prolonged cough attacks and underwent skin prick test SPT were included. Skin prick test-positive patients were further divided into groups according to the upper respiratory tract URT or lower respiratory tract LRT involvement and were assessed for mold, mite and pollen sensitivities. Results: One-third of the patients were SPT positive. The parents of these patients had physician-diagnosed allergy p<0.05 . Most patients with mite sensitivity presented with URT and LRT findings p<0.05 . Pollen-sensitive patients had predominantly URT findings p<0.05 . All children with mold sensitivity presented with LRT findings p<0.05 . Conclusion: Atopic children may experience more frequent LRT symptoms when exposed to molds than non-atopic children. Mold exposure may also cause inflammation at LRT without causing immunoglobulin E-dependent sensitization.

Keywords:

Allergy, mold, respiratory,

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