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Incidence of grass and weed sensitization in Bangkok, Thailand: a clinical study.
Aud-In, Sirirat; Juprasong, Yotin; Pinkaew, Bannapuch; Talek, Kanokporn; Tantilipikorn, Pongsakorn; Songnuan, Wisuwat.
Afiliación
  • Aud-In S; Department of Plant Science, Faculty of Science, Mahidol University, Bangkok, Thailand.
  • Juprasong Y; Systems Biology of Diseases Research Unit, Faculty of Science, Mahidol University, Bangkok, Thailand.
  • Pinkaew B; Systems Biology of Diseases Research Unit, Faculty of Science, Mahidol University, Bangkok, Thailand.
  • Talek K; Graduate Program in Toxicology, Faculty of Science, Mahidol University, Bangkok, Thailand.
  • Tantilipikorn P; Center of Excellence on Environmental Health and Toxicology (EHT), Office of the Permanent Secretary (OPS), Ministry of Higher Education, Science, Research and Innovation (MHESI), Bangkok, Thailand.
  • Songnuan W; Department of Biochemistry, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.
Front Public Health ; 12: 1301095, 2024.
Article en En | MEDLINE | ID: mdl-38605873
ABSTRACT

Background:

Allergic rhinitis (AR) is a prevalent public health concern globally, significantly impacting quality of life. In Thailand, the prevalence of AR is rising, with grass and weed pollen identified as primary outdoor triggers.

Objectives:

This study aimed to (1) assess patterns of pollen sensitization in Thai AR patients and (2) investigate correlations between demographics/clinical data and SPT results.

Methods:

A total of 121 individuals aged ≥18 years with clinically diagnosed AR were recruited. Skin prick testing (SPT) was performed using a panel of commonly encountered tropical grass and weed pollen extracts. SPT wheal sizes and clinical symptom scores were recorded. Correlations between SPT outcomes and symptom scores were analyzed.

Results:

Among the participants, 104 (85.95%) exhibited positive SPT reactions to at least one pollen type. Nutsedge (76/121), para grass (57/121), and Bermuda grass (48/121) were the most frequently identified allergens. Hurricane grass elicited the strongest reaction, evidenced by the highest average wheal size (6.2 mm). Poly-sensitization was observed in 77 (63.6%) of the SPT-positive individuals, with most cases involving two different pollen extracts (35/77). Notably, AR severity positively correlated with both average wheal size and the number of positive SPT tests.

Conclusion:

This study highlights nutsedge, para grass, and Bermuda grass as major allergenic pollen sources for Thai AR patients. Including nutsedge, hurricane grass, and careless weed in clinical SPT panels is recommended for improved diagnostic accuracy. Additionally, the positive correlation between AR severity and pollen reaction strength emphasizes the importance of implementing patient education and avoidance strategies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Rinitis Alérgica Límite: Adolescent / Adult / Humans País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Rinitis Alérgica Límite: Adolescent / Adult / Humans País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Suiza