210 Study on the Sensitization Rates to Airbone Pollen and Mold in Children

BACKGROUND: Aeroallergens are important causative factors for allergies such as allergic rhinitis, allergic conjunctivitis and asthma. Previous studies for the sensitization rate to aeroallergen were based on those patient groups who had visited the pediatric allergy clinic. Compared to that, we inquired into the sensitization rates based on general school aged student population group in the city of Incheon, Jeju and Ulsan. METHODS: With informed consent, skin prick tests were performed on 5,094 students between April and June, 2010. Common 21 aeroallergens were used on elementary school student while middle and high school students were tested upon 28 allergens. 28 allergen list as positive control (1%Histamine), negative control (Normal saline), D.pteronyssinus, D.farinae, Citrus red mite, pollen (Birch, Alder, Oak, Japanese cedar, Pine, Willow, Elm, Maple, Bermuda grass, Timothy grass, Rye grass, Orchard, Meadow grass, Vernal grass, Mugwort, Japanese hop, Fat hen, Ragweed, Plantain), mold (Penicillatum, Asperugillus, Cladosporium, Alternaria) and 21 kinds of allergens that were used on elementary school students count as same as above except Elm, Rye grass, Orchard, Meadow grass, Vernal grass, Fat hen, Plantain. RESULTS: If arranged in rates of higher sensitization were D. pteronyssinus (25.79%), D. farinae (18.66%), Mugwort (6.20%), Willow (4.07%) in Incheon, D. pteronyssinus (33.35%), D. farinae (24.78%), Japanese cedar (15.36%), Alternaria (7.33%) in Jeju, D. pteronyssinus (32.79%), D. farinae (30.27%), Alder (10.13%), Birch (8.68%) in Ulsan respectively. The sensitization rate of Japanese cedar was statistically significantly higher in Jeju. The sensitization rate of Birch, Alder, Oak was higher in Ulsan. The sensitization rate of Ragweed was 0.99% in Incheon, 1.07% in Jeju, 0.81% in Ulsan. The sensitization rate of Mugwort in Incheon was 6.20% which was meaningfully higher in comparison to 2.32% of Jeju and 2.73% of Ulsan. The sensitization rate of Alternaria was 2.98% in Incheon, 7.33% in Jeju, 2.39% in Ulsan and as we can see it was higher in Jeju. The sensitization rate of Dermatophagoides had an increasing tendency with increasing age. CONCLUSIONS: Changes in exposure rate to allergens with increasing ages brings changes in sensitization rates. And because there are changes in sensitization rates due to different regional living environmental status and discrepancies of surrounding biologic species, this would leave us there lies needs for subsequent studies and nationwide researches.