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Allergy Profile of Patients Visiting a Tertiary Care Hospital in Hilly Areas of Solan, Himachal Pradesh, India

机译:印度喜马al尔邦索兰丘陵地区就诊三级医院的患者的过敏状况

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Allergic diseases are common and affect a large population worldwide. Not many studies are available regarding the same and almost none in our Solan district.Aim: The aim of present study was to assess the prevalence of allergies in this region, the major symptoms involved, the major allergens causing them and their association with vitamin D insufficiency.Materials and Methods: Total 159 patients in allergic group were evaluated for age and sex distribution, common symptoms involved, spirometry, nasal endoscopy findings and the common allergens responsible. They were compared with 148 patients in the control group for utility of Skin Prick Tests (SPT), Total IgE levels and to study the impact of vitamin D insufficiency on the disease.Results: Allergies were common in younger age group of 21 to 40 years of age (n=61%) and in females the most common complaints were nasal (n=63%) and the most common allergens involved were dust mite mix, cockroach and pine mix in this region. Majority of the patients had obstructive disease with reversibility suggestive of asthma and most common nasal finding is Bilateral Inferior Turbinate Hypertrophy (65%). SPT are more sensitive and specific as compared to total IgE levels. There is good association between allergic diseases and Vitamin D insufficiency (odds ratio 3.4).Conclusion: Present study focussed on the nature of allergens among allergic patients in the Solan district and found SPT to be the most reliable and vitamin D insufficiency to be one of the factors for allergies.
机译:过敏性疾病很普遍,影响着全世界的大量人口。目的:本研究的目的是评估该地区过敏症的患病率,所涉及的主要症状,引起他们的主要过敏原及其相关性材料与方法:对过敏组中的159例患者的年龄和性别分布,所涉及的常见症状,肺活量测定,鼻内窥镜检查结果和常见的过敏原进行了评估。将他们与对照组的148例患者进行了皮肤点刺试验(SPT)的使用,总IgE水平的比较,并研究了维生素D功能不足对疾病的影响。结果:在21岁以下的年轻人中过敏是常见的至40岁(n = 61%),女性中最常见的是鼻炎(n = 63%),最常见的过敏原是该地区的尘螨混合物,蟑螂和松树混合物。大多数患者患有阻塞性疾病,可逆性提示哮喘,最常见的鼻腔发现是双侧下鼻甲肥大(65%)。与总IgE水平相比,SPT更敏感和更具特异性。过敏性疾病与维生素D功能不足之间存在良好的关联(优势比3.4)。结论:本研究关注Solan地区过敏患者中过敏原的性质,发现SPT是最可靠的维生素D功能不足者。成为过敏的因素之一。

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