Horse allergens: An underestimated risk for allergic sensitization in an urban atopic population without occupational exposure
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作者:
Liccardi, Gennaro
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Liccardi, Gennaro
[1
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Salzillo, Antonello
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Salzillo, Antonello
[1
]
Dente, Bruno
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San Paolo Hosp, Clin Pathol Lab, Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Dente, Bruno
[2
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Piccolo, Amedeo
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Piccolo, Amedeo
[1
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Lobefalo, Gaetano
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Lobefalo, Gaetano
[1
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Noschese, Paolo
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Noschese, Paolo
[1
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Russo, Maria
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Russo, Maria
[1
]
Gilder, Jean Ann
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Jean Ann Gilder Sci Commun Sas, Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
Gilder, Jean Ann
[3
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D'Amato, Gennaro
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
D'Amato, Gennaro
[1
]
机构:
[1] High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, I-80122 Naples, Italy
[2] San Paolo Hosp, Clin Pathol Lab, Naples, Italy
Background: Data on allergic sensitization to horse allergen in modern urban areas are scarce. The aim of this study was to investigate the characteristics of allergic sensitization and the modality of exposure to horse allergens in atopic patients living in an urban area and without occupational exposure to horse and/or horse-derived materials. Methods: From among 1822 consecutive outpatients, we selected all subjects who had an immediate skin reaction to horse dander. We recorded the patients' clinical. history including a meticulous evaluation of the possibility and eventual modality of horse exposure, and the results of skin-prick tests (SPT) and total/specific IgE antibody analyses. Results: Of 1201 SPT-positive patients, 35 (3.43%) were sensitized to horse dander. No patient was mono-sensitized. Six individuals reported having direct horse contact, 10 subjects had occasional contact with horse owners (indirect exposure), and 19 denied direct or indirect exposure to horses or horse allergens. Twenty of the 35 horse-sensitized patients reported both nasal and bronchial symptoms, 14 had rhinitis without asthma and one had asthma without rhinitis. Conclusions: Our results suggest that allergic sensitization to horse allergens is more frequent than expected in urban-dwelling subjects without direct or occupational exposure to horses. Highly atopic individuals or individuals who are sensitized to common pet dander should undergo SPT and evaluation of serum specific IgE before starting activities involving regular contact with horses such as riding, and before entering environments associated with horses. (C) 2008 Elsevier Ltd. All rights reserved.
机构:
High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Liccardi, G.
D'Amato, G.
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
D'Amato, G.
Antonicelli, L.
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Osped Riuniti Ancona, Allergy Unit, Ancona, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Antonicelli, L.
Berra, A.
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G Da Procida Hosp, Resp Allergy Unit, Salerno, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Berra, A.
Billeri, L.
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Univ Hosp Padova, Allergy & Lab Unit, Padua, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Billeri, L.
Canonica, G. W.
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Univ Genoa, Genoa, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Canonica, G. W.
Casino, G.
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ASL Piedimonte Matese, Allergy & Physiopathol Unit, Caserta, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Casino, G.
Cecchi, L.
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Allergy Clin, Florence, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Cecchi, L.
Folletti, I.
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Univ Perugia, Terni, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Folletti, I.
Gani, F.
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S Luigi Gonzaga Hosp, Allergy Unit, Turin, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Gani, F.
Lombardi, C.
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St Orsola Hosp, Dept Internal Med, Allergy Unit, Brescia, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Lombardi, C.
Lo Schiavo, M.
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Osped MS Severino, Allergy & Clin Immunol Unit, Salerno, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Lo Schiavo, M.
Meriggi, A.
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Carlo Mira Hosp, Div Pulm Rehabil, Pavia, Italy
Carlo Mira Hosp, Allergy Unit, Pavia, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Meriggi, A.
Milanese, M.
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S Corona Hosp, Div Pneumol, Pietra Ligure, Savona, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Milanese, M.
Passalacqua, G.
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Univ Genoa, Genoa, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Passalacqua, G.
Pio, R.
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Osped MS Severino, Allergy & Clin Immunol Unit, Salerno, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Pio, R.
Rolla, G.
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Osped Mauriziano Umberto 1, Turin, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Rolla, G.
Russo, M.
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High Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Russo, M.
Scaccianoce, S.
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ASL Viterbo, Allergy Unit, Viterbo, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Scaccianoce, S.
Senna, G. E.
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Verona Gen Hosp, Allergy Unit, Verona, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Senna, G. E.
Scavalli, P.
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ASL Viterbo, Allergy Unit, Viterbo, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Scavalli, P.
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Scichilone, N.
Sposato, B.
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Azienda Osped Misericordia, Pneumol Unit, Grosseto, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Sposato, B.
Siracusa, A.
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Univ Perugia, Terni, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
Siracusa, A.
Ventura, M. T.
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Univ Bari, Allergy & Clin Immunol Unit, Bari, ItalyHigh Special A Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Naples, Italy
机构:
High Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
Liccardi, G.
Salzillo, A.
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High Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
Salzillo, A.
Sofia, M.
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High Special V Monaldi Hosp, Div Resp Med, Naples, Italy
Univ Federico II, Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
Sofia, M.
Piccolo, A.
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High Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
Piccolo, A.
Dente, B.
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机构:
San Paolo Hosp, Lab Clin Pathol, Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
Dente, B.
Russo, M.
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High Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
Russo, M.
D'Amato, M.
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机构:
High Special V Monaldi Hosp, Div Resp Med, Naples, Italy
Univ Federico II, Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
D'Amato, M.
Stanziola, A.
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High Special V Monaldi Hosp, Div Resp Med, Naples, Italy
Univ Federico II, Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy
Stanziola, A.
D'Amato, G.
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High Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, ItalyHigh Special Cardarelli Hosp, Dept Chest Dis, Div Pneumol & Allergol, Piazzetta Arenella 7, I-80128 Naples, Italy