Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern China

BackgroundAllergen exposure plays a critical role in the onset of allergic disease, and the distribution of allergens varies by geographic location, climate, and lifestyle.MethodsA retrospective analysis was conducted on the data of 4,149 patients with clinically suspected allergic diseases who soug...

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Main Authors: Zhibang Hu, Chunhui Wang, Jianrong Xue, Shiyu Yang, Yongzheng Bao, Yunhui Wu, Xiaoju Hou, Yishake Kaiseer, Jing Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Allergy
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Online Access:https://www.frontiersin.org/articles/10.3389/falgy.2025.1616730/full
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author Zhibang Hu
Zhibang Hu
Chunhui Wang
Jianrong Xue
Shiyu Yang
Yongzheng Bao
Yunhui Wu
Xiaoju Hou
Yishake Kaiseer
Jing Ma
author_facet Zhibang Hu
Zhibang Hu
Chunhui Wang
Jianrong Xue
Shiyu Yang
Yongzheng Bao
Yunhui Wu
Xiaoju Hou
Yishake Kaiseer
Jing Ma
author_sort Zhibang Hu
collection DOAJ
description BackgroundAllergen exposure plays a critical role in the onset of allergic disease, and the distribution of allergens varies by geographic location, climate, and lifestyle.MethodsA retrospective analysis was conducted on the data of 4,149 patients with clinically suspected allergic diseases who sought medical care at Changzhou Third People's Hospital. The total IgE and specific IgE (sIgE) levels for 19 inhaled and food allergen sources were assessed using the Mediwiss AllergyScreen system. The sensitization patterns to various allergen sources were delineated based on sex and age categories.ResultsA total of 2,491 (60.04%) patients were positive for sIgE to at least one allergen source. Specifically, 997 (40.02%) patients were positive for one allergen source, while 1,494 (59.98%) were positive for two or more allergen sources. The sensitization rate for inhaled allergen sources was 49.41% (2,050), which was significantly higher than that for food allergen sources at 36.61% (1,519) (p < 0.05). The most commonly inhaled allergen source was D. pteronyssinus (37.58%, 1,559/4,149), followed by mold mix (13.11%, 544/4,149) and house dust (9.11%, 378/4,149). Among food allergen sources, the most prevalent reactions were cashew nut (15.57%, 646/4,149), cow's milk (10.99%, 456/4,149), and egg (9.33%, 387/4,149). The majority of sIgE levels were concentrated in the lower grades (grade I to III), while eight cases of crab and six cases of shrimp allergen sources presented at the highest responses (grade IV). Males exhibited significantly higher sIgE-positive rates for both inhaled and food allergen sources than females (p < 0.05). Additionally, the sIgE-positive rates for most inhaled and food allergen sources displayed significant variations across different age groups (p < 0.05). The highest sIgE-positive rate for inhaled allergen sources was observed in the 11–15 years group, and the positive rates of sIgE for food allergen sources decreased with advancing age. The levels of total serum IgE also varied among different age groups, with 2,631 (63.41%) individuals belonging to the high-concentration group. Total serum IgE exhibited an upward trend until the age of 11–15 years, which was then followed by a steady decrease.ConclusionThe results revealed the sensitization characteristics of allergen sources in eastern China, providing valuable insights into the prevention, diagnosis, and management of allergic diseases in this region.
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spelling doaj-art-b44f79751a4940e18844d80173f3e9ff2025-08-20T05:32:49ZengFrontiers Media S.A.Frontiers in Allergy2673-61012025-08-01610.3389/falgy.2025.16167301616730Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern ChinaZhibang Hu0Zhibang Hu1Chunhui Wang2Jianrong Xue3Shiyu Yang4Yongzheng Bao5Yunhui Wu6Xiaoju Hou7Yishake Kaiseer8Jing Ma9Department of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, ChinaDepartment of Eye and ENT, The People’s Hospital of Wuqia, Kezhou, ChinaDepartment of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, ChinaDepartment of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, ChinaDepartment of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, ChinaDepartment of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, ChinaDepartment of Eye and ENT, The People’s Hospital of Wuqia, Kezhou, ChinaDepartment of Eye and ENT, The People’s Hospital of Wuqia, Kezhou, ChinaDepartment of Eye and ENT, The People’s Hospital of Wuqia, Kezhou, ChinaDepartment of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, ChinaBackgroundAllergen exposure plays a critical role in the onset of allergic disease, and the distribution of allergens varies by geographic location, climate, and lifestyle.MethodsA retrospective analysis was conducted on the data of 4,149 patients with clinically suspected allergic diseases who sought medical care at Changzhou Third People's Hospital. The total IgE and specific IgE (sIgE) levels for 19 inhaled and food allergen sources were assessed using the Mediwiss AllergyScreen system. The sensitization patterns to various allergen sources were delineated based on sex and age categories.ResultsA total of 2,491 (60.04%) patients were positive for sIgE to at least one allergen source. Specifically, 997 (40.02%) patients were positive for one allergen source, while 1,494 (59.98%) were positive for two or more allergen sources. The sensitization rate for inhaled allergen sources was 49.41% (2,050), which was significantly higher than that for food allergen sources at 36.61% (1,519) (p < 0.05). The most commonly inhaled allergen source was D. pteronyssinus (37.58%, 1,559/4,149), followed by mold mix (13.11%, 544/4,149) and house dust (9.11%, 378/4,149). Among food allergen sources, the most prevalent reactions were cashew nut (15.57%, 646/4,149), cow's milk (10.99%, 456/4,149), and egg (9.33%, 387/4,149). The majority of sIgE levels were concentrated in the lower grades (grade I to III), while eight cases of crab and six cases of shrimp allergen sources presented at the highest responses (grade IV). Males exhibited significantly higher sIgE-positive rates for both inhaled and food allergen sources than females (p < 0.05). Additionally, the sIgE-positive rates for most inhaled and food allergen sources displayed significant variations across different age groups (p < 0.05). The highest sIgE-positive rate for inhaled allergen sources was observed in the 11–15 years group, and the positive rates of sIgE for food allergen sources decreased with advancing age. The levels of total serum IgE also varied among different age groups, with 2,631 (63.41%) individuals belonging to the high-concentration group. Total serum IgE exhibited an upward trend until the age of 11–15 years, which was then followed by a steady decrease.ConclusionThe results revealed the sensitization characteristics of allergen sources in eastern China, providing valuable insights into the prevention, diagnosis, and management of allergic diseases in this region.https://www.frontiersin.org/articles/10.3389/falgy.2025.1616730/fullallergen sourcesinhaledfoodallergic diseasesspecific IgEEastern China
spellingShingle Zhibang Hu
Zhibang Hu
Chunhui Wang
Jianrong Xue
Shiyu Yang
Yongzheng Bao
Yunhui Wu
Xiaoju Hou
Yishake Kaiseer
Jing Ma
Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern China
Frontiers in Allergy
allergen sources
inhaled
food
allergic diseases
specific IgE
Eastern China
title Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern China
title_full Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern China
title_fullStr Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern China
title_full_unstemmed Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern China
title_short Sensitization to inhaled and food allergen sources in patients with allergic diseases in Eastern China
title_sort sensitization to inhaled and food allergen sources in patients with allergic diseases in eastern china
topic allergen sources
inhaled
food
allergic diseases
specific IgE
Eastern China
url https://www.frontiersin.org/articles/10.3389/falgy.2025.1616730/full
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