The University of Southampton
University of Southampton Institutional Repository

The allergic sensitization in infants with atopic eczema from different countries

The allergic sensitization in infants with atopic eczema from different countries
The allergic sensitization in infants with atopic eczema from different countries

Background: No study has compared allergic sensitization patterns in infants with atopic eczema from different countries. The aim of this study was to investigate the patterns of allergic sensitization in a cohort of infants with atopic eczema participating in a multicentre, international study. Methods: Two thousand one hundred and eighty-four infants (mean age 17.6 months) with atopic eczema from allergic families were screened in 94 centres in 12 countries to participate in a randomized trial for the early prevention of asthma. Clinical history, Severity Scoring of Atopic Dermatitis Index, measurements for total serum IgE and specific IgE antibodies to eight food and inhalant allergens were entered into a database before randomization to treatment. A history of type of feeding in the first weeks of life and exposure to animals was recorded. Results: A total of 52.9% of the infants had raised total IgE, and 55.5% were sensitized to at least one allergen. There was a wide difference in the total IgE values and in the sensitization rates to foods and aeroallergens among infants from different countries. The highest prevalence rates of allergen-sensitized infants were found in Australia (83%), the UK (79%) and Italy (76%). Infants from Belgium and Poland consistently had the lowest sensitization rates. In each country, a characteristic pattern of sensitization was found for aeroallergens (house dust mite > cat > grass pollen > Alternaria), but not for food allergens. Conclusions: In infants with atopic eczema, there is a wide variation in the pattern of allergic sensitization between countries, and data from one country are not necessarily generalizable to other countries.

Atopy, Eczema, Infants, Sensitization
0105-4538
295-303
de Benedictis, Fernando Maria
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Sillevis Smitt, H.
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Duiverman, E. J.
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Piquer Gilbert, M.
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Caballero, L.
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Pamies, R.
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Suleman, M.
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Mahomedy, S. H.
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Potter, P.
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Emmanuel, S.
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Marian, A. F.
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Hawarden, D.
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Motala, C.
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White, P. J.
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Weber, H. C.
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Edson, R. P.
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Reyneke, S. J.
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Havemann, W.
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Morison, A.
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Clarke, N.
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Clifford, R.
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Arshad, H.
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Pereira, Dr
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Roberts, G.
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Foote, K.
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Sollis, M. T.
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de Benedictis, Fernando Maria, Franceschini, F., Hill, D., Naspitz, C., Simons, F. E.R., Wahn, U., Warner, J. O., de Longueville, M., Diepgen, T. L., von Mutius, E., Warner, J. O., Hourihane, J. O.B., Roberts, G., Grüber, C., Niggemann, B., Rancé, F., Wajskop, M., Fortpied, C., Pinelli, M. E., Staelens, F., Gold, M., Quinn, P., Marshall, H., Kummerow, M., Hill, D., Heine, R., Bannister, D., Sly, P., Loh, R., Halbert, A., Douglas, T., Stick, S., van Asperen, P., Kakakios, A., Nightingale, W., Mckay, K., Zach, M., Pfleger, A., Varga, E. M., Emminger, W., Käfer, B., Stefanovic, D., Plank, V., de Moor, A., Desager, K., Hagendorens, M., de Raeve, L., Malfoort, A., Rybníček, O., Chládková, J., Chyba, T., Kopřiva, F., Škopková, O., Balcárek, V., Honomichlova, H., Honomichlová-Houdkova, P., Honomichl, P., Petru, V., Carbolova, A., Kopecká, K., Pohunek, P., Svobodova, T., Špičák, V., Kopecka, K., Maltulka, M., Špičáková, M., Kynclova, S., Billard, E., Robert, M., Cartier, H., Castelain, M. C., Payot, F., Levy, J., Ruer, M., Cambazard, F., Perrot, J. L., Fond, L., Pétrus, M., Rancé, F., Le Manach, G., Robert, J., Friedrichs, F., Pfannenstiel, C., Jobst, S., Schatz, H., Bresser, H. G., Landwehr, K., Schauer, U., Zimmermann, T., Hertl, M., Froehlich-Krapf, T., Bulle, D., Rietschel, E., Lange, L., Müller, S., van Koningsbruggen, S., Abeck, D., Ring, J., Forer, I., Vogel, M., Fischer, S., Tichmann-Schumann, I., Wörnle, R., Kiekens, H., Dolderer, R., von Berg, A., Albrecht, B., Bollrath, C., Pietroni, L., Bruschi, B., Armenio, L., Massagli, M. C., Brunetti, L., Fiermonte, P., Rana, M., Granieri, L., Lorè, M., Masi, M., Patriza, A., Specchia, F., Bigucci, B., Ricci, G., Miniachi, A., Duse, M., Porteri, V., Belotti, C., Barberio, G., Tiralongo, V., Vita, D., Feliciotto, R., Caminiti, L., Fiocchi, A., Sarratud, T., Terracciano, L., De Chiara, A., Capristo, A., Capristo, C., Maiello, N., Decimo, F., Rocco, A., del Giudice, M. Miraglia, Marseglia, G., Lombardini, G., Ricci, A., Caimmi, S., Napoli, A., Tzialla, C., Ghiglione, V., Galli, E., Giampietro, P., Mancino, G., Arabito, E., Rossi, P., Chianca, M., Moschese, V., Chini, L., Swiatly, A., Szczawinska-Popkonyl, A., Kulesza-Kazecka, M., Cavagni, G., Spattini, A., Pastorelli, S., Messori, A., Boner, A., Fasoli, E., Romei, I., Alfonsi, L., Rijntjes, J., Sillevis Smitt, H., Van Nierop, J. C., Duiverman, E. J., Brouwer, M., Niewenhuis, A., Rottier, B., van der Heide, S., Oranje, A., Kemperman, P., Breedijk, T., der Spek, F. de Waard van, Bruynzeel-Komen, C., Pasmans, S., Meijer, Y., Flinterman, A. E., Kaczmarski, M., Cudowska, B., Wasilewska, J., Matuszfwska, E., Malaczynska, T., Klajna-Kraluk, B., Sokalska, J., Masnica-Wasylkowska, E., Biegun-Awramineko, I., Chlon, M., Latos, T., Pomaranska, E., Gaszczyk, G., Makuch, B., Stanisz, J., Bokiej, J., Lis, G., Cichocka-Jarosz, E., Glodzik, I., Szczerbinski, T., Chlebna-Sokol, D., Stanczyk, A., Wlazlowski, J., Ligenza, I., Kamer, B., Pyziak, K., Pasowska, R., Zwaigzne-Racynska, J., Emeryk, A., Milanowska, H., Zywicka, G., Bartkowiak-Emeryk, M., Chojna, E., Alkiewicz, J., Breborowicz, A., Kurzawa, R., Wojcik, A., Jedrys-Klucjasz, U., Urbanek-Jozwik, E., Dymek, L., Dymek, A., Bozek, A., Chmielewska-Szewczyk, D., Lange, J., Peradzynska, J., Kulus, M., Najberg, E., Nowicka, E., Chrupek, A., Boznanski, A., Willak-Janc, E., Latkowska, A., Sikorska, E., Jarlinska, M. T., Eseverri Asin, J. L., Muñoz, E., Giner, M. T., Plaza, A. M., Piquer Gilbert, M., Díaz González, E. P., Martín, M. A., Sierra, J. I., Corzo, J. L., Rojas, E., Santos, R., Bosque Garcia, M., Valdesoiro, L., Asensio, O., Larramona, H., Nieto Garcia, A., Caballero, L., Pamies, R., Oliver, F., Evole, M., Mazón, A., Puterman, A., Morris, A. J., Vermeulen, J. H., Weber, H. C., Edson, R. P., Pollock, I., Postma, A., Minders, L. F.G., Jooma, O. F., Suleman, M., Vawda, Z. F.A., Mahomedy, S. H., Potter, P., Emmanuel, S., Marian, A. F., Hawarden, D., Motala, C., White, P. J., Weber, H. C., Edson, R. P., Reyneke, S. J., Havemann, W., Morison, A., Clarke, N., Clifford, R., Arshad, H., Pereira, Dr, Roberts, G., Foote, K. and Sollis, M. T. (2009) The allergic sensitization in infants with atopic eczema from different countries. Allergy: European Journal of Allergy and Clinical Immunology, 64 (2), 295-303. (doi:10.1111/j.1398-9995.2008.01779.x).

Record type: Article

Abstract

Background: No study has compared allergic sensitization patterns in infants with atopic eczema from different countries. The aim of this study was to investigate the patterns of allergic sensitization in a cohort of infants with atopic eczema participating in a multicentre, international study. Methods: Two thousand one hundred and eighty-four infants (mean age 17.6 months) with atopic eczema from allergic families were screened in 94 centres in 12 countries to participate in a randomized trial for the early prevention of asthma. Clinical history, Severity Scoring of Atopic Dermatitis Index, measurements for total serum IgE and specific IgE antibodies to eight food and inhalant allergens were entered into a database before randomization to treatment. A history of type of feeding in the first weeks of life and exposure to animals was recorded. Results: A total of 52.9% of the infants had raised total IgE, and 55.5% were sensitized to at least one allergen. There was a wide difference in the total IgE values and in the sensitization rates to foods and aeroallergens among infants from different countries. The highest prevalence rates of allergen-sensitized infants were found in Australia (83%), the UK (79%) and Italy (76%). Infants from Belgium and Poland consistently had the lowest sensitization rates. In each country, a characteristic pattern of sensitization was found for aeroallergens (house dust mite > cat > grass pollen > Alternaria), but not for food allergens. Conclusions: In infants with atopic eczema, there is a wide variation in the pattern of allergic sensitization between countries, and data from one country are not necessarily generalizable to other countries.

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e-pub ahead of print date: 21 January 2009
Keywords: Atopy, Eczema, Infants, Sensitization

Identifiers

Local EPrints ID: 445467
URI: http://eprints.soton.ac.uk/id/eprint/445467
ISSN: 0105-4538
PURE UUID: 67c0a34f-6bed-461a-a3e6-3f6cb3b7f174
ORCID for G. Roberts: ORCID iD orcid.org/0000-0003-2252-1248

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Date deposited: 10 Dec 2020 17:30
Last modified: 18 Feb 2021 17:04

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Contributors

Author: Fernando Maria de Benedictis
Author: F. Franceschini
Author: D. Hill
Author: C. Naspitz
Author: F. E.R. Simons
Author: U. Wahn
Author: J. O. Warner
Author: M. de Longueville
Author: T. L. Diepgen
Author: E. von Mutius
Author: J. O. Warner
Author: J. O.B. Hourihane
Author: G. Roberts
Author: C. Grüber
Author: B. Niggemann
Author: F. Rancé
Author: M. Wajskop
Author: C. Fortpied
Author: M. E. Pinelli
Author: F. Staelens
Author: M. Gold
Author: P. Quinn
Author: H. Marshall
Author: M. Kummerow
Author: D. Hill
Author: R. Heine
Author: D. Bannister
Author: P. Sly
Author: R. Loh
Author: A. Halbert
Author: T. Douglas
Author: S. Stick
Author: P. van Asperen
Author: A. Kakakios
Author: W. Nightingale
Author: K. Mckay
Author: M. Zach
Author: A. Pfleger
Author: E. M. Varga
Author: W. Emminger
Author: B. Käfer
Author: D. Stefanovic
Author: V. Plank
Author: A. de Moor
Author: K. Desager
Author: M. Hagendorens
Author: L. de Raeve
Author: A. Malfoort
Author: O. Rybníček
Author: J. Chládková
Author: T. Chyba
Author: F. Kopřiva
Author: O. Škopková
Author: V. Balcárek
Author: H. Honomichlova
Author: P. Honomichlová-Houdkova
Author: P. Honomichl
Author: V. Petru
Author: A. Carbolova
Author: K. Kopecká
Author: P. Pohunek
Author: T. Svobodova
Author: V. Špičák
Author: K. Kopecka
Author: M. Maltulka
Author: M. Špičáková
Author: S. Kynclova
Author: E. Billard
Author: M. Robert
Author: H. Cartier
Author: M. C. Castelain
Author: F. Payot
Author: J. Levy
Author: M. Ruer
Author: F. Cambazard
Author: J. L. Perrot
Author: L. Fond
Author: M. Pétrus
Author: F. Rancé
Author: G. Le Manach
Author: J. Robert
Author: F. Friedrichs
Author: C. Pfannenstiel
Author: S. Jobst
Author: H. Schatz
Author: H. G. Bresser
Author: K. Landwehr
Author: U. Schauer
Author: T. Zimmermann
Author: M. Hertl
Author: T. Froehlich-Krapf
Author: D. Bulle
Author: E. Rietschel
Author: L. Lange
Author: S. Müller
Author: S. van Koningsbruggen
Author: D. Abeck
Author: J. Ring
Author: I. Forer
Author: M. Vogel
Author: S. Fischer
Author: I. Tichmann-Schumann
Author: R. Wörnle
Author: H. Kiekens
Author: R. Dolderer
Author: A. von Berg
Author: B. Albrecht
Author: C. Bollrath
Author: L. Pietroni
Author: B. Bruschi
Author: L. Armenio
Author: M. C. Massagli
Author: L. Brunetti
Author: P. Fiermonte
Author: M. Rana
Author: L. Granieri
Author: M. Lorè
Author: M. Masi
Author: A. Patriza
Author: F. Specchia
Author: B. Bigucci
Author: G. Ricci
Author: A. Miniachi
Author: M. Duse
Author: V. Porteri
Author: C. Belotti
Author: G. Barberio
Author: V. Tiralongo
Author: D. Vita
Author: R. Feliciotto
Author: L. Caminiti
Author: A. Fiocchi
Author: T. Sarratud
Author: L. Terracciano
Author: A. De Chiara
Author: A. Capristo
Author: C. Capristo
Author: N. Maiello
Author: F. Decimo
Author: A. Rocco
Author: M. Miraglia del Giudice
Author: G. Marseglia
Author: G. Lombardini
Author: A. Ricci
Author: S. Caimmi
Author: A. Napoli
Author: C. Tzialla
Author: V. Ghiglione
Author: E. Galli
Author: P. Giampietro
Author: G. Mancino
Author: E. Arabito
Author: P. Rossi
Author: M. Chianca
Author: V. Moschese
Author: L. Chini
Author: A. Swiatly
Author: A. Szczawinska-Popkonyl
Author: M. Kulesza-Kazecka
Author: G. Cavagni
Author: A. Spattini
Author: S. Pastorelli
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