Exposure pattern of house dust mites in childhood asthma along the year: A series of 10 cases
Keywords:
house dust mites, asthma, inhalant allergens, allergens
Abstract
House dust mite (HDM) is one of the inhalant allergens causinginflammation of respiratory tract. More than 100 dust mites/ gram house dust may cause sensitization in childhood asthma, while more than >500 house dust mite/gram house dust may cause asthma attack. This report aimed to determine the exposure pattern of house dust mites on 10 asthmatic children during one year. Home
visit to all patients was done every month to obtain house dust sample, measurement of relative humidity, bed room temperature, and to evaluate the clinical scores and peak expiratory flow rate (PEFR). The range value of house dust mite/gram house dust was 0-340. This study shows that house dust mite may cause of acute asthma attack when accompanied by nonspesific stimuli. In September the relative humidity is high, the temperature is low, and the amount of house dust mite/gram of house dust is highest, in contrast to in August and December. This study shows no seasonal
variation. The amount of house dust mite/ gram of house dust was found higher at the mattress than in the floor of bed room. The species of house dust mite that predominantly found is Dermato- phagoides pteronyssinus. We conclude that house dust mite may cause acute asthma attack whenever accompanied by nonspesific stimulus.
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2 . Kartasasmita CB. Masalah asma pada anak di Indonesia. In: Basir D, Sayoeti Y, Pabuti A, ed. Naskah lengkap Simposium Kongres Nasional IKA X; Buku ke-2. Bukittinggi, 1996; 380-92.
3. Siregar SP, Munazir Z, Akib A. Prevaiensi penyakit atopi pada anak di Kelurahan Utan Kayu. Medika 1992; 9:19-24 .
4. Matondang CS. Asthma in children: view point from Indonesia. Paediatr Indones 1994; 3:259.
5. Siemensma NP. Diagnosis of house dust mite allergy. lntemationally accepted procedure. Symposium advances in the treatment of house dust mite allergy. Jakarta: Perhimpunan Alergi-lmunologi Indonesia Cabang J akarta, 1991.
6. Nelson RP, DiNicola R, Femandez-Caldas E. Allergens-specific IgE levels and mite Allergen exposure in children with acute asthma first seen in an emergency department and in nonasthmatic control subjects. J Allergy Clin Immunol 1996; 98:258-63.
7. Neffen HE, Femandez-Casdal E, Predolini N. Mite sensitivity and exposure in the city of Santa-Fe, Argentina. J Invest Allergol Clin Immunol 1996; 6:278-82.
8. Malainual N, Vichyanond P, Phan-Urai P. House dust mite fauna in Thailand. Clin Exp Allergy 1995; 25:554-60.
9. Matondang CS. Spectrum of asthma in children visiting the out patient clinic of the subdivision of Allergy and Immunology. Paediatr lndones 1991; 31 : 150-64.
10. Damanik MP, Wahab AS, Ediono. Types of allergen affecting asthmatic children. Paediatr Indones 1984; 24:15364.
11. Rahajoe N. Beberapa aspek pencegahan serangan a sma pada anak. Naskah lengkap temu ahli aspek pencegahan asma pada anak, Bagian llrnu Kesehatan Anak FKUl, 1986; 123.
12. Platts-Mills TAE. Dust mite allergens and asthma: Report of a second international workshop. J Allergy Clin 1992; 89: 1046-60.
13. Platts-Mills TAE, Sporik RB, Chapman MD. The role of domestic allergen. In: Chadwick DJ, Cerdwe G, ed. The rising trends in asthma. Chicester: John Wiley & sons, 1997; 173-85.
14. Diaz-Sanches D, Dotson RA, Takenaka H. Diesel exhaust particle induce local lgE production in vivo and alter the pattern of IgE messenger RNA isoform. J Clin invest 1994; 94:1417-25.
15. Fraenkle DJ, Berdin PG, Sanderson G. Immunohistochemical analysis of nasal biopsies during rhinovirus experimental cold. Am J Resp Crit Care Med 1994; 150: 1130-4.
16. Heide S, Monchy DGR, Vries K. Seasonal variation in airway hyperresponsiveness and naturfi} exposure to house dust mite allergens in patients with asthma. J Allergy Clin Immunol1994; 93:470-5.
17. Custovic A, Taggart SCO, Francis HC. Exposure to house dust mite allergens and the clinical activity of asthma. J Allergy Clin Immunol 1996; 98:64-72.
18. Marks GB, Tovey ER, Toelle BG. Mite Allergen (Der p 1) concentration in houses and its relation to the presence and severity of asthma in population of Sydney schoolchildren. J Allergy Clin Immunol 1995; 96:441-8.
19. Kivity S, Solomon A, Soferman R. Mite asthma in childhood: A study of the relationship between exposure to house dust mites and disease activity. J Allergy Clin lmmunol 1993; 91:8449.
20. Platts-Mills TAE, de Week AL. Dust mite allergens and asthma. A world wide problem. J Allergy Clin Immunol 1989; 83:416-26.
21. Widiastuti SM, Zulhasril, Sundaru H. Perbandingan tehnik flotasi dan tehnik isolasi pada pemeriksaan tungau debu rumah. Maj Parasitol Ind 1996; 9:83-6.
22. Aulung A, Djaja B, Widjaja M. Penggunaan tehnik isolasi pada pemeriksaan tungau debu rumah. Medika 1986; 2:1615.
23. Platts-Mills TAE, Hayden ML, Chapman MD. Seasonal variation in dust mite and grasspollen allergens in dust from the houses of patients asthma. J Allergy Clin Immunol 1986; 79:781-91.
24 . Frischer TH, Kuehr J , Meinert R. Relationship between exposure to dust mite allergen and bronchial response to exercise in schoolchildren sensitized to dust mites. Pediatr Pulrnonol1993; 16:13-8.
25. Kuno Sakai H. Total serum IgE antibodies in children with bronchial asthma. Ann Aallergy 1986; 56:488-91.
26. Voorhorst R, Spieksma FTM, Varekamp H. House dust atopy and the house dust mite. Leiden: Scientific Publishing Company,1969; 120-38.
27. Spieksma FTM, Spieksma-Bozeman MlA.Tbe mite fauna of house dust mite Derrnatophagoides pteronyssinus (Troussaart, 1887) (Psoroptidae: Sarcoptiformes) Acarologica 1967; 9:226-41.
28. Godfrey RC, Grifiths. Prevalence of immedia te positive skin test to D. pteronyssinus and grass pollen in school children. Clin Allergy 1986;7:79-81.
29. Wraith DG, Cunnington AM, Seymor WM. The role and allergenic importance of storage mites in house dust and qther environtments. Clin Allergy 1979; 9:545-61.
Published
1999-08-30
How to Cite
1.
Munasir Z, Budi L, Sularyo T, Hadinegoro S. Exposure pattern of house dust mites in childhood asthma along the year: A series of 10 cases. PI [Internet]. 30Aug.1999 [cited 20Apr.2024];39(7-8):201-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1771
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Received 2018-02-13
Accepted 2018-02-13
Published 1999-08-30
Accepted 2018-02-13
Published 1999-08-30
