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초록· 키워드

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Purpose: The higher prevalence of respiratory allergic disease may be due to increased exposure to inhalation allergens. We conducted a survey ofallergic diseases in autumn and winter with detection of major indoor allergens in major cities in Korea. Methods: We enrolled 110 subjects from thefourth Korea National Health and Nutrition Examination Survey with stratified, cluster, and systematic sampling procedures. All participants answereda health questionnaire as well as underwent a skin prick test (SPT) and ImmunoCAP for 11 indoor major allergens. We also measured the levels of 5major allergens (Der f 1, Der p 1, Can f 1, Bla g 1, and Asp f 1) in fine indoor dust from the houses of 60 subjects with a 2-site ELISA. Results: Theprevalence of allergic rhinitis and asthma were 25.5% and 7.3%, respectively. The most common sensitized allergens identified by SPT and Immuno-CAP were Dermatophagoides farinae (40.9%, 36.8%), followed by cockroach (23.6%, 19.5%), mugwort (13.6%, 22.9%), oak (9.1%, 22.9%), Japanesehop (9.1%, 8.6%), and dog dander (8.2%, 6.9%). There was a modest discrepancy between SPT and ImmunoCAP. Der f 1 and Der p 1 were detected in91.7% and 45.0% of the enrolled houses, respectively. Der f 1 indicated high concentrations in all specific provinces in Korea; however, Der p 1 measuredhigh only in the south. Dog dander allergens were present in 71.7% of houses; however, Bla g 1 was present in only 11.7% of houses and Asp f 1was not detected in any houses. Conclusions: The most important inhalant allergens in Korea are house dust mites followed by cockroach, mugwort,oak, Japanese hop, and dog dander in indoor environment, in which The dominant species of house dust mites were different according to region.

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