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Allergen and prevention

(allergen)
(allergen) (IgE-mediated
reaction)
(glycoprotein) 10,000 40,000
(aeroallergen) allergen

aeroallergen 2 60 micron
aeroallergen modify allergic reaction
hydrocarbon chlorine, hydrogen sulfide, formaldehyde

1. Gravitational methods (Durham sampler)


slide glycerin jelly 2
24 turbulent airflow
identify


2. Volumetric methods
- rotating air impactor slide slide

slide Rotorod sampler,
intermittent rotoslide sampler
- inertial suction samplers
plate
Burkhard spore trap, Accuvol

179

(aeroallergen)
aeroallergen 2
1. indoor allergen allergen allergen house dust
mite, cat, dog, cockroach, indoor mold
2. outdoor allergen allergen allergen
allergen outdoor mold
(pollen antigen)
allergen


5 - 60
pollen aeroallergen

(Bermuda) (Para grass) (Johnson grass) (sedge)


(Careless weed) (English plantain)
(Acacia) (Casuarina) (Mimosa)



1. picnic, camping, jogging

2.

3. (HEPA)
(mold antigen)

180


10
aeroallergen Cladosporium, Fusarium, Aspergillus, Alternaria,
Penicillium, Monilia, Yeast, Helminthosporium, Curvularia

1. Lysol, Clorox

2.

3.

4.
5.
6.
7. 1-2 3-4
8.
9.
10.
11.
12. (dehumidifier)
13.
14.
(cockroach antigen)

49% 37%



181


1.
-

-
-
-
-
-
-
2.
Lysol Lysol

3.
- boric acid

-
-
4.
-

(cat antigen)

purify Fel d I
cat albumin Fel
dI
Fel d I > 8 g/g of dust
Fel D I < 0.2 g/g 80 g/g
cat antigen

182

Fel d I 2.5 10
Fel d I

20 24
Fel d I 8 g/g of dust sensitized level

1.
2.
cat allergen
3.
4.
5.

6. HEPA filter 3% Tannic acid cat


allergen 4
cat allergen
7. (HEPA filter)
8.
(dog antigen)
Can f I dog
albumin Can f I
Ig E sensitization 10 g/g of dust
10


1.
2.

3.
183

4.
5. , ,

6. HEPA filter
7. (HEPA filter)
8.
(dust mite)
.. 1967
62
84
class Arachnida, subclass Acari, order Astigmata, family Pyroglyphidae
Dermatophagoides, Euroglyphus, family storage mite
Lepidoglyphus, Blomia, Tyrophagus
Dermatophagoides pteronyssinus, Dermatophagoides
farinae
8 0.3 mm. (hygroscopic)

75 80
(poikilothermic)
25 30C


1 1,000,000 1

(
200,000 )
2 20 - 50
3
18
enzyme
protease, glutathione, transferase heat shock protein, high density lipoprotein
group
184

15. group I allergens purify .. 1980 glycoprotein proteolytic enzyme


25 kDa
Der p I, Der f I allergen 550 C
16. group II allergens 14 kDa Der p II, Der f II
100 / 1 group I antigen 2
/ 1 specific IgE mite antigen
sensitization level
500 1 group I antigen
10 / 1

1.
polyurethane

(

2. 55 - 60 30
100




2
3. dacron


4.

5.

185

6.
7.
8. Benzyl benzoate, Pyrethroids, Pirimiphos methyl
3% Tannic acid
4

9. 3 4
10.

11. HEPA (high efficiency particulate air filter)



12.

1.

2.

3. ozone ozone
ozone

186


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seasonal variation. Siriraj Hosp Gaz 1985;38:77381.
2. Dhorranintra B, Limsuvan S, Kanchanarak C, Kangsakawin S. Aeroallergens in northern and southern
provinces of Thailand. Grana 1991;30:493-6.
3. Dhorranintra B, Bunnag C, Limsuvan S. Survey of airborne fungal spores in Thailand. Allergy
1988;8:51-5.
4. Kongpanichkul A, Vichyanond P. Allergen skin test reactivities among asthmatic Thai children. J Med
Assoc Thai 1997;80:67-75.
5. Wongsathuaythong S. House dust mites and allergic bronchial asthma. J Med Assoc Thailand 1971;54:
411-3.
6. Ausdenmoore RW, Lierl MB. Aeroallergens and environmental factors In: Manual of allergy and
immunology. 3rd ed., Boston: Little Brown, 1995; 40 - 50.
7. Fischer TJ, OBrien KP, Entis GN. Basic principles of therapy for allergic disease In: Manual of allergy
and immunology. 3rd ed., Boston: Little Brown, 1995; 51-93.
8. Solomon WR, Platts-Mills TA. Aerobiology of inhalant allergens. In: Allergy Principles and Practice.
4th ed., Missouri: Mosby, 1993;469-528.
9. Thompson PJ, Stewart GA. Allergens. In: Allergy. London:Gower, 1993; 1.1 - 1.14.
10. . . 2541; 115-130.

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