横浜市の小学生9万人を対象としたそばアレルギー罹患率調査 : 養護教諭へのアンケートから  [in Japanese] BUCKWHEAT ALLERGY IN 90, 000 SCHOOL CHILDREN IN YOKOHAMA  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

そばアレルギーは蕁麻疹, 喘鳴, 呼吸困難などアナフィラキシー型の反応を呈する頻度が高く, 注意深い対応が必要である疾患であるが, その羅患率は明らかではない.今回横浜市の全小学校341校の養護教諭にアンケート調査を行い, 回答のあった166校, 92680名の児童について, 学童期のそばアレルギー羅患状況を検討した.同時に調査したアレルギー疾患の羅患率は, 気管支喘息5.6%, アトピー性皮膚炎4.2%, アレルギー性鼻炎3.1%, アレルギー性結膜炎1.6%, 食物アレルギー1.3%であった.これに対しそばアレルギー児童は男子140名, 女子54名, 計194名で, 羅患率は0.22%であった.症状は蕁麻疹が最も頻度が高く(37.3%), ついで皮膚〓痒感(33.3%), 喘鳴(26.5%)で, アナフィラキシーショックは4名(3.9%)が経験しており, 卵・牛乳アレルギーより高率であった.また, 学校給食で7名, 校外活動で1名の児童がそばアレルギー症状の出現を経験していた.養護教諭を中心とした小学校児童のアレルギー歴の把握が積極的に実施されている実態が明らかになり, これによりそばアレルギーは稀な疾患では無いことが明らかになった.学校生活においても十分な予防対策を講じる必要がある.

Hypersensitivity to buckwheat allergen frequently causes anaphylactic type reactions including urticaria, wheezing, dyspnea and/or shock. Though the susceptible pupil would be recommended to be careful for school lunch and picnic meals, the prevalence of buckwheat allergy in school children has not yet been elucidated. In this study, data on the children allergic to buckwheat were collected by sending questionnaire to 341 nurses in elementary school in Yokohama. Among the total subjects of this investigation, 92, 680 childrn, the incidence of buckwheat allergy was determined 0.22% (140 boys and 54 girls). This percentage was not so low level besides the prevalence of such allergic diseases as bronchial asthma. atopic dermatitis, allergic rhinitis, allergic conjunctivitis and food allergy was 5.6%, 4.2%, 3.1%, 1.6%, and 1.3%, respectively. Although a large majority of clinical symptoms of buckwheat allergy were urticaria (37.3%), skin itching (33.3%), and wheezing (26.5%). Four children (3.9%) experienced anaphylactic shock having a need of medical emergency treatment. The incidence of anaphylactic shock due to buckwheat was higher than those due to egg and milk allergy. Actually 7 pupil was provoked allergic reaction by buckwheat noodle served at school lunch, and I pupil at picnic meals. Thus, school children allergic to buckwheat is not rare, and it is important to withdraw buckwheat food from school lunch and picnic meals.

Journal

  • Japanese Journal of Allergology

    Japanese Journal of Allergology 47(1), 26-33, 1998

    Japanese Society of Allergology

References:  17

Cited by:  6

Codes

  • NII Article ID (NAID)
    110002404810
  • NII NACSIS-CAT ID (NCID)
    AN00012583
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0021-4884
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
Page Top