Patterns of skin prick test positivity in allergic patients: usefulness of a nationwide SPT chart review.
Identifieur interne : 002C28 ( Main/Exploration ); précédent : 002C27; suivant : 002C29Patterns of skin prick test positivity in allergic patients: usefulness of a nationwide SPT chart review.
Auteurs : D E Larenas-Linnemann [Mexique] ; G A Guidos Fogelbach ; A Monteverde Alatorre ; A Arias Cruz ; D D Hernández Colín ; J A Luna Pech ; A Medina Hernández ; D Alberto García Imperial ; M L Cid Del Prado ; F J Linares Zapién ; R E Huerta ; J A Ortega MartellSource :
- Allergologia et immunopathologia [ 1578-1267 ]
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Animaux (MeSH), Antigènes de Dermatophagoides (effets indésirables), Antigènes de Dermatophagoides (immunologie), Antigènes végétaux (effets indésirables), Antigènes végétaux (immunologie), Arbres (MeSH), Climat (MeSH), Cynodon (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Enquêtes de santé (MeSH), Femelle (MeSH), Humains (MeSH), Hypersensibilité (diagnostic), Hypersensibilité (immunologie), Hypersensibilité (épidémiologie), Mexique (MeSH), Mâle (MeSH), Pyroglyphidae (MeSH), Sujet âgé (MeSH), Tests cutanés (MeSH), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Hypersensibilité.
- effets indésirables : Antigènes de Dermatophagoides, Antigènes végétaux.
- immunologie : Antigènes de Dermatophagoides, Antigènes végétaux, Hypersensibilité.
- épidémiologie : Hypersensibilité.
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Arbres, Climat, Cynodon, Enfant, Enfant d'âge préscolaire, Enquêtes de santé, Femelle, Humains, Mexique, Mâle, Pyroglyphidae, Sujet âgé, Tests cutanés, Études rétrospectives.
- Wicri :
- geographic : Mexique.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Animals (MeSH), Antigens, Dermatophagoides (adverse effects), Antigens, Dermatophagoides (immunology), Antigens, Plant (adverse effects), Antigens, Plant (immunology), Child (MeSH), Child, Preschool (MeSH), Climate (MeSH), Cynodon (MeSH), Female (MeSH), Health Surveys (MeSH), Humans (MeSH), Hypersensitivity (diagnosis), Hypersensitivity (epidemiology), Hypersensitivity (immunology), Male (MeSH), Mexico (MeSH), Middle Aged (MeSH), Pyroglyphidae (MeSH), Retrospective Studies (MeSH), Skin Tests (MeSH), Trees (MeSH).
- MESH :
- chemical , adverse effects : Antigens, Dermatophagoides, Antigens, Plant.
- chemical , immunology : Antigens, Dermatophagoides, Antigens, Plant.
- geographic : Mexico.
- diagnosis : Hypersensitivity.
- epidemiology : Hypersensitivity.
- immunology : Hypersensitivity.
- Adolescent, Adult, Aged, Animals, Child, Child, Preschool, Climate, Cynodon, Female, Health Surveys, Humans, Male, Middle Aged, Pyroglyphidae, Retrospective Studies, Skin Tests, Trees.
Abstract
BACKGROUND
A previous survey on allergens used by Mexican allergists in their skin prick test (SPT) panel showed wide variation. Humidity varies in different zones of Mexico. This might lead to differences in natural exposure and allergic sensitisation throughout the country. We aim to describe the SPT sensitivity patterns in the different climatic zones in Mexico and to show the usefulness of a structured SPT chart-review including multiple clinics in obtaining these allergen sensitisation patterns.
METHODS
A retrospective, structured chart-review of SPT results was undertaken in allergy clinics throughout Mexico. Ratios of SPT positivity were calculated for individual allergens, per climatic zone and nation-wide. Per allergen group the most important allergens were identified. Statistically significant differences between zones and the nation-wide data were tested with Pearson's Chi-squares test.
RESULTS
4169 skin test charts were recollected. The most important allergens causing sensitisation were very similar in different zones, despite climate variation. The allergen with highest ratio of SPT positivity was Dermatophagoides pteronyssinus (51%), with trees (Ash-27%, Alder-22%, Oak19%), and Bermuda grass (26%) as second and third. In the hot zones (humid and dry) Aspergillus was statistically significant more frequently than in more temperate zones. Cockroaches thrive in big cities and humid zones and Mesquite and Poplar in dry zones. Weeds are less important.
CONCLUSION
Mexico has its own SPT sensitisation pattern, which is different from America and Europe. A structured chart-review of SPT results is able to show this and might be a tool for allergists in other countries.
DOI: 10.1016/j.aller.2010.09.006
PubMed: 21216084
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Alatorre</name></author><author><name sortKey="Cruz, A Arias" sort="Cruz, A Arias" uniqKey="Cruz A" first="A Arias" last="Cruz">A Arias Cruz</name></author><author><name sortKey="Colin, D D Hernandez" sort="Colin, D D Hernandez" uniqKey="Colin D" first="D D Hernández" last="Colín">D D Hernández Colín</name></author><author><name sortKey="Pech, J A Luna" sort="Pech, J A Luna" uniqKey="Pech J" first="J A Luna" last="Pech">J A Luna Pech</name></author><author><name sortKey="Hernandez, A Medina" sort="Hernandez, A Medina" uniqKey="Hernandez A" first="A Medina" last="Hernández">A Medina Hernández</name></author><author><name sortKey="Imperial, D Alberto Garcia" sort="Imperial, D Alberto Garcia" uniqKey="Imperial D" first="D Alberto García" last="Imperial">D Alberto García Imperial</name></author><author><name sortKey="Del Prado, M L Cid" sort="Del Prado, M L Cid" uniqKey="Del Prado M" first="M L Cid" last="Del Prado">M L Cid Del Prado</name></author><author><name sortKey="Zapien, F J 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type="wicri:Area/Main/Exploration">002F56</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Patterns of skin prick test positivity in allergic patients: usefulness of a nationwide SPT chart review.</title><author><name sortKey="Larenas Linnemann, D E" sort="Larenas Linnemann, D E" uniqKey="Larenas Linnemann D" first="D E" last="Larenas-Linnemann">D E Larenas-Linnemann</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Médica Sur, Mexico City, Mexico. marlar1@prodigy.net.mx</nlm:affiliation><country xml:lang="fr">Mexique</country><wicri:regionArea>Hospital Médica Sur, Mexico City</wicri:regionArea><wicri:noRegion>Mexico City</wicri:noRegion></affiliation></author><author><name sortKey="Fogelbach, G A Guidos" sort="Fogelbach, G A Guidos" uniqKey="Fogelbach G" first="G A Guidos" last="Fogelbach">G A Guidos Fogelbach</name></author><author><name sortKey="Alatorre, A Monteverde" sort="Alatorre, A Monteverde" uniqKey="Alatorre A" first="A Monteverde" last="Alatorre">A Monteverde Alatorre</name></author><author><name sortKey="Cruz, A Arias" sort="Cruz, A Arias" uniqKey="Cruz A" first="A Arias" last="Cruz">A Arias Cruz</name></author><author><name sortKey="Colin, D D Hernandez" sort="Colin, D D Hernandez" uniqKey="Colin D" first="D D Hernández" last="Colín">D D Hernández Colín</name></author><author><name sortKey="Pech, J A Luna" sort="Pech, J A Luna" uniqKey="Pech J" first="J A Luna" last="Pech">J A Luna Pech</name></author><author><name sortKey="Hernandez, A Medina" sort="Hernandez, A Medina" uniqKey="Hernandez A" first="A Medina" last="Hernández">A Medina Hernández</name></author><author><name sortKey="Imperial, D Alberto Garcia" sort="Imperial, D Alberto Garcia" uniqKey="Imperial D" first="D Alberto García" last="Imperial">D Alberto García Imperial</name></author><author><name sortKey="Del Prado, M L Cid" sort="Del Prado, M L Cid" uniqKey="Del Prado M" first="M L Cid" last="Del Prado">M L Cid Del Prado</name></author><author><name sortKey="Zapien, F J Linares" sort="Zapien, F J Linares" uniqKey="Zapien F" first="F J Linares" last="Zapién">F J Linares Zapién</name></author><author><name sortKey="Huerta, R E" sort="Huerta, R E" uniqKey="Huerta R" first="R E" last="Huerta">R E Huerta</name></author><author><name sortKey="Martell, J A Ortega" sort="Martell, J A Ortega" uniqKey="Martell J" first="J A Ortega" last="Martell">J A Ortega Martell</name></author></analytic><series><title level="j">Allergologia et immunopathologia</title><idno type="eISSN">1578-1267</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Animals (MeSH)</term><term>Antigens, Dermatophagoides (adverse effects)</term><term>Antigens, Dermatophagoides (immunology)</term><term>Antigens, Plant (adverse effects)</term><term>Antigens, Plant (immunology)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Climate (MeSH)</term><term>Cynodon (MeSH)</term><term>Female (MeSH)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Hypersensitivity (diagnosis)</term><term>Hypersensitivity (epidemiology)</term><term>Hypersensitivity (immunology)</term><term>Male (MeSH)</term><term>Mexico (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pyroglyphidae (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Skin Tests (MeSH)</term><term>Trees (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Animaux (MeSH)</term><term>Antigènes de Dermatophagoides (effets indésirables)</term><term>Antigènes de Dermatophagoides (immunologie)</term><term>Antigènes végétaux (effets indésirables)</term><term>Antigènes végétaux (immunologie)</term><term>Arbres (MeSH)</term><term>Climat (MeSH)</term><term>Cynodon (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Enquêtes de santé (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hypersensibilité (diagnostic)</term><term>Hypersensibilité (immunologie)</term><term>Hypersensibilité (épidémiologie)</term><term>Mexique (MeSH)</term><term>Mâle (MeSH)</term><term>Pyroglyphidae (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Tests cutanés (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antigens, Dermatophagoides</term><term>Antigens, Plant</term></keywords><keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en"><term>Antigens, Dermatophagoides</term><term>Antigens, Plant</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Mexico</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hypersensitivity</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Hypersensibilité</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Antigènes de Dermatophagoides</term><term>Antigènes végétaux</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Hypersensitivity</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Antigènes de Dermatophagoides</term><term>Antigènes végétaux</term><term>Hypersensibilité</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Hypersensitivity</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Hypersensibilité</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Animals</term><term>Child</term><term>Child, Preschool</term><term>Climate</term><term>Cynodon</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pyroglyphidae</term><term>Retrospective Studies</term><term>Skin Tests</term><term>Trees</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Animaux</term><term>Arbres</term><term>Climat</term><term>Cynodon</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Mexique</term><term>Mâle</term><term>Pyroglyphidae</term><term>Sujet âgé</term><term>Tests cutanés</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Mexique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>A previous survey on allergens used by Mexican allergists in their skin prick test (SPT) panel showed wide variation. Humidity varies in different zones of Mexico. This might lead to differences in natural exposure and allergic sensitisation throughout the country. We aim to describe the SPT sensitivity patterns in the different climatic zones in Mexico and to show the usefulness of a structured SPT chart-review including multiple clinics in obtaining these allergen sensitisation patterns.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A retrospective, structured chart-review of SPT results was undertaken in allergy clinics throughout Mexico. Ratios of SPT positivity were calculated for individual allergens, per climatic zone and nation-wide. Per allergen group the most important allergens were identified. Statistically significant differences between zones and the nation-wide data were tested with Pearson's Chi-squares test.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>4169 skin test charts were recollected. The most important allergens causing sensitisation were very similar in different zones, despite climate variation. The allergen with highest ratio of SPT positivity was Dermatophagoides pteronyssinus (51%), with trees (Ash-27%, Alder-22%, Oak19%), and Bermuda grass (26%) as second and third. In the hot zones (humid and dry) Aspergillus was statistically significant more frequently than in more temperate zones. Cockroaches thrive in big cities and humid zones and Mesquite and Poplar in dry zones. Weeds are less important.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Mexico has its own SPT sensitisation pattern, which is different from America and Europe. A structured chart-review of SPT results is able to show this and might be a tool for allergists in other countries.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21216084</PMID><DateCompleted><Year>2012</Year><Month>02</Month><Day>29</Day></DateCompleted><DateRevised><Year>2012</Year><Month>04</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1578-1267</ISSN><JournalIssue CitedMedium="Internet"><Volume>39</Volume><Issue>6</Issue><PubDate><MedlineDate>2011 Nov-Dec</MedlineDate></PubDate></JournalIssue><Title>Allergologia et immunopathologia</Title><ISOAbbreviation>Allergol Immunopathol (Madr)</ISOAbbreviation></Journal><ArticleTitle>Patterns of skin prick test positivity in allergic patients: usefulness of a nationwide SPT chart review.</ArticleTitle><Pagination><MedlinePgn>330-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.aller.2010.09.006</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A previous survey on allergens used by Mexican allergists in their skin prick test (SPT) panel showed wide variation. Humidity varies in different zones of Mexico. This might lead to differences in natural exposure and allergic sensitisation throughout the country. We aim to describe the SPT sensitivity patterns in the different climatic zones in Mexico and to show the usefulness of a structured SPT chart-review including multiple clinics in obtaining these allergen sensitisation patterns.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective, structured chart-review of SPT results was undertaken in allergy clinics throughout Mexico. Ratios of SPT positivity were calculated for individual allergens, per climatic zone and nation-wide. Per allergen group the most important allergens were identified. Statistically significant differences between zones and the nation-wide data were tested with Pearson's Chi-squares test.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">4169 skin test charts were recollected. The most important allergens causing sensitisation were very similar in different zones, despite climate variation. The allergen with highest ratio of SPT positivity was Dermatophagoides pteronyssinus (51%), with trees (Ash-27%, Alder-22%, Oak19%), and Bermuda grass (26%) as second and third. In the hot zones (humid and dry) Aspergillus was statistically significant more frequently than in more temperate zones. Cockroaches thrive in big cities and humid zones and Mesquite and Poplar in dry zones. Weeds are less important.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Mexico has its own SPT sensitisation pattern, which is different from America and Europe. A structured chart-review of SPT results is able to show this and might be a tool for allergists in other countries.</AbstractText><CopyrightInformation>Copyright © 2010 SEICAP. Published by Elsevier Espana. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Larenas-Linnemann</LastName><ForeName>D E</ForeName><Initials>DE</Initials><AffiliationInfo><Affiliation>Hospital Médica Sur, Mexico City, Mexico. marlar1@prodigy.net.mx</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fogelbach</LastName><ForeName>G A Guidos</ForeName><Initials>GA</Initials></Author><Author ValidYN="Y"><LastName>Alatorre</LastName><ForeName>A Monteverde</ForeName><Initials>AM</Initials></Author><Author ValidYN="Y"><LastName>Cruz</LastName><ForeName>A Arias</ForeName><Initials>AA</Initials></Author><Author ValidYN="Y"><LastName>Colín</LastName><ForeName>D D Hernández</ForeName><Initials>DD</Initials></Author><Author ValidYN="Y"><LastName>Pech</LastName><ForeName>J A Luna</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Hernández</LastName><ForeName>A Medina</ForeName><Initials>AM</Initials></Author><Author ValidYN="Y"><LastName>Imperial</LastName><ForeName>D Alberto García</ForeName><Initials>DA</Initials></Author><Author ValidYN="Y"><LastName>del Prado</LastName><ForeName>M L Cid</ForeName><Initials>ML</Initials></Author><Author ValidYN="Y"><LastName>Zapién</LastName><ForeName>F J Linares</ForeName><Initials>FJ</Initials></Author><Author ValidYN="Y"><LastName>Huerta</LastName><ForeName>R E</ForeName><Initials>RE</Initials></Author><Author ValidYN="Y"><LastName>Martell</LastName><ForeName>J A Ortega</ForeName><Initials>JA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>01</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Allergol Immunopathol (Madr)</MedlineTA><NlmUniqueID>0370073</NlmUniqueID><ISSNLinking>0301-0546</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D039741">Antigens, Dermatophagoides</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D052179">Antigens, Plant</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D039741" MajorTopicYN="N">Antigens, Dermatophagoides</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D052179" MajorTopicYN="N">Antigens, Plant</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002980" MajorTopicYN="Y">Climate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D031744" MajorTopicYN="N">Cynodon</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="Y">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006967" MajorTopicYN="N">Hypersensitivity</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008800" MajorTopicYN="N" Type="Geographic">Mexico</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D039981" MajorTopicYN="N">Pyroglyphidae</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012882" MajorTopicYN="Y">Skin Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014197" MajorTopicYN="N">Trees</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>08</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2010</Year><Month>09</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>09</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>1</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>1</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21216084</ArticleId><ArticleId IdType="pii">S0301-0546(10)00285-5</ArticleId><ArticleId IdType="doi">10.1016/j.aller.2010.09.006</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Mexique</li></country></list><tree><noCountry><name sortKey="Alatorre, A Monteverde" sort="Alatorre, A Monteverde" uniqKey="Alatorre A" first="A Monteverde" last="Alatorre">A Monteverde Alatorre</name><name sortKey="Colin, D D Hernandez" sort="Colin, D D Hernandez" uniqKey="Colin D" first="D D Hernández" last="Colín">D D Hernández Colín</name><name sortKey="Cruz, A Arias" sort="Cruz, A Arias" uniqKey="Cruz A" first="A Arias" last="Cruz">A Arias Cruz</name><name sortKey="Del Prado, M L Cid" sort="Del Prado, M L Cid" uniqKey="Del Prado M" first="M L Cid" last="Del Prado">M L Cid Del Prado</name><name sortKey="Fogelbach, G A Guidos" sort="Fogelbach, G A Guidos" uniqKey="Fogelbach G" first="G A Guidos" last="Fogelbach">G A Guidos Fogelbach</name><name sortKey="Hernandez, A Medina" sort="Hernandez, A Medina" uniqKey="Hernandez A" first="A Medina" last="Hernández">A Medina Hernández</name><name sortKey="Huerta, R E" sort="Huerta, R E" uniqKey="Huerta R" first="R E" last="Huerta">R E Huerta</name><name sortKey="Imperial, D Alberto Garcia" sort="Imperial, D Alberto Garcia" uniqKey="Imperial D" first="D Alberto García" last="Imperial">D Alberto García Imperial</name><name sortKey="Martell, J A Ortega" sort="Martell, J A Ortega" uniqKey="Martell J" first="J A Ortega" last="Martell">J A Ortega Martell</name><name sortKey="Pech, J A Luna" sort="Pech, J A Luna" uniqKey="Pech J" first="J A Luna" last="Pech">J A Luna Pech</name><name sortKey="Zapien, F J Linares" sort="Zapien, F J Linares" uniqKey="Zapien F" first="F J Linares" last="Zapién">F J Linares Zapién</name></noCountry><country name="Mexique"><noRegion><name sortKey="Larenas Linnemann, D E" sort="Larenas Linnemann, D E" uniqKey="Larenas Linnemann D" first="D E" last="Larenas-Linnemann">D E 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