アレルギー性結膜疾患における全身アレルギー疾患合併の頻度

Incidence of systemic allergic disorders in patients with allergic conjunctival diseases

要約　目的：アレルギー性結膜疾患がある患者での，全身アレルギー疾患の頻度と眼病変の重篤度の報告。対象と方法：過去19か月間にアレルギー性結膜疾患と診断した1,079例を検索した。内訳は季節性アレルギー性結膜炎876例，通年性アレルギー性結膜炎115例，アトピー性角結膜炎47例，春季カタル41例である。結果：アトピー性皮膚炎はアトピー性角結膜炎の全例と春季カタルの71％にあり，気管支喘息は春季カタルの83％，アレルギー性鼻炎は各結膜疾患のすべてに多かった。全身アレルギー疾患の合併の有無は，結膜病変の重篤度とは無関係であった。結論：全身アレルギー疾患の頻度はアレルギー性結膜疾患の種類により異なるが，その有無は結膜病変の重篤度とは関係しない。

Abstract.　Purpose：To report the incidence and implication of systemic allergic disorders in patients with allergic conjunctival diseases（ACD）. Cases and Method：This study was made on 1,079 patients who were diagnosed with ACD during the past 19 months. The series comprised seasonal allergic conjunctivitis 876 cases,perennial allergic conjunctivitis 115 cases,atopic keratoconjunctivitis 47 cases,and vernal conjunctivitis 41 cases. Results：Atopic dermatitis was present in 71％ of cases of vernal conjunctivitis and in all cases of atopic keratoconjunctivitis. Bronchial asthma was present in 83％ of cases of vernal conjunctivitis. Allergic rhinitis was frequent in all the 4 subgroups of ACD. Severity of conjunctivitis was independent of presence or absence of systemic allergic disorders. Conclusion：Incidence of systemic allergic disorders is variable according to the type of ACD. Its presence does not affect the severity of conjunctivitis.