Eosinophil cationic protein in serum and nasal washes from wheezing infants and children

Objective: To compare eosinophil counts and concentrations of eosinophil cationic protein (ECP) in serum and nasal wash fluid from wheezing infants and children with those from age-matched children without respiratory tract symptoms Design: A case-control study of 71 children treated for wheezing an...

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Veröffentlicht in:The Journal of pediatrics 1995-10, Vol.127 (4), p.558-564
Hauptverfasser: Ingram, Jim Mark, Rakes, Gary P., Hoover, Gates E., Platts-Mills, Thomas A.E., Heymann, Peter W.
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container_end_page 564
container_issue 4
container_start_page 558
container_title The Journal of pediatrics
container_volume 127
creator Ingram, Jim Mark
Rakes, Gary P.
Hoover, Gates E.
Platts-Mills, Thomas A.E.
Heymann, Peter W.
description Objective: To compare eosinophil counts and concentrations of eosinophil cationic protein (ECP) in serum and nasal wash fluid from wheezing infants and children with those from age-matched children without respiratory tract symptoms Design: A case-control study of 71 children treated for wheezing and 59 control subjects in the University of Virginia Pediatric Emergency Department. The patients ranged from 2 months to 16 years of age. Eosinophil numbers and ECP concentrations were assessed in serum and nasal washes. Total serum IgE was measured and the radioallergosorbent test was used to measure IgE antibody to common inhalant allergens. Results: Among children less than the age of 2 years, markedly elevated levels of ECP (>200 ng/ml) were measured in nasal washes from 9 (41%) of 22 wheezing patients and 1 (6%) of 17 control subjects ( p
doi_str_mv 10.1016/S0022-3476(95)70112-5
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The patients ranged from 2 months to 16 years of age. Eosinophil numbers and ECP concentrations were assessed in serum and nasal washes. Total serum IgE was measured and the radioallergosorbent test was used to measure IgE antibody to common inhalant allergens. Results: Among children less than the age of 2 years, markedly elevated levels of ECP (&gt;200 ng/ml) were measured in nasal washes from 9 (41%) of 22 wheezing patients and 1 (6%) of 17 control subjects ( p &lt;0.03). None of these children had a positive radioallergosorbent test result for IgE antibody to common aeroallergens or a nasal smear containing 10% eosinophils. Few of the wheezing children under 2 years of age had either increased concentrations of total IgE or ECP in their serum or an elevated total blood eosinophil count. After the age of 2 years, the percentage of patients with nasal ECP levels greater than 200 ng/ml was also significantly higher in wheezing children than in control subjects ( p &lt;0.001), and a positive correlation was observed between ECP concentrations in their nasal washes and other eosinophil responses (total blood eosinophil counts, serum ECP levels, and nasal eosinophil counts). Conclusion: Increased concentrations of ECP were detected in nasal washes from wheezing infants and children, indicating that eosinophils may contribute to the pathogenesis of airway inflammation in some children who wheeze early in life. 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The patients ranged from 2 months to 16 years of age. Eosinophil numbers and ECP concentrations were assessed in serum and nasal washes. Total serum IgE was measured and the radioallergosorbent test was used to measure IgE antibody to common inhalant allergens. Results: Among children less than the age of 2 years, markedly elevated levels of ECP (&gt;200 ng/ml) were measured in nasal washes from 9 (41%) of 22 wheezing patients and 1 (6%) of 17 control subjects ( p &lt;0.03). None of these children had a positive radioallergosorbent test result for IgE antibody to common aeroallergens or a nasal smear containing 10% eosinophils. Few of the wheezing children under 2 years of age had either increased concentrations of total IgE or ECP in their serum or an elevated total blood eosinophil count. After the age of 2 years, the percentage of patients with nasal ECP levels greater than 200 ng/ml was also significantly higher in wheezing children than in control subjects ( p &lt;0.001), and a positive correlation was observed between ECP concentrations in their nasal washes and other eosinophil responses (total blood eosinophil counts, serum ECP levels, and nasal eosinophil counts). Conclusion: Increased concentrations of ECP were detected in nasal washes from wheezing infants and children, indicating that eosinophils may contribute to the pathogenesis of airway inflammation in some children who wheeze early in life. 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The patients ranged from 2 months to 16 years of age. Eosinophil numbers and ECP concentrations were assessed in serum and nasal washes. Total serum IgE was measured and the radioallergosorbent test was used to measure IgE antibody to common inhalant allergens. Results: Among children less than the age of 2 years, markedly elevated levels of ECP (&gt;200 ng/ml) were measured in nasal washes from 9 (41%) of 22 wheezing patients and 1 (6%) of 17 control subjects ( p &lt;0.03). None of these children had a positive radioallergosorbent test result for IgE antibody to common aeroallergens or a nasal smear containing 10% eosinophils. Few of the wheezing children under 2 years of age had either increased concentrations of total IgE or ECP in their serum or an elevated total blood eosinophil count. 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subjects Adolescent
Biological and medical sciences
Blood Proteins - analysis
Cations - analysis
Child
Child, Preschool
Chronic obstructive pulmonary disease, asthma
Eosinophils
Humans
Immunoglobulin E - blood
Infant
Medical sciences
Nasal Lavage Fluid - chemistry
Pneumology
Respiratory Sounds
Respiratory Syncytial Viruses - isolation & purification
Respiratory Tract Diseases - virology
title Eosinophil cationic protein in serum and nasal washes from wheezing infants and children
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