PMID- 10804493 OWN - NLM STAT- MEDLINE DCOM- 20000712 LR - 20041117 IS - 0024-7758 (Print) IS - 0024-7758 (Linking) VI - 45 IP - 4 DP - 2000 Apr TI - Predicting asthma severity from allergic sensitivity to cockroaches in pregnant inner city women. PG - 341-4 AB - OBJECTIVE: To measure and compare cockroach (CR)-specific immunoglobin E (IgE) in sera from pregnant women with mild, moderate and severe asthma. STUDY DESIGN: CR IgE levels were measured in stored sera collected during the Collaborative Perinatal Project. Three matched groups of 93 women were formed: group I (mild), history of asthma but no acute exacerbation; group II (moderate), acute asthma exacerbation; group III (severe), required hospitalization for a diagnosis of status asthmaticus. ANOVA was used to compare the three means. RESULTS: Mean CR IgE paralleled prenatal asthma severity. Mean values were 6.50, 13.12 and 28.99 kU/L for groups I, II and III, respectively (P = .06). High allergen sensitivity, defined as CR IgE > 60 kU/L, was identified in 8 of the 93 study samples. The prevalence of high allergen sensitivity increased as clinical asthma became more severe. Sixty-two percent (5/8) of the high allergen sensitivity occurred in group III. CONCLUSION: There appears to be a positive correlation between sensitivity to CR allergens and asthma severity during pregnancy, and these findings support further evaluation of CR allergen sensitivity as a predictor of asthma severity in pregnancy. FAU - Henderson, C E AU - Henderson CE AD - Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York, USA. FAU - Ownby, D R AU - Ownby DR FAU - Trumble, A AU - Trumble A FAU - DerSimonian, R AU - DerSimonian R FAU - Kellner, L H AU - Kellner LH LA - eng PT - Journal Article PL - United States TA - J Reprod Med JT - The Journal of reproductive medicine JID - 0173343 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Allergens MH - Animals MH - Asthma/*diagnosis/immunology MH - Cockroaches/*immunology MH - Female MH - Humans MH - Hypersensitivity, Immediate/*classification/etiology MH - Immunoglobulin E/*analysis MH - Predictive Value of Tests MH - Pregnancy MH - Pregnancy Complications/*immunology MH - Severity of Illness Index MH - Urban Population EDAT- 2000/05/11 09:00 MHDA- 2000/07/15 11:00 CRDT- 2000/05/11 09:00 PHST- 2000/05/11 09:00 [pubmed] PHST- 2000/07/15 11:00 [medline] PHST- 2000/05/11 09:00 [entrez] PST - ppublish SO - J Reprod Med. 2000 Apr;45(4):341-4.