PMID- 14675477 OWN - NLM STAT- MEDLINE DCOM- 20040423 LR - 20191210 IS - 0905-6157 (Print) IS - 0905-6157 (Linking) VI - 14 IP - 6 DP - 2003 Dec TI - Cutaneous reactions to pine processionary caterpillar (Thaumetopoea pityocampa) in pediatric population. PG - 482-6 AB - Cutaneous lesions caused by pine processionary caterpillar (Thaumetopoea pityocampa, TP) are frequent in pinewood areas. However, no epidemiological studies have been performed so far in the pediatric population. In this study, we evaluated the relevance of reactions to pine processionary caterpillar in the pediatric population of our environment and determined the possible role of an IgE-mediated mechanism. A questionnaire was developed and given to 1,101 children and adolescents ranging from 3 to 17 years of age from rural areas with large pine forests. A total of 653 questionnaires were answered by the children or their parents. The search for immunoglobulin E (IgE)-mediated cases was based on the presence of a suspected reaction to caterpillar and confirmed by in vivo (skin prick) and in vitro (immunoblotting) tests. Sixty of the 653 people interviewed (9.18%) identified a cutaneous reaction from exposure to the processionary caterpillar. Within this group only four cases (6.7%) were because of an IgE-mediated mechanism. The predominant clinical feature of these patients with allergy to caterpillar was contact urticaria. We present the first study of cutaneous reactions to pine processionary caterpillar in a large pediatric population. This is a frequent pathology in pinery zones and only in a minority of the cases are because of an IgE-mediated allergic mechanism. This fact contrasts with studies in adults, where this percentage is much greater. FAU - Vega, M L AU - Vega ML AD - Centro de Salud Portillo, Valladolid, Spain. cesarbenitof@wanadoo.es FAU - Vega, J AU - Vega J FAU - Vega, J M AU - Vega JM FAU - Moneo, I AU - Moneo I FAU - Sanchez, E AU - Sanchez E FAU - Miranda, A AU - Miranda A LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (Allergens) SB - IM MH - Adolescent MH - Allergens/*adverse effects MH - Animals MH - Child MH - Child Welfare MH - Child, Preschool MH - Cross Reactions MH - Dermatitis, Allergic Contact/*etiology MH - Female MH - Humans MH - Hypersensitivity, Immediate/etiology MH - Immunoblotting MH - Male MH - Seasons MH - Skin Tests MH - Spain/epidemiology MH - Statistics as Topic MH - Urticaria/*etiology EDAT- 2003/12/17 05:00 MHDA- 2004/04/24 05:00 CRDT- 2003/12/17 05:00 PHST- 2003/12/17 05:00 [pubmed] PHST- 2004/04/24 05:00 [medline] PHST- 2003/12/17 05:00 [entrez] AID - 066 [pii] AID - 10.1046/j.0905-6157.2003.00066.x [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2003 Dec;14(6):482-6. doi: 10.1046/j.0905-6157.2003.00066.x.