0048

INFECTIOUS STATE OF THREE KINDS OF VIRUSES (CVB, CMV AND EBV) AND ITS EFFECT ON IgE IN ASTHMA CHILDREN
Fang F 1, Jiang JJ1, Wei HX1, Wang JY1 , Guo PE2 and Shan ZZ 1
1 Department of Pediatrics, Changhai Hospital, Shanghai, China
2. Department of Laboratory Diagnosis Changhai Hospital, Shanghai, China

 

Objective: In order to study infectious state of three kinds of viruses that was coxsackievirus B (CVB) cytomegalovirus (CMV) and  Epstein-Barr virus (EBV)  in asthma and its effect on IgE.
Methods: 40 children with asthma were studied, 26 boys and 14 girls, aged 3 to 12 year. There was a control group that was 49 children with pneumonia, 23 boys and 26 girls, aged 2 to 12 year. The antigen of CVB (CVB-Ag) and antibody of CVB (CVB-IgM), of CMV (CMV-IgM) and of EBV (EBV- IgM) was tested by ELISA method. The level of IgE was tested by particle-enhanced immunonephelometry.   .
Results: (1) Three kinds of virus infectious incidence in asthma group were CVB 62.50% (25/40)
CMV5% (2/40)EBV 0 and in pneumonia group were CVB 40.82% (20/49) CMV 6.12% (3/49)EBV2.041/49)。The positive incidence of CVB was the highest among that of CMV and EBV(P0.01) in both groups. But there was higher positive incidence of CVB in asthma than that of group pneumonia (P<0.05). (2)The IgE level of group asthma was higher than that of group pneumonia (p<0.01). (3)The IgE level was 649.064±394.550 IU/ml in CVB positive asthma children and 353.800±255.942 IU/ml in CVB negative asthma children. The IgE level of CVB positive asthma children increased than that in CVB negative asthma children P<0.05. The IgE level was 300.818±291.128 IU/ml in CVB positive pneumonia  children and  255.336±256.489 IU/ml in CVB negative pneumonia children. There was no difference in CVB positive pneumonia children and CVB negative pneumonia children P>0.05. But there was no linear relation between CVB positive intensity and IgE level.
Conclusions: There was high CVB infectious incidence and having association between CVB infection and IgE level in asthma children. It is important that we took prevention medications of CVB infection for asthma children.
KEY WORDS: children; asthma; coxsackievirus B; cytomegalovirus; Epstein-Barr virus