Relative risks of bronchial hyper-responsiveness associated with skin-prick test responses to common antigens in young adults


Dr W. O. C. M. Cookson, Nuffield Department of Clinical Medicine, John Radcliffe Hospital. Headington, Oxford OX3 9DU. U.K.


We studied 143 young subjects by skin-prick testing to common allergens and by the measurement of non-specific bronchial responsiveness (NSBR). A logistic regression model showed a prevalence odds ratio (POR) for bronchial hyper-responsiveness (PD20 < 10 μmol methacholine) in house dust positive subjects of 4.10 (95% CI 1.77–9.51, P < 0.001), and in mould positive subjects 5.72 (95% CI 2.06–15.9, P < 0.001): the PORs for epithelia (2.05, P = 0.12) and grasses (1.78, P = 0.19) were not significant. If bronchial reactivity was assessed as measurable (PD20 < 102 μmol methacholine) or not. the POR for house-dust-positive subjects was 4.83 (95% CI 2.23–10.5, P < 0.001), for moulds was 10.5 (95% CI 2.33–47.5, P < 0.001), for epithelia was 4.79 (95% CI 1.91–12.0, P < 0.001), and for grasses was 2.21 (95% CI 1.11–4.4, P = 0.022). The results show the risk of bronchial hyper-responsiveness is greater in subjects sensitive to house dust and mould than in those reactive to grasses, and suggests that the presence or absence of increased NSBR in atopic individuals may depend on the antigens to which they become sensitized.