You are on page 1of 6

Re vista

ARTÍCULO ORIGINAL
Mé xic o
Rev Alerg Méx LULTHY"!

0UT\UVNSVI\SPUH,[V[HSJVTV
THYJHKVYKLHSLYNPHLULSUVYVLZ[LKL
México
&ƌĂŶĐŝƐĐĂ ZĂŵşƌĞnjͲŶƌşƋƵĞnj1, Jesús Prado-Rendón1, Jesús Lachica-Valle1,
Jaime Valle-Leal2

9LZ\TLU
(5;,*,+,5;,:!SHYLSHJP}ULU[YL0N,[V[HSLUZ\LYV`HSLYNPHZLOH
LZ[\KPHKVWHYHKL[LYTPUHYZPW\LKLZLY\UJVTWSLTLU[V‚[PSWHYHLS
KPHNU}Z[PJVKLHSLYNPH
6)1,;0=6!JVUVJLYZPSH0N,ZtYPJH[V[HSLZ\UHOLYYHTPLU[H‚[PSLULS
KPHNU}Z[PJVKLHSLYNPHLUSHWVISHJP}UWLKPm[YPJHX\LHJ\KLHSHJVU-
Z\S[HL_[LYUHKL(SLYNVSVNxHWLKPm[YPJHKLS/VZWP[HS.LULYHS9LNPVUHS
*P\KHK6IYLN}U:VUVYH
4(;,90(3@ 4i;6+6! LZ[\KPV LWPKLTPVS}NPJV VIZLY]HJPVUHS YL-
[YVZWLJ[P]V[YHUZ]LYZHS`HUHSx[PJVKLWY\LIHKPHNU}Z[PJHLULSX\LZL
YL]PZHYVUSVZL_WLKPLU[LZKLUP|VZLU[YL`H|VZKLLKHKH[LUKPKVZ
LULSZLY]PJPVKL(SLYNVSVNxHWLKPm[YPJH7HYHLSHUmSPZPZLZ[HKxZ[PJVZL
\[PSPa}LSWYVNYHTH:7::]LYZP}U`WVYTLKPVKL\UH[HISH[L[YHJ}YPJH
ZLKL[LYTPU}SHZLUZPIPSPKHK`LZWLJPÄJPKHKKL0N,WHYHLSKPHNU}Z[PJV
KLHSLYNPHZ"ZL[VTHYVUWY\LIHZJ\[mULHZJVTVWH[Y}UKLYLMLYLUJPH
WHYHLSKPHNU}Z[PJVKLHSLYNPHZ:LKL[LYTPU}LS]HSVYKLWLU[YLSHZ
]HYPHISLZKLLZ[\KPVJVUSHWY\LIH[KL:[\KLU[
9,:<3;(+6:! ZLLZ[\KPHYVUL_WLKPLU[LZLSNtULYVTHZJ\SPUVM\L
TmZMYLJ\LU[L 3HZLUZPIPSPKHKKL0N,M\LKL `SHLZWLJPÄ-
JPKHKKL "LSW\U[VKLJVY[LLUJVU[YHKVM\LKL<0T3JVU-
JLU[YHJPVULZLSL]HKHZKL0N,LUWY\LIHZJ\[mULHZWHYHHLYVHSLYNLUVZ
`L_PZ[LUJPHKLZxU[VTHZYLZWPYH[VYPVZ
*65*3<:065,:! SHKL[LYTPUHJP}UKL0N,LZ\UHWY\LIH‚[PSKL[HTP-
aHQLPUPJPHSLUWHJPLU[LZJVUZVZWLJOHKLHSLYNPH
7(3()9(:*3(=,!0N,ZtYPJH[V[HSH[VWPHWY\LIHZJ\[mULHZ

1
Servicio de Pediatría.
2
ĞƉĂƌƚĂŵĞŶƚŽĚĞŶƐĞŹĂŶnjĂĞ/ŶǀĞƐƟŐĂĐŝſŶ͘
9L](SLYN4t_1HU4HY"! ,ŽƐƉŝƚĂů'ĞŶĞƌĂůZĞŐŝŽŶĂůϭ͕/ŶƐƟƚƵƚŽDĞdžŝĐĂŶŽĚĞů
Seguro Social, Ciudad Obregón, Sonora, México.
;V[HSPTT\UVNSVI\SPU,HZTHYRLYVM
ZĞĐŝďŝĚŽ͗ϴĚĞƐĞƉƟĞŵďƌĞϮϬϭϱ
HSSLYN`H[5VY[OLHZ[VM4L_PJV Aceptado: 10 de noviembre 2015

&ƌĂŶĐŝƐĐĂ ZĂŵşƌĞnjͲŶƌşƋƵĞnj1, Jesús Prado-Rendón1, Jesús Lachica-Valle1, Correspondencia


Jaime Valle-Leal2 Dr. Jaime Valle Leal
valle_jaime1@hotmail.com
Abstract
)(*2.96<5+!9LSH[PVUZOPWVM[V[HSZLY\T0N,HUKHSSLYN`OHZILLU ƐƚĞĂƌơĐƵůŽĚĞďĞĐŝƚĂƌƐĞĐŽŵŽ
Z[\KPLK[VKL[LYTPULPMP[JV\SKILH\ZLM\SJVTWSLTLU[HSSLYN`KPHNUVZPZ ZĂŵşƌĞnjͲŶƌşƋƵĞnj&͕WƌĂĚŽͲZĞŶĚſŶ:͕>ĂĐŚŝĐĂͲsĂůůĞ:͕
Valle-Leal J. Inmunoglobulina E total como marcador
6)1,*;0=,!;V KL[LYTPUL ^OL[OLY ZLY\T [V[HS 0N, PZ H \ZLM\S [VVS de alergia en el noroeste de México. Rev Alerg Méx.
PU KPHNUVZPZ VM HSSLYN` PU WLKPH[YPJ WVW\SH[PVU H[[LUKPUN V\[WH[PLU[ 2016 ene-mar;63(1):20-25.

20 www.nietoeditores.com.mx
Re vista

Mé xic o
Ramírez-Enríquez F y col. IgE: marcador de alergia en el noroeste de México

WLKPH[YPJHSSLYN`9LNPVUHS.LULYHS/VZWP[HS5V*P\KHK6IYLN}U
:VUVYH4L_PJV
4(;,90(3(5+4,;/6+! (ULWPKLTPVSVNPJHSVIZLY]H[PVUHSYL[YV-
ZWLJ[P]L[YHUZ]LYZHSHUKHUHS`[PJHSZ[\K`VMKPHNUVZ[PJ[LZ[^HZKVUL
PUJS\KPUNÄSLZVMJOPSKYLU`LHYZTVU[OZVSK[YLH[LKPUWLKP-
H[YPJHSSLYN`-VYZ[H[PZ[PJHSHUHS`ZPZ:7::=^HZ\ZLKHUK[OYV\NO
[L[YHJOVYPJ[HISLZLUZP[P]P[`ZWLJPÄJP[`VM0N,MVYHSSLYN`KPHNUVZPZ^LYL
KL[LYTPULK[HRPUNZRPU[LZ[ZHZHNVSKZ[HUKHYKMVYKPHNUVZPUNHSSLYNPLZ"
W]HS\LIL[^LLU[OLZ[\K`]HYPHISLZ^HZKL[LYTPULK\ZPUN:[\KLU[[[LZ[ 1
Servicio de Pediatría.
2
9,:<3;:!YLJVYKZ^LYLZ[\KPLK"THSLNLUKLY^HZTVYLMYLX\LU[ Departamento de Enseñanza e Investi-
gación.
 0N,ZLUZP[P]P[`^HZ HUKZWLJPÄJP[`^HZ J\[VMMWVPU[ ,ŽƐƉŝƚĂů'ĞŶĞƌĂůZĞŐŝŽŶĂůϭ͕/ŶƐƟƚƵƚŽDĞdžŝ-
MV\UK^HZ0<T3LSL]H[LKSL]LSZVM0N,PUZRPU[LZ[Z[VHPYIVYUL cano del Seguro Social, Ciudad Obregón,
HSSLYNLUZHUKWYLZLUJLVMYLZWPYH[VY`Z`TW[VTZ Sonora, México.
*65*3<:065:!0N,KL[LYTPUH[PVUPZH\ZLM\SPUP[PHSZJYLLUPUN[LZ[PU
WH[PLU[Z^P[OZ\ZWLJ[LKHSSLYN` Correspondence
Dr. Jaime Valle Leal
2,@>69+:![V[HSZLY\T0N,"H[VW`"ZRPU[LZ[Z valle_jaime1@hotmail.com

ANTECEDENTES SHZTHUPMLZ[HJPVULZPTWSPJHU]PZP[HZMYLJ\LU[LZ
H\YNLUJPHZ`LZ[HUJPHOVZWP[HSHYPHWYVSVUNHKH
3HZLUMLYTLKHKLZHStYNPJHZJVUZ[P[\`LU\UNY\WV
KLWHKLJPTPLU[VZMYLJ\LU[LZX\LPUJS\`LU!HZTH ,SVIQL[P]VKLLZ[L[YHIHQVLZJVUVJLYZPSH0N,
YPUVJVUQ\U[P]P[PZ HStYNPJH KLYTH[P[PZ H[}WPJH ` ZtYPJH[V[HSLZ\UHOLYYHTPLU[H‚[PSLULSKPHN-
alergia a los alimentos.1,SH\TLU[VKLLZ[HZLU- U}Z[PJVKLHSLYNPHLUSHWVISHJP}UWLKPm[YPJHKLS
MLYTLKHKLZ LZ[m JVUKPJPVUHKV WVY SVZ JHTIPVZ UVYVLZ[LKL4t_PJV`ZPWLYTP[LKPZJLYUPYLU[YL
JSPTm[PJVZ SH PUK\Z[YPHSPaHJP}U ` JHTIPVZ LU WHJPLU[LZJVULUMLYTLKHKHStYNPJH`ZHUVZWHYH
LS LU[VYUV KLS OVNHY2 3H HSLYNPH LZ \U WYVJLZV LZ[HISLJLY\UKPHNU}Z[PJVVWVY[\UV[YH[HTPLU[V
TLKPHKVWVYSHPUT\UVNSVI\SPUH,X\LLZWHY[L HKLJ\HKV`L]P[HYJVTWSPJHJPVULZ
M\UKHTLU[HSLUSHÄZPVWH[VSVNxHKLSWYVJLZVHStY-
gico.3*VTVWY\LIHKPHNU}Z[PJHSH0N,PKLU[PÄJH MATERIAL Y MÉTODO
Z\QL[VZH[}WPJVZ`UVH[}WPJVZ"SHZLUZPIPSPaHJP}U
HStYNPJHZLLZ[HISLJLJVUSHKL[LYTPUHJP}UKL0N, ,Z[\KPV LWPKLTPVS}NPJV YL[YVZWLJ[P]V [YHUZ-
LZWLJxÄJH ` WY\LIHZ J\[mULHZ" ZPU LTIHYNV Z\ ]LYZHSHUHSx[PJVYLHSPaHKVWYL]PHH\[VYPaHJP}U
JVZ[VLZTmZLSL]HKV`[PLULPUKPJHJPVULZWYLJPZHZ WVY LS *VTP[t KL t[PJH L PU]LZ[PNHJP}U SVJHS
9IHQVLSKPZL|VKLL]HS\HJP}U
3VZ LZ[\KPVZ KL KP]LYZVZ NY\WVZ t[UPJVZ OHU KL\UHWY\LIHKPHNU}Z[PJHJVUSHÄUHSPKHKKL
KLTVZ[YHKV\UHHZVJPHJP}ULU[YLSHWYL]HSLUJPH KL[LYTPUHY SH ZLUZPIPSPKHK ` LZWLJPÄJPKHK KL
KLKPMLYLU[LZHSLYNPHZ`JVUJLU[YHJPVULZLSL]HKHZ SH PUT\UVNSVI\SPUH , 0N, ZtYPJH [V[HS WHYH LS
KL 0N, ZtYPJH [V[HS PUKLWLUKPLU[LZ KL YLHJ[P]P- KPHNU}Z[PJVKLHSLYNPHLUWHJPLU[LZWLKPm[YPJVZ
KHKLZWLJxÄJHHSHZHSLYNPHZVZxU[VTHZKLSHZ H[LUKPKVZ LU LS /VZWP[HS .LULYHS 9LNPVUHS 
alergias comunes. 3H WVISHJP}U KL LZ[\KPV KLS04::LU*P\KHK6IYLN}U:VUVYHKLSKL
LZ[m L_W\LZ[H H NYHU JHU[PKHK KL HSLYNLUVZ ` TH`VKLHSKLQ\UPVKL

21
Revista Alergia México 2016 enero-marzo;63(1)

:LPUJS\`LYVUSVZL_WLKPLU[LZKLWHJPLU[LZX\L HSPTLU[VZ`HUPTHSLZWLYYVNH[V;HTIPtUZL
HJ\KPLYVUHSZLY]PJPVKLJVUZ\S[HL_[LYUHKL(SLY- YLNPZ[YHYVUSHZTHUPMLZ[HJPVULZJSxUPJHZPUPJPHSLZ
NVSVNxHJVUZVZWLJOHKLLUMLYTLKHKHStYNPJH X\LZLJH[HSVNHYVUJVTVYLZWPYH[VYPHZJ\HUKV
NtULYVPUKPZ[PU[VLU[YL`H|VZKLLKHKJVU SVZ WHJPLU[LZ [\]PLYHU YPUP[PZ ZPU\ZP[PZ OPWL-
YLZ\S[HKVZKLKL[LYTPUHJP}UKL0N,ZtYPJH[V[HS YYLHJ[P]PKHKIYVUX\PHS"ZxU[VTHZJ\[mULVZHU[L
`LUX\PLULZZLYLHSPaHYVUWY\LIHZJ\[mULHZ,S SH L_PZ[LUJPH KL WmW\SHZ L_HU[LTH LYP[LTH `
T\LZ[YLVZLOPaVLUKVZL[HWHZ!WVYJLUZVUV WY\YP[V"NHZ[YVPU[LZ[PUHSLZTHUPMLZ[HKVZWVYKPH-
WYVIHIPSxZ[PJVLU\UHWYPTLYHL[HWHLUSHX\L YYLHLZ[YL|PTPLU[VIVYIVYPNTVZVÅH[\SLUJPH
ZL LUSPZ[HYVU ` ZL [VT} YLNPZ[YV KL [VKVZ SVZ ` HUHÄSH_PH JVTV YLZW\LZ[H WV[LUJPHSTLU[L
WHJPLU[LZJVUHSLYNPH`LU\UHZLN\UKHL[HWH TVY[HSKLZLUJHKLUHKHWVYHSLYNLUVZ
WVY\UHLSLJJP}UWYVIHIPSxZ[PJHHSPUJS\PYZ}SVSVZ
L_WLKPLU[LZJVUU‚TLYVZUVULZOHZ[HJVTWSL[HY 3VZ YLZ\S[HKVZ ZL JHW[\YHYVU LU ,_JLS ]LYZP}U
L_WLKPLU[LZ `ZLHUHSPaHYVULULSWYVNYHTHLZ[HKxZ[PJV
:7::]LYZP}UWHYH>PUKV^Z*VU\UH[HISH
:L L_JS\`LYVU SVZ L_WLKPLU[LZ JVU WY\LIHZ [L[YHJ}YPJHZLKL[LYTPU}SHZLUZPIPSPKHK`LZWLJP-
J\[mULHZ ZPU YLHJJP}U H OPZ[HTPUH ` WY\LIHZ ÄJPKHKKLSH0N,WHYHLSKPHNU}Z[PJVKLHSLYNPHZ
J\[mULHZKLJVU[YVSWVZ[LYPVYH[YH[HTPLU[VJVU 7HYHSHL]HS\HJP}UKLSHLÄJPLUJPHKPHNU}Z[PJH
PUT\UV[LYHWPH 5PUN‚U L_WLKPLU[L ZL LSPTPU} KL SH 0N, ZtYPJH [V[HS ZL \[PSPa} LS [LVYLTH KL
KLSLZ[\KPV )H`LZ ZLUZPIPSPKHK LZWLJPÄJPKHK" ÄUHSTLU[L
ZL JVYYLSHJPVUHYVU SHZ JVUJLU[YHJPVULZ KL 0N,
,U\UMVYTH[VLZWLJPHSKPZL|HKVWHYHLZ[LWYV- ZtYPJH`SHZTHUPMLZ[HJPVULZJSxUPJHZKLHSLYNPH
`LJ[VZLYLNPZ[YHYVUSHZ]HYPHISLZ!NtULYVLKHK HZxJVTVSHZJVUJLU[YHJPVULZZtYPJHZKL0N,`SHZ
YLZ\S[HKVKL0N,ZtYPJH[V[HSYLWYLZLU[HKVJVTV WY\LIHZJ\[mULHZ,S]HSVYKLWTLKPHU[LSHWY\L-
WVZP[P]VTH`VYKL<LULSWYPTLYH|VTH`VY IH[KL:[\KLU[JVU0*KL  ZLJVUZPKLY}JVU
KLKLHH|VZTH`VYKL KLH H|VZ ZPNUPÄJHJP}UJ\HUKVM\LPN\HSVTLUVYH
TH`VYKLKLHH|VZVULNH[P]VTLUVY
KL<LULSWYPTLYH|VTLUVYKLKLH RESULTADOS
H|VZTLUVYKL KLH H|VZTLUVYKL
KLHH|VZHS[VTHYJVTVYLMLYLUJPH :L LZ[\KPHYVU  L_WLKPLU[LZ KL WHJPLU[LZ
SVZ ]HSVYLZ LZ[HISLJPKVZ WVY LS SHIVYH[VYPV KLS H[LUKPKVZ LU SH JVUZ\S[H L_[LYUH KL(SLYNVSV-
PUZ[P[\[V3H0N,ZLKL[LYTPU}TLKPHU[LTt[VKV NxH WLKPm[YPJH JVU ZVZWLJOH KL LUMLYTLKHK
KLPUT\UVÅ\VYLZJLUJPHPUKPYLJ[H"SVZYLZ\S[HKVZ HStYNPJH JVU LKHKLZ LU[YL  `  H|VZ LU LS
KL SHZ WY\LIHZ J\[mULHZ WH[Y}U KL YLMLYLUJPH /VZWP[HS.LULYHS9LNPVUHSKLS04::LU*P\KHK
WHYHLSKPHNU}Z[PJVKLHSLYNPHZLJVUZPKLYHYVU 6IYLN}U :VUVYH LU LS WLYPVKV JVTWYLUKPKV
WVZP[P]VZJ\HUKVSHYLHJJP}UKtYTPJHM\LTH`VY KLSKLTH`VKLHSKLQ\UPVKL
KL  TTVULNH[P]VZJ\HUKVSHYLHJJP}U KtY- ,U LS NY\WV LZ[\KPHKV  WHJPLU[LZ  
TPJHM\LTLUVYKLTT3H[tJUPJHZLYLHSPa} WLY[LULJxHUHSNtULYVTHZJ\SPUVJVUYLSHJP}U
HWSPJHUKV\UHNV[HKLL_[YHJ[VHSLYNtUPJVNSPJL- THZJ\SPUV!MLTLUPUVKL!3HLKHKWYVTLKPV
YPUHKVWLZV]VS\TLU(SSLYNVTL_ZVIYLSHWPLS M\LKL—H|VZ3HWYL]HSLUJPHKLZVZWLJOH
KLSVZHU[LIYHaVZVKLSHLZWHSKHKLSWHJPLU[L KL LUMLYTLKHK HStYNPJH M\L TH`VY LU SH LKHK
,S [PWV KL HSLYNLUV ZL ZLSLJJPVU} KL HJ\LYKV LZJVSHY`LULSNtULYVTHZJ\SPUV*\HKYV
JVUSVZWYL]HSLU[LZLUJHKHYLNP}UNLVNYmÄJH
3VZHSLYNLUVZ\[PSPaHKVZZLHNY\WHYVULUJ\H[YV 3H ZLUZPIPSPKHK KL SH 0N, JVTV WY\LIH KPHN-
JH[LNVYxHZ! HLYVHSLYNLUVZ WVS]V KVTtZ[PJV U}Z[PJHM\LKL `SHLZWLJPÄJPKHKKL "

22
Re vista

Mé xic o
Ramírez-Enríquez F y col. IgE: marcador de alergia en el noroeste de México

*\HKYV. *HYHJ[LYxZ[PJHZKLSHWVISHJP}ULZ[\KPHKH5$ *\HKYV. 0N,ZtYPJH[V[HS`[PWVKLTHUPMLZ[HJPVULZJSxUPJHZ

*HYHJ[LYxZ[PJH -YLJ\LUJPH  :xU[VTHZ 0N,<0T3 p* 0* 

,KHKH|VZ Respiratorios
H  7YLZLU[LZ — 0.001**  
6 a 11  (\ZLU[LZ —
12 a 16  .HZ[YVPU[LZ[PUHSLZ
.tULYV 7YLZLU[LZ —  
-LTLUPUV  (\ZLU[LZ —
4HZJ\SPUV   *\[mULVZ
7YLZLU[LZ —  0.001** 
(\ZLU[LZ —
SH ZLUZPIPSPKHK TmZ HS[H LUJVU[YHKH M\L WHYH
W![KL:[\KLU[LZ[HKxZ[PJHTLU[LZPNUPÄJH[P]VZ
HSPTLU[VZZLN\PKHWVYHUPTHSLZHLYVHSLYNLUVZ
`WVS]VKVTtZ[PJV3HTH`VYLZWLJPÄJPKHKM\L *\HKYV. *VUJLU[YHJPVULZZtYPJHZKL0N,`WY\LIHZJ\[mULHZ
WHYH HSPTLU[VZ" ZL VIZLY]} \UH WYVWVYJP}U ZP-
TPSHYWHYHLSYLZ[VKLSVZHSLYNLUVZ*\HKYV 7Y\LIHZJ\[mULHZ 0N,<0T3 p 0* 
7VZP[P]HZ — 0.001* 
,S ]HSVY KL SH 0N, ZtYPJH [V[HS M\L TH`VY LU 5LNH[P]HZ  —
SVZ WHJPLU[LZ X\L [\]PLYVU THUPMLZ[HJPVULZ A aeroalergenos
YLZWPYH[VYPHZ ` J\[mULHZ" LZ[H KPMLYLUJPH M\L 7VZP[P]HZ  —  0.001* 
LZ[HKxZ[PJHTLU[L ZPNUPÄJH[P]H JVU[YHYPV H SV 5LNH[P]HZ  — 
LUJVU[YHKVLUSHZTHUPMLZ[HJPVULZNHZ[YVPU[LZ- (WVS]VKVTtZ[PJV

[PUHSLZ*\HKYV 7VZP[P]HZ  —    


5LNH[P]HZ  —
(HSPTLU[VZ
5\LZ[YVLZ[\KPVT\LZ[YHX\LSHZJVUJLU[YHJPV-
ULZZtYPJHZKL0N,LSL]HKHZM\LYVUTH`VYLZLU 7VZP[P]HZ —  
5LNH[P]HZ —
WHJPLU[LZ JVU WY\LIHZ J\[mULHZ WVZP[P]HZ LU
(HUPTHSLZ
NLULYHS ` LU WY\LIHZ J\[mULHZ WVZP[P]HZ WHYH
7VZP[P]HZ —  
aeroalergenos; estas asociaciones mostraron
5LNH[P]HZ —
ZPNUPÄJHJP}U LZ[HKxZ[PJH" LU ZLU[PKV VW\LZ[V
SVZHSLYNLUVZKLSWVS]VKVTtZ[PJVHUPTHSLZ`
HSPTLU[VZUVTVZ[YHYVUZPNUPÄJHJP}ULZ[HKxZ[PJH YLHJ[P]HZ WHYH HLYVHSLYNLUVZ ZL LUJVU[Y} LU
5PUN‚U WHJPLU[L [\]V YLHJJP}U KL HUHÄSH_PH JHZVZWHYHWVS]VLUHUPTHSLZLU`
K\YHU[LSHYLHSPaHJP}UKLSHZWY\LIHZ*\HKYV HSPTLU[VZLU 

,S U$KLSHZWY\LIHZJ\[mULHZM\LYVU 9LZWLJ[VKLSVZWHJPLU[LZX\L[\]PLYVUJVUJLU-


WVZP[P]HZ"SHL_PZ[LUJPHKL0N,LSL]HKH`WY\LIHZ [YHJPVULZLSL]HKHZKL0N,JVUTHUPMLZ[HJPVULZ

*\HKYV. :LUZPIPSPKHK`LZWLJPÄJPKHKKL0N,ZtYPJH[V[HSWHYHLSKPHNU}Z[PJVKLHSLYNPHZWY\LIHZJ\[mULHZWVZP[P]HZJVTV
WH[Y}UKLYLMLYLUJPH5$

7HYmTL[YVL]HS\HKV .LULYHS Aeroalergenos Polvo (UPTHSLZ (SPTLU[VZ

:LUZPIPSPKHK     100
,ZWLJPÄJPKHK 20  16 16 
3HZJPMYHZYLWYLZLU[HUWVYJLU[HQLZ

23
Revista Alergia México 2016 enero-marzo;63(1)

YLZWPYH[VYPHZ M\LYVU  JHZVZ WHYH ZxU[VTHZ JVUKPJPVUHU ZLUZPIPSPaHJP}U KL SH WVISHJP}U
J\[mULVZ`NHZ[YVPU[LZ[PUHSLZ WLKPm[YPJH KLZKL L[HWHZ T\` [LTWYHUHZ KL Z\
JYLJPTPLU[V`KLZHYYVSSV
:LLUJVU[Y}\UHJVUJLU[YHJP}UWYVTLKPVKL0N,
ZtYPJH [V[HS KL — <0T3 JVU SxTP[LZ ,Z[L LZ[\KPV PUJS\`} ZxU[VTHZ YLZWPYH[VYPVZ
KL`<0T3(WHY[PYKL<0T3SH J\[mULVZ ` NHZ[YVPU[LZ[PUHSLZ 3VZ OHSSHaNVZ
ZLUZPIPSPKHKKLSHWY\LIHH\TLU[HJVU]HSVYLZ KLT\LZ[YHU TH`VY WYL]HSLUJPH KL ZxU[VTHZ
TH`VYLZKL<0T3SHZLUZPIPSPKHKZLHJLYJH YLZWPYH[VYPVZ3HKPZLTPUHJP}UKLSVZHSLYNLUVZ
HS  WVY]xHHtYLHLZTmZHTWSPH`WLYZPZ[LU[LSVX\L
L_WSPJH Z\ TH`VY WYL]HSLUJPH3 SVZ KLTmZ ZVU
:L NLULY} \UH J\Y]H 96* WHYH KL[LYTPUHY SH TLUVZ MYLJ\LU[LZ WLYV KL THUPMLZ[HJP}U TmZ
ZLUZPIPSPKHK`LZWLJPÄJPKHKKLSH0N,[V[HSJVU PUZPKPVZH`Z\KPHNU}Z[PJVLZWVYL_JS\ZP}U
SHÄUHSPKHKKLLUJVU[YHYLSTLQVYW\U[VKLJVY[L
X\L KPZJYPTPUL LS KPHNU}Z[PJV KL LUMLYTLKHK ,S]HSVYKLYLMLYLUJPHLZ[HISLJPKVWHYH0N,[V[HS
HStYNPJH 3H JVTIPUHJP}U TmZ HS[H KL ZLUZPIP- WYVWVYJPVUH ZLUZPIPSPKHK KL   KL[LJ[H SHZ
SPKHK ` LZWLJPÄJPKHK ZL VIZLY]} JVU \U JVY[L WVZPISLZ ZLUZPIPSPKHKLZ OHJPH HSLYNLUVZ" HZP-
KL<0,UJ\Y]H96*mYLHIHQVSHJ\Y]HKL TPZTV SH LZWLJPÄJPKHK KPHNU}Z[PJH JHSJ\SHKH
JVU0*   -PN\YH LULZ[LLZ[\KPVM\LKL[HUZ}SV SVX\LLZ
ZPNUPÄJH[P]HTLU[LIHQV`WHYLJPLYHPUKPJHYX\L
DISCUSIÓN SH\[PSPaHJP}UKLSH0N,ZtYPJH[V[HSWVYZxTPZTH
UVLZLZWLJxÄJHLUHWYV_PTHKHTLU[L KL
+LIPKVHSHZJHYHJ[LYxZ[PJHZNLVNYmÄJHZ`JSPTH- los casos.
[VS}NPJHZWHY[PJ\SHYLZKLSUVYVLZ[LKL4t_PJV
tZ[L [PLUL NYHU KP]LYZPKHK KL HSLYNLUVZ X\L 3H0N,[PLULHS[HZLUZPIPSPKHKWHYHKL[LJ[HYZLU-
ZPIPSPaHJP}UHHLYVHSLYNLUVZLUU\LZ[YVTLKPV"
LZ[VZOHSSHaNVZHWV`HUSVLUJVU[YHKVWVY;SHJOP
*VYVUH`Z\NY\WVLU3
Curva ROC
1.0
,SNY\WVL[HYPVJVUTH`VYLSL]HJP}UKL0N,M\L
0.8 LSKLLZJVSHYLZJVUJVUJLU[YHJPVULZTH`VYLZKL
<0T3KLIPKVHSHL_WVZPJP}U`ZLUZPIPSPaH-
Susceptibilidad

0.6 JP}UHHSLYNLUVZ*VUIHZLLUU\LZ[YVLZ[\KPV
ZLKLÄULLS]HSVYKLYLMLYLUJPHKLSHZJVUJLU[YH-
0.4 JPVULZKL0N,[V[HSLUSVZUP|VZKLSUVYVLZ[LKL
4t_PJVX\LLZPUKLWLUKPLU[LKLSZL_V`KLSH
0.2 LKHK"LZ[VZOHSSHaNVZHWV`HUSHJVUJLU[YHJP}U
KL0N,WHYHKPZJYPTPUHYUP|VZJVULUMLYTLKHK
0.0 HStYNPJH`ZPUHSLYNPHJVU\UW\U[V}W[PTVKL
0.0 0.2 0.4 0.6 0.8 1.0 JVY[LKL<0LSKVISLKLSVYLWVY[HKVWVY;\
Especificidad
en 2013LUWVISHJP}UHZPm[PJH<0

-PN\YH*\Y]HKL96*KLSHLMLJ[P]PKHKKL0N,ZtYPJH *VU JVUJLU[YHJPVULZ LSL]HKHZ KL 0N, SH WVZP-


[V[HS JVTV WY\LIH KL [HTPaHQL WHYH WHJPLU[LZ JVU IPSPKHK KL [LULY WY\LIHZ J\[mULHZ WVZP[P]HZ ZL
ZVZWLJOHKLHSLYNPHZ PUJYLTLU[H`WVYLSJVU[YHYPVJVUJVUJLU[YHJPV-

24
Re vista

Mé xic o
Ramírez-Enríquez F y col. IgE: marcador de alergia en el noroeste de México

ULZIHQHZKLPUT\UVNSVI\SPUH,SHWYVIHIPSPKHK REFERENCIAS
KLYLZ\S[HKVZULNH[P]VZLZTH`VY
1. 'ƌĂŶĂĚĂD͕tŝůŬ:͕dƵnjŽŶĂD͕^ƚƌĂĐŚĂŶW͕ĞƚĂů͘ŐĞŶŽŵĞ
ǁŝĚĞĂƐƐŽĐŝĂƟŽŶƐƚƵĚLJŽĨƉůĂƐŵĂƚŽƚĂů/ŐĐŽŶĐĞŶƚƌĂƟŽŶ
,Z[L LZ[\KPV WYVWVYJPVUH PUMVYTHJP}U ]HSPVZH in the Framingham heart study. J Allergy Clin Immunol
HJLYJHKLSVZWH[YVULZKLZLUZPIPSPaHJP}U"ZPU ϮϬϭϮ͖ϭϮϵ͗ϴϰϬͲϴϰϱ͘ ŝƐƉŽŶŝďůĞ ĞŶ͗ ŚƩƉ͗ͬͬǁǁǁ͘ŶĐďŝ͘Ŷůŵ͘
ŶŝŚ͘ŐŽǀͬƉŵĐͬĂƌƟĐůĞƐͬWDϯϮϵϯϵϵϰ͘
LTIHYNV ZL ULJLZP[HU TmZ PU]LZ[PNHJPVULZ
2. ^ƵŶ Y͕ ŚĞŶ ,͕ ŚĞŶŐ Wz͕ ,ƵĂŶŐ ,D͕ Ğƚ Ăů͘ ůůĞƌŐLJͲ
HS YLZWLJ[V WHYH JVTWYLUKLY SHZ JVTWSLQHZ ƌĞůĂƚĞĚĞǀŝĚĞŶĐĞƐŝŶƌĞůĂƟŽŶƚŽƐĞƌƵŵ/Ő͗ĚĂƚĂĨƌŽŵƚŚĞ
YLSHJPVULZ LU[YL SHZ L_WVZPJPVULZ H HSLYNLUVZ China state key laboratory of respiratory disease, 2008-
`SHHWHYPJP}UKLSHZLUZPIPSPaHJP}UHStYNPJH` ϮϬϭϯ͘ ŝŽŵĞĚ ŶǀŝƌŽŶ ^Đŝ ϮϬϭ͖Ϯϳ͗ϰϵϱͲϱϬϱ͘ ŝƐƉŽŶŝďůĞ
ĞŶ͗ ŚƩƉ͗ͬͬǁǁǁ͘ďĞƐũŽƵƌŶĂů͘ĐŽŵͬƌƟĐůĞƐͬƌĐŚŝǀĞͬϮϬϭϰͬ
SHLUMLYTLKHK
EŽϳͬϮϬϭϰϬϳͬWϬϮϬϭϰϬϳϮϵϯϳϭϱϯϳϮϲϰϵϳϳ͘ƉĚĨ
3. důĂĐŚŝͲŽƌŽŶĂ >͕ ĂďĂůůĞƌŽͲ>ſƉĞnj '͕ >ſƉĞnjͲ'Ăƌкà /͕
3H0N,LULSTLKPVOVZWP[HSHYPVJVU[PU‚HZPLUKV WĂƉĂƋƵŝͲdĂƉŝĂ^͕ĞƚĂů͘ŽƌƌĞůĂĐŝſŶĞŶƚƌĞůĂŵĂŐŶŝƚƵĚĚĞ
\UTt[VKV‚[PSKLLZJY\[PUPVWHYHSVZWHJPLU[LZ ůĂƌĞĂĐƟǀŝĚĂĚĐƵƚĄŶĞĂƉŽƌƉƵŶĐŝſŶLJůĂƐĐŽŶĐĞŶƚƌĂĐŝŽŶĞƐ
ĚĞ/ŐƐĠƌŝĐĂĞƐƉĞĐşĮĐĂĂƉſůĞŶĞƐĞŶƉĂĐŝĞŶƚĞƐĐŽŶĂůĞƌŐŝĂ
JVUZxU[VTHZYLZWPYH[VYPVZJY}UPJVZWLYVUVLZ respiratoria. Rev Alergia Mex 2014;61:3-8.
KLÄUP[P]H WVYX\L Z\ LZWLJPÄJPKHK LZ IHQH :PU 4. >ĂƌĞŶĂƐͲ>ŝŶŶŶĞŵĂŶŶ͕KƌƚĞŐĂͲDĂƌƚĞůů:͕ZŝŽͲEĂǀĂƌƌŽ͕
LTIHYNV JVTV WY\LIH WHYH YLHSPaHY [HTPaHQL ZŽĚƌşŐƵĞnjE͕ĞƚĂů͘'ƵşĂŵĞdžŝĐĂŶĂĚĞƉƌĄĐƟĐĂĐůşŶŝĐĂĚĞ
LZ‚[PSZPZLJ\LU[HJVULSSH"LSJVZ[VLZIHQV` inmunoterapia 2011. Rev Alergia Mex 2011;58:16-21.
VYPLU[HOHJPHSH[VTHKLKLJPZPVULZ`KLYP]HJP}U 5. Pino-Yanes M, Gignoux CR, Galanter JM, Levin AM, et
Ăů͘'ĞŶŽŵĞͲǁŝĚĞĂƐƐŽĐŝĂƟŽŶƐƚƵĚLJĂŶĚĂĚŵŝdžƚƵƌĞŵĂƉ-
oportuna.
ping reveal new loci associated with total IgE levels in
>ĂƟŶŽƐ͘ : ůůĞƌŐLJ ůŝŶ /ŵŵƵŶŽů ϮϬϭϰ ϲ͗ϭͲϵ͘ ŝƐƉŽŶŝďůĞ
(SN\UHZSPTP[HU[LZKLLZ[LLZ[\KPVM\LYVULSHJV- ĞŶ͗ ŚƩƉ͗ͬͬĂĐ͘ĞůƐͲĐĚŶ͘ĐŽŵͬ^ϬϬϵϭϲϳϰϵϭϰϬϭϱϳϱϵͬϭͲƐϮ͘ϬͲ
^ϬϬϵϭϲϳϰϵϭϰϬϭϱϳϱϵͲŵĂŝŶ͘ƉĚĨ͍ͺƟĚсĨϱϰϱϯϲϲϰͲĨϱϵĞͲϭϭĞϰͲ
WPVKLKH[VZKLTHULYHYL[YVZWLJ[P]HX\LSPTP[H
ϴϬϬϰͲϬϬϬϬϬĂĂĐďϯϲϮΘĂĐĚŶĂƚсϭϰϯϭϭϬϮϱϱϵͺϯďϳϮϳϳϲϯĂϴϮ
L_WSVYHYV[YVZWVZPISLZYLZ\S[HKVZHSJVUZPKLYHY ϭĩϴĨϴϲĚĚϭĂĞĂĞĚϰϲϲϰĞĞ
V[YVZMHJ[VYLZJVTVtWVJHKLSH|VLUX\LZL 6. >ĞǀŝŶD͕DĂƚŚŝĂƐZ͕,ƵĂŶŐ>͕ZŽƚŚ>͕ĞƚĂů͘ŵĞƚĂͲ
TPKHSH0N,`ZLYLHSPJLUSHZWY\LIHZJ\[mULHZHZx ĂŶĂůLJƐŝƐŽĨŐĞŶŽŵĞͲǁŝĚĞĂƐƐŽĐŝĂƟŽŶƐƚƵĚŝĞƐĨŽƌƐĞƌƵŵƚŽƚĂů
JVTVSHJSHZPÄJHJP}UHTIPN\HKLSVZZxU[VTHZ /ŐŝŶĚŝǀĞƌƐĞƐƚƵĚLJƉŽƉƵůĂƟŽŶƐ͘:ůůĞƌŐLJůŝŶ/ŵŵƵŶŽů͘
΀ŝŶƚĞƌŶĞƚ΁͘ ϮϬϭϯ͖ϭϯϭ͗ϭϭϳϲͲϭϭϴϰ͘ ŝƐƉŽŶŝďůĞ ĞŶ͗ ŚƩƉ͗ͬͬ
respiratorios. ǁǁǁ͘ŶĐďŝ͘Ŷůŵ͘ŶŝŚ͘ŐŽǀͬƉŵĐͬĂƌƟĐůĞƐͬWDϯϱϵϲϰϵϳ͘
7. Dŝƌ͕WĂŶũĂďŝ͕^ŚĂŚ͘/ŵƉĂĐƚŽĨĂůůĞƌŐŝĐƌŚŝŶŝƟƐŝŶƐĐŚŽŽů
CONCLUSIÓN ŐŽŝŶŐĐŚŝůĚƌĞŶ͘ƐŝĂWĂĐůůĞƌŐLJϮϬϭϮ͖Ϯ͗ϵϯͲϭϬϬ͘ŝƐƉŽŶŝďůĞ
ĞŶ͗ŚƩƉ͗ͬͬĂƉĂůůĞƌŐLJ͘ŽƌŐͬ^LJŶĂƉƐĞͬĂƚĂͬW&ĂƚĂͬϵϵϵϲWͬ
ĂƉĂͲϮͲϵϯ͘ƉĚĨ
3H WY\LIH KL 0N, [V[HS LU WSHZTH LZ \UH OL- 8. dƵz>͕ŚĂŶŐ^t͕dƐĂŝ,:͕ŚĞŶ>͕ĞƚĂů͘dŽƚĂůƐĞƌƵŵ/Ő
YYHTPLU[H ‚[PS KL [HTPaHQL PUPJPHS LU WHJPLU[LZ ŝŶĂƉŽƉƵůĂƟŽŶͲďĂƐĞĚƐƚƵĚLJŽĨƐŝĂŶĐŚŝůĚƌĞŶŝŶdĂŝǁĂŶ͗
JVUZVZWLJOHKLHSLYNPHJ\HUKVZ\ZZxU[VTHZ reference value and significance in the diagnosis of
ĂůůĞƌŐLJ͘ W>Ž^ KE͘ ϮϬϭϯ ϴ;ϭϭͿ͗ ΀ĞϴϬϵϵϲ͘΁ ŽŶƐƵůƚĂĚŽ ĞŶ
principales son respiratorios; la asociación entre
ŐŽƐƚŽĚĞϮϬϭϱ͘ŝƐƉŽŶŝďůĞĞŶ͗ŚƩƉ͗ͬͬǁǁǁ͘ƉůŽƐŽŶĞ͘ŽƌŐͬ
WY\LIHZ J\[mULHZ WVZP[P]HZ ` JVUJLU[YHJPVULZ ĂƌƟĐůĞͬĨĞƚĐŚKďũĞĐƚ͘ĂĐƟŽŶ͍ƵƌŝсŝŶĨŽ͗ĚŽŝͬϭϬ͘ϭϯϳϭͬũŽƵƌŶĂů͘
LSL]HKHZKL0N,[\]VZPNUPÄJHJP}ULZ[HKxZ[PJH ƉŽŶĞ͘ϬϬϴϬϵϵϲΘƌĞƉƌĞƐĞŶƚĂƟŽŶсW&

25

You might also like