Methods: The study participants were children who visited the emergency room for acute asthma exacerbation. We measured their serum levels of total immunoglobulin E (IgE), HDM-specific IgE (sIgE), cytokines, and chemokines.
Results: Total IgE and HDM-sIgE levels were higher in the sera from children presenting with asthma exacerbation in the fall. We found no difference in the levels of cytokines and chemokines between the fall and the other seasons.
Conclusion: Based on the fact that acute asthma exacerbation is most prevalent in the fall and that the indoor concentration of HDM allergens is the highest in fall, the higher levels of serum HDM-sIgE in children with asthma exacerbation presenting in the fall may suggest that HDM sensitization could be a risk factor for asthma exacerbation in the fall.