MIGRAINE HEADACHE IN A CHILD WITH HOUSE DUST AND MITE ALLERGY: A CASE REPORT
ABSTRACT: House dust mite is
common aeroallergen. It can cause type 1 allergy (IgE-mediated) symptoms from
dust inhalation with different spectrums of the disease. The relationship
between migraine headache and aeroallergen has been questioned for many years.
Objective: To report a case of migraine headaches in a child due to house dust
and mite allergy and the course of this allergy after specific immunotherapy.
Methods: Case report; routine skin
testing and laboratory tests. Results: A
9-year-old boy with a 2-years history of migraine headaches every morning
especially in the rainy season. Skin tests revealed positive reactions to
commercial house dust extract, mite extract and Der p 1 extracts. An elevated
total IgE level and specific house dust and mite IgE RAST found in the serum of
patient. After 3 months of initial immunotherapy the symptoms decreased
significantly. Conclusions: This case reported the rare case of childhood
migraine headache due to house dust and mite allergy. This report demonstrates
that without immunotherapy, a migraine headache did not yield symptoms
improvement.
Author: Anang Endaryanto,
Ariyanto Harsono
Journal Code: jpkedokterangg050017
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