Gender‐medicine aspects in allergology
Open Access
- 3 April 2008
- Vol. 63 (5), 610-615
- https://doi.org/10.1111/j.1398-9995.2008.01645.x
Abstract
Despite the identical immunological mechanisms activating the release of mediators and consecutive symptoms in immediate‐type allergy, there is still a clear clinical difference between female and male allergic patients. Even though the risk of being allergic is greater for boys in childhood, almost from adolescence onwards it seems to be a clear disadvantage to be a woman as far as atopic disorders are concerned. Asthma, food allergies and anaphylaxis are more frequently diagnosed in females. In turn, asthma and hay fever are associated with irregular menstruation. Pointing towards a role of sex hormones, an association of asthma and intake of contraceptives, and a risk for asthma exacerbations during pregnancy have been observed. Moreover, peri‐ and postmenopausal women were reported to increasingly suffer from asthma, wheeze and hay fever, being even enhanced by hormone replacement therapy. This may be on account of the recently identified oestradiol‐receptor‐dependent mast‐cell activation. As a paradox of nature, women may even become hypersensitive against their own sex hormones, resulting in positive reactivity upon intradermal injection of oestrogen or progesterone. More importantly, this specific hypersensitivity is associated with recurrent miscarriages. Even though there is a striking gender‐specific bias in IgE‐mediated allergic diseases, public awareness of this fact still remains minimal today.Keywords
This publication has 86 references indexed in Scilit:
- Influence of 17β-oestradiol, nortestosterone and dexamethasone on the adaptive immune response in veal calvesResearch in Veterinary Science, 2008
- Lindane may modulate the female reproductive development through the interaction with ER-β: an in vivo–in vitro approachChemico-Biological Interactions, 2007
- Estradiol activates mast cells via a non-genomic estrogen receptor-α and calcium influxMolecular Immunology, 2007
- Preterm delivery and asthma: A systematic review and meta-analysisJournal of Allergy and Clinical Immunology, 2006
- Nitration Enhances the Allergenic Potential of ProteinsInternational Archives of Allergy and Immunology, 2006
- Hormone replacement therapy, body mass index and asthma in perimenopausal women: a cross sectional surveyThorax, 2005
- Role of gender and hormone-related events on IgE, atopy, and eosinophils in the Epidemiological Study on the Genetics and Environment of Asthma, bronchial hyperresponsiveness and atopyJournal of Allergy and Clinical Immunology, 2004
- The impact of estrogen and progesterone on asthmaAnnals of Allergy, Asthma & Immunology, 2003
- Asthma and sex hormonesAllergy, 2001
- Adverse reactions to foodsBritish Journal of Nutrition, 1981