1. School of Medicine Chung Shan Medical University Taichung Taiwan
2. Division of Allergy, Immunology, Rheumatology Changhua Christian Hospital Changhua Taiwan
3. Institute of Medicine, Chung Shan Medical University Taichung Taiwan
4. Department of Nursing Chung Shan Medical University Taichung Taiwan
5. Division of Allergy, Immunology, Rheumatology Chung Shan Medical University Hospital Taichung Taiwan
6. Graduate Institute of Integrated Medicine, China Medical University Taichung Taiwan