[Allergy to mould allergens as a risk factor for bronchial asthma in patients suffering from allergic rhinitis]

Ewa Bogacka1, Marita Nittner-Marszalska, Andrzej M Fal

  • 1Klinika Chorób Wewnetrznych i Alergologii Akademii Medycznej we Wrocławiu.

Abstract

Insights

Mould allergy is linked to a higher risk of developing bronchial asthma (BA) in adults with perennial rhinitis (PR). This study highlights mould allergy as a potential risk factor for BA, particularly in adults.

Area of Science:

  • Allergology and Immunology
  • Respiratory Medicine

Context:

  • Perennial rhinitis (PR) and bronchial asthma (BA) often coexist, commonly associated with allergies to mites or animal fur.
  • The relationship between PR, BA, and mould allergy has been less explored.
  • This study investigates the prevalence of BA in patients with PR, specifically comparing those with mould allergies to those with other aeroallergen sensitivities.

Purpose:

  • To estimate the prevalence of bronchial asthma (BA) in patients suffering from perennial rhinitis (PR).
  • To compare the prevalence of BA in PR patients allergic to moulds versus those allergic to other aeroallergens.
  • To determine if mould allergy is a significant risk factor for BA development in PR patients.

Summary:

  • The study analyzed 460 patients with PR, with 102 allergic to moulds and 358 to other allergens.
  • Bronchial asthma prevalence was significantly higher in mould-allergic PR patients (70.6%) compared to non-mould-allergic patients (43.6%) (p = 0.004).
  • This association was particularly significant in adult patients, with Alternaria and Cladosporium being the most common mould allergens in adults with both PR and BA.

Impact:

  • Mould allergy may represent a significant risk factor for the development of bronchial asthma, especially in adults.
  • Findings suggest that identifying and managing mould allergies in perennial rhinitis patients could be crucial for preventing or managing asthma.
  • This research underscores the importance of considering mould sensitization in the etiological assessment of bronchial asthma in adults with allergic rhinitis.

Related Concept Videos

Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma