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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
[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.
Unlabelled:
The ARIA study demonstrates the correlation between bronchial asthma (BA) and perennial rhinitis (PR) with mite or animal fur allergies. There are no reports concerning correlation between BA and PR with mould allergy. The authors of this study estimated the prevalence of BA in patients with PR, allergic to moulds in comparison with patients allergic to other aeroallergens. 460 patients suffering from PR were investigated: 102 were allergic to moulds (mono- or multisensitization type) and 358 were allergic to other allergens. The prevalence of BA in mould-sensitive and insensitive patients was 70.6% and 43.6%, respectively; it was significantly higher in the mould-sensitive group (p = 0.004) regardless of the type of mould hypersensitivity (mono- or multisensitization). The higher prevalence of BA in mould-sensitive patients was found to be valid only for adults. The adult PR patients with diagnosed BA were most frequently allergic to Alternaria (47.1%) and Cladosporium (30.8%).
In Conclusion:
mould allergy may be a risk factor for BA development.
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
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Asthma-II: Pathophysiology and Classification
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 Manifestations
Asthma-III: Symptoms and Complications
Classification of Asthma
