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Cladosporium as an airborne allergen in Saudi Arabia
S M Hasnain1, A S Al-Frayh, H A Harfi
1Departments of Biological and Medical Research, Pediatrics/Medicine, King Faisal Specialist Hospital and Research Centre, and Pediatrics and Immunology Division, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Abstract:
Airborne mold monitoring in three cities in Saudi Arabia has documented the presence of Cladosporium in high concentrations. The spore counts reached threshold levels for sensitization at Jeddah and Al-Khobar with prominent seasonal variations. The concentration in Riyadh (central region) showed levels with minor fluctuationgs and a minor peak towards the month of Novermber. Indoor monitoring also revealed the presence of Cladosporium. Ten species of Cladosporium were idenified with C. sphaerospermum, C. herbarum, C. cladosporoides and C. macrocarpum being most prevalent. The species are relevant in relation to extracts for diagnosis. Skin testing of asthmatic children in Riyadh and Makkah revealed reactivities to Cladosporium extract of 5.8% and 31.3%, respectively. This indicates that Cladosporium may be an important allergen in the region that necessitates further biochemical and immunochemical studies to confirm the allergic impact of the species of Cladosporium prevalent in the region.
Insights
High airborne mold levels of Cladosporium were found in Saudi Arabia, potentially causing allergies. Monitoring identified prevalent species and significant allergic reactions in asthmatic children, indicating a need for further research.
Area of Science:
- Environmental microbiology
- Allergen studies
- Public health
Background:
- Airborne mold, specifically Cladosporium, is a common environmental allergen.
- Saudi Arabia's climate may influence airborne mold concentrations and distribution.
- Understanding local allergen prevalence is crucial for managing allergic diseases.
Purpose of the Study:
- To quantify airborne Cladosporium concentrations in major Saudi Arabian cities.
- To identify prevalent Cladosporium species and assess their potential allergenicity.
- To investigate the correlation between Cladosporium exposure and allergic sensitization in asthmatic children.
Main Methods:
- Airborne mold sampling was conducted in Jeddah, Al-Khobar, and Riyadh.
- Indoor air quality monitoring for Cladosporium was performed.
- Species identification of Cladosporium was carried out.
- Skin prick testing was performed on asthmatic children in Riyadh and Makkah.
Main Results:
- High concentrations of airborne Cladosporium were detected, exceeding sensitization thresholds in Jeddah and Al-Khobar.
- Seasonal variations in spore counts were observed, with a minor peak in Riyadh during November.
- Ten Cladosporium species were identified, with C. sphaerospermum, C. herbarum, C. cladosporoides, and C. macrocarpum being most common.
- Skin testing revealed significant allergic reactivity to Cladosporium extracts in asthmatic children (5.8% in Riyadh, 31.3% in Makkah).
Conclusions:
- Cladosporium is a prevalent airborne mold in Saudi Arabia with significant seasonal variations.
- The identified species are relevant for diagnostic purposes.
- Cladosporium represents a potential major allergen in the region, warranting further investigation into its allergic impact.
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