Fungal Aeroallergen Sensitization Patterns among Airway-Allergic Patients in Zagazig, Egypt

Ghada A Mokhtar1, Manar G Gebriel1, Noha M Hammad1

  • 1Department of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt.

Abstract

Insights

Fungal allergy is common in airway-allergic patients. In Egypt, Alternaria alternata was the most frequent fungal trigger, affecting over 70% of patients studied.

Area of Science:

  • Allergy and Immunology
  • Environmental Health

Background:

  • Global rise in airway allergies like asthma and allergic rhinitis.
  • Fungal sensitization affects 3-10% of the population, varying geographically.
  • Significant health and economic burden associated with allergies.

Purpose of the Study:

  • Identify common fungal aeroallergen sensitization patterns in Egyptian patients.
  • Enhance understanding of fungal allergy in the Zagazig region.
  • Improve awareness and management strategies for allergic patients.

Main Methods:

  • Cross-sectional study of 200 patients with allergic rhinitis or asthma.
  • Skin prick testing to assess fungal aeroallergen sensitization.
  • In vitro measurement of total and specific immunoglobulin E.

Main Results:

  • 58% of patients showed sensitization to mixed molds.
  • Alternaria alternata was the predominant allergen (72.2%).
  • Other common fungal allergens included Aspergillus fumigatus (53.45%), Penicillium notatum (52.6%), Candida albicans (34.5%), and Aspergillus niger (25%).

Conclusions:

  • Mixed mold sensitization was the fourth most frequent aeroallergen.
  • Alternaria alternata is the most prevalent fungal aeroallergen in Zagazig, Egypt.
  • Findings aid in targeted allergy management and public health awareness.