Evaluation of the cause of nasal and ocular symptoms associated with lawn mowing
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Published on: January 21, 2018
Abstract:
A number of individuals with perennial or seasonal rhinoconjunctivitis state that their symptoms may suddenly worsen on exposure to lawn mowing. Many allergists have believed that this was related to the agitation of molds deposited on the grass. We studied 50 consecutive new patients with rhinitis using history, skin testing, total and specific IgE assays, and nasal smears. Twenty-five patients gave histories of minimal or no change in their nasal symptoms with exposure to lawn mowing, whereas 11 patients had definite, but mild, symptoms, and 14 patients had severe symptoms. Positive skin tests to grasses, trees, and weed pollens were more frequent in those patients with symptoms exacerbated by lawn mowing (p less than 0.03). Symptomatic patients also had higher serum concentrations of total IgE (p less than 0.008) and grass-pollen specific IgE (p = 0.0004). The frequencies of positive skin tests to ragweed pollens, house dust, molds, and grass leaves, as well as the percentage of nasal eosinophils, were not different in the symptomatic and asymptomatic groups. No significant association was found between symptoms and IgE antibodies to molds or grass-leaf extract. We believe that the increased nasal and ocular symptoms coincident with lawn mowing are allergic phenomena significantly associated with skin test sensitivity and specific IgE antibodies to grass pollens but not with sensitivity or specific IgE to molds or grass-leaf extract.
Insights
Lawn mowing can worsen allergy symptoms due to grass pollens, not molds. This study found a link between mowing and allergic reactions, particularly with grass pollen sensitivity.
Area of Science:
- Allergy and Immunology
- Environmental Health
Background:
- Seasonal and perennial rhinoconjunctivitis symptoms can be triggered by environmental exposures.
- Exposure to lawn mowing is a common trigger for sudden worsening of allergy symptoms in some individuals.
- Previous hypotheses suggested mold agitation as the cause, but this study investigated allergic mechanisms.
Purpose of the Study:
- To investigate the allergic mechanisms behind exacerbated nasal and ocular symptoms during lawn mowing.
- To determine if symptoms are associated with specific allergens like pollens or molds.
- To differentiate between mold and pollen allergies as triggers for lawn mowing-related symptoms.
Main Methods:
- Studied 50 new rhinitis patients using detailed history, skin testing, total and specific IgE assays, and nasal smears.
- Categorized patients based on symptom severity during lawn mowing exposure.
- Analyzed correlations between symptom severity and positive skin tests or IgE levels for various allergens.
Main Results:
- 14 out of 50 patients reported severe symptoms, 11 mild, and 25 minimal/no change with lawn mowing.
- Symptomatic patients showed significantly higher rates of positive skin tests to grasses, trees, and weed pollens.
- Elevated serum total IgE and specific IgE antibodies to grass pollens were strongly associated with mowing-induced symptoms.
Conclusions:
- Increased nasal and ocular symptoms during lawn mowing are allergic phenomena.
- These symptoms are significantly associated with skin test sensitivity and IgE antibodies to grass pollens.
- No significant association was found with sensitivity or IgE to molds or grass-leaf extract, challenging previous assumptions.
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