Evaluation of the cause of nasal and ocular symptoms associated with lawn mowing

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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