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Published on: September 25, 2014
Occupational sensitization to Plasmopara viticola
W W Schaubschläger1, W M Becker, G Mazur
1Institut und Poliklinik für Arbeitsmedizin der Universität, München, Germany.
Abstract:
Molds of the class of Oomycetes are of allergologic importance in special cases. However, probes are not commercially available for diagnostic purposes. Our case report is based on the medical history of a greenhouse worker who had atopic syndrome. He handled pure cultures of defined fungi and plants. A sensitization to pseudo mildew growing on grapevine (Plasmopara viticola) was found. Skin prick test and histamine release test results were positive when extract of P. viticola was used. Detection of IgE reactivities against pseudo mildew via binding tests, Western blot analysis, and isoelectric focusing immunoblot confirmed the diagnosis. To our knowledge these results demonstrate for the second time a sensitization to Oomycetes.
Insights
Oomycetes, a class of molds, can cause allergies. This case report details a greenhouse worker sensitized to Plasmopara viticola, a pseudo mildew, confirmed by allergy tests.
Area of Science:
- Mycology
- Allergology
- Plant Pathology
Background:
- Oomycetes are increasingly recognized for their allergologic significance.
- Diagnostic probes for Oomycetes sensitization are not widely available.
- Atopic syndromes can be triggered by environmental fungal exposures.
Observation:
- A greenhouse worker with atopic syndrome was exposed to various fungi and plants.
- Sensitization to Plasmopara viticola, a grapevine pseudo mildew, was suspected.
- The patient handled pure cultures of defined fungi and plants.
Findings:
- Skin prick tests and histamine release tests showed positive reactions to Plasmopara viticola extract.
- Specific IgE antibodies against Plasmopara viticola were confirmed using binding tests, Western blot, and isoelectric focusing immunoblot.
- This case provides evidence of human sensitization to Oomycetes, specifically Plasmopara viticola.
Implications:
- Highlights the potential for Oomycetes, like Plasmopara viticola, to act as allergens.
- Suggests the need for developing diagnostic tools for Oomycetes-related allergies.
- Emphasizes occupational allergy risks in agricultural and horticultural settings.
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