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Sensitivity to fungal allergens is a risk factor for life‐threatening asthma

Background: Previous studies have suggested that sensitivity to Alternaria and Cladosporium may be risk factors for life‐threatening asthma. We have investigated this by studying the relationship between skin tests for fungal spores and admission to an intensive care unit (ICU) for asthma. Methods: ...

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Published in:Allergy (Copenhagen) 2000-05, Vol.55 (5), p.501-504
Main Authors: Black, P. N., Udy, A. A., Brodie, S. M.
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description Background: Previous studies have suggested that sensitivity to Alternaria and Cladosporium may be risk factors for life‐threatening asthma. We have investigated this by studying the relationship between skin tests for fungal spores and admission to an intensive care unit (ICU) for asthma. Methods: Skin prick tests for fungal spores (Alternaria tenuis, Cladosporium cladosporoides, Helminthosporium maydis, and Epicoccum nigrum), cat dander, house‐dust mite (Dermatophagoides pteronyssinus), and a seven‐grass mix were performed in three groups of patients: patients admitted to an ICU with an attack of asthma; those who had received emergency treatment for asthma but had not been admitted to an ICU, and those who had never required emergency treatment for their asthma. Results: Twenty of 37 patients (54%) admitted to the ICU had a positive skin test for one or more fungal allergens compared with 15/50 patients (30%) in each of the other groups (P=0.005). The ICU patients were no more likely to have positive skin tests for the grass mix, cat dander, or house‐dust mite than the other patients. Conclusions: A positive skin test for fungal allergens is a risk factor for admission to an ICU with an acute attack of asthma.
doi_str_mv 10.1034/j.1398-9995.2000.00293.x
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N. ; Udy, A. A. ; Brodie, S. M.</creator><creatorcontrib>Black, P. N. ; Udy, A. A. ; Brodie, S. M.</creatorcontrib><description>Background: Previous studies have suggested that sensitivity to Alternaria and Cladosporium may be risk factors for life‐threatening asthma. We have investigated this by studying the relationship between skin tests for fungal spores and admission to an intensive care unit (ICU) for asthma. Methods: Skin prick tests for fungal spores (Alternaria tenuis, Cladosporium cladosporoides, Helminthosporium maydis, and Epicoccum nigrum), cat dander, house‐dust mite (Dermatophagoides pteronyssinus), and a seven‐grass mix were performed in three groups of patients: patients admitted to an ICU with an attack of asthma; those who had received emergency treatment for asthma but had not been admitted to an ICU, and those who had never required emergency treatment for their asthma. Results: Twenty of 37 patients (54%) admitted to the ICU had a positive skin test for one or more fungal allergens compared with 15/50 patients (30%) in each of the other groups (P=0.005). The ICU patients were no more likely to have positive skin tests for the grass mix, cat dander, or house‐dust mite than the other patients. 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N.</creatorcontrib><creatorcontrib>Udy, A. A.</creatorcontrib><creatorcontrib>Brodie, S. M.</creatorcontrib><title>Sensitivity to fungal allergens is a risk factor for life‐threatening asthma</title><title>Allergy (Copenhagen)</title><addtitle>Allergy</addtitle><description>Background: Previous studies have suggested that sensitivity to Alternaria and Cladosporium may be risk factors for life‐threatening asthma. We have investigated this by studying the relationship between skin tests for fungal spores and admission to an intensive care unit (ICU) for asthma. Methods: Skin prick tests for fungal spores (Alternaria tenuis, Cladosporium cladosporoides, Helminthosporium maydis, and Epicoccum nigrum), cat dander, house‐dust mite (Dermatophagoides pteronyssinus), and a seven‐grass mix were performed in three groups of patients: patients admitted to an ICU with an attack of asthma; those who had received emergency treatment for asthma but had not been admitted to an ICU, and those who had never required emergency treatment for their asthma. Results: Twenty of 37 patients (54%) admitted to the ICU had a positive skin test for one or more fungal allergens compared with 15/50 patients (30%) in each of the other groups (P=0.005). The ICU patients were no more likely to have positive skin tests for the grass mix, cat dander, or house‐dust mite than the other patients. Conclusions: A positive skin test for fungal allergens is a risk factor for admission to an ICU with an acute attack of asthma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Allergens - adverse effects</subject><subject>Allergic diseases</subject><subject>Alternaria - immunology</subject><subject>Animals</subject><subject>asthma</subject><subject>Asthma - complications</subject><subject>Asthma - immunology</subject><subject>Asthma - therapy</subject><subject>Biological and medical sciences</subject><subject>Cats</subject><subject>Cladosporium - immunology</subject><subject>Critical Care</subject><subject>Dust - adverse effects</subject><subject>Female</subject><subject>fungal allergens</subject><subject>Helminthosporium - immunology</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mites - immunology</subject><subject>Poaceae - immunology</subject><subject>Respiratory and ent allergic diseases</subject><subject>Skin Tests</subject><subject>Spores, Fungal - immunology</subject><issn>0105-4538</issn><issn>1398-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><recordid>eNqNkM1OGzEQgC1URELgFZAPVW-7jP92bakXhGhBiuAAnC1n106cOrvU3kBy6yPwjDwJu00EPfYwmpHmmxnNhxAmkBNg_HyZE6ZkppQSOQWAHIAqlm8O0Pij8QWNgYDIuGByhI5TWvZgSRUcoREByRlnbIxu722TfOeffbfFXYvdupmbgE0INs77FvYJGxx9-oWdqbo2YtdH8M6-_XntFtGazja-mWOTusXKnKBDZ0Kyp_s8QY8_rh4ur7Pp3c-by4tpVnGhWMZLC6bmqihpzevCcSlmypZMWEdpwQBEzYmV1AHrf1DMgOCSikIyruRsVrAJ-rbb-xTb32ubOr3yqbIhmMa266RLQgoKdADlDqxim1K0Tj9FvzJxqwnowaVe6kGZHpTpwaX-61Jv-tGz_Y31bGXrfwZ38nrg6x4wqTLBRdNUPn1yTCgqoMe-77AXH-z2v-_ri-m0L9g7OwyOoA</recordid><startdate>200005</startdate><enddate>200005</enddate><creator>Black, P. N.</creator><creator>Udy, A. A.</creator><creator>Brodie, S. M.</creator><general>Munksgaard International Publishers</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200005</creationdate><title>Sensitivity to fungal allergens is a risk factor for life‐threatening asthma</title><author>Black, P. N. ; Udy, A. A. ; Brodie, S. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4593-47e0ad49672d4d6f485b9e735ef2263005d41e82f0301093a054825683498bb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Allergens - adverse effects</topic><topic>Allergic diseases</topic><topic>Alternaria - immunology</topic><topic>Animals</topic><topic>asthma</topic><topic>Asthma - complications</topic><topic>Asthma - immunology</topic><topic>Asthma - therapy</topic><topic>Biological and medical sciences</topic><topic>Cats</topic><topic>Cladosporium - immunology</topic><topic>Critical Care</topic><topic>Dust - adverse effects</topic><topic>Female</topic><topic>fungal allergens</topic><topic>Helminthosporium - immunology</topic><topic>Humans</topic><topic>Immunopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mites - immunology</topic><topic>Poaceae - immunology</topic><topic>Respiratory and ent allergic diseases</topic><topic>Skin Tests</topic><topic>Spores, Fungal - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Black, P. N.</creatorcontrib><creatorcontrib>Udy, A. A.</creatorcontrib><creatorcontrib>Brodie, S. M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Allergy (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Black, P. N.</au><au>Udy, A. A.</au><au>Brodie, S. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sensitivity to fungal allergens is a risk factor for life‐threatening asthma</atitle><jtitle>Allergy (Copenhagen)</jtitle><addtitle>Allergy</addtitle><date>2000-05</date><risdate>2000</risdate><volume>55</volume><issue>5</issue><spage>501</spage><epage>504</epage><pages>501-504</pages><issn>0105-4538</issn><eissn>1398-9995</eissn><coden>LLRGDY</coden><abstract>Background: Previous studies have suggested that sensitivity to Alternaria and Cladosporium may be risk factors for life‐threatening asthma. We have investigated this by studying the relationship between skin tests for fungal spores and admission to an intensive care unit (ICU) for asthma. Methods: Skin prick tests for fungal spores (Alternaria tenuis, Cladosporium cladosporoides, Helminthosporium maydis, and Epicoccum nigrum), cat dander, house‐dust mite (Dermatophagoides pteronyssinus), and a seven‐grass mix were performed in three groups of patients: patients admitted to an ICU with an attack of asthma; those who had received emergency treatment for asthma but had not been admitted to an ICU, and those who had never required emergency treatment for their asthma. Results: Twenty of 37 patients (54%) admitted to the ICU had a positive skin test for one or more fungal allergens compared with 15/50 patients (30%) in each of the other groups (P=0.005). The ICU patients were no more likely to have positive skin tests for the grass mix, cat dander, or house‐dust mite than the other patients. Conclusions: A positive skin test for fungal allergens is a risk factor for admission to an ICU with an acute attack of asthma.</abstract><cop>Copenhagen</cop><pub>Munksgaard International Publishers</pub><pmid>10843433</pmid><doi>10.1034/j.1398-9995.2000.00293.x</doi><tpages>4</tpages></addata></record>
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source Wiley-Blackwell Read & Publish Collection; Alma/SFX Local Collection
subjects Adolescent
Adult
Allergens - adverse effects
Allergic diseases
Alternaria - immunology
Animals
asthma
Asthma - complications
Asthma - immunology
Asthma - therapy
Biological and medical sciences
Cats
Cladosporium - immunology
Critical Care
Dust - adverse effects
Female
fungal allergens
Helminthosporium - immunology
Humans
Immunopathology
Male
Medical sciences
Middle Aged
Mites - immunology
Poaceae - immunology
Respiratory and ent allergic diseases
Skin Tests
Spores, Fungal - immunology
title Sensitivity to fungal allergens is a risk factor for life‐threatening asthma
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