Summary
A survey of the house dust mite population was carried out in the homes of fifty asthmatic Liverpool individuals with strongly positive skin tests to Dermatophagoides pteronyssinus. As expected, D. pteronyssinus was the commonest species found. However, Euroglyphus maynei made up 37% of the total adult mite count and was the predominant species in 48% of beds examined. There was a good correlation between increasing numbers of E. maynei and decreasing social class, but only a weak one with percentage relative humidity. Ionic sodium levels in bed dust were found to correlate with decreasing social class and increasing E. maynei levels. In nineteen beds, mites were sampled at 4‐monthly intervals for 1 year—this showed a relative decrease in the proportion of E. maynei compared with other mites in the autumn, when relative humidity was high. A further twenty beds underwent intensive house dust eradication (including the use of plastic covers) for 1 year—these beds showed a progressive fall in the proportion of E. maynei recovered, suggesting that this mite is more vulnerable to anti‐house dust mite measures.
Euroglyphus maynei is a common house dust mite and further work needs to be done to assess its antigenic nature and clinical significance.
Cardiopulmonary function was evaluated in 21 patients with fibrodysplasia ossificans progressiva. Neither cardiac enlargement nor failure was observed, but six patients had abnormal electrocardiograms. All had marked restrictive spirometry because ofchest wall fixation and depended upon diaphragmatic respiration. The severity ofchest restriction was independent ofsex, age, duration of disease, and extent of other physical disability. Progression to chronic respiratory failure was not observed. Chest infection in the presence of diminished pulmonary reserve is the major hazard to life in this rare disease and prophylactic measures should be considered.
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