In asthma, it is uncertain whether there is an association between degrees of exposure to domestic allergens and asthma severity. The pattern of sensitivity and exposure to common indoor allergens was examined in subjects with differing asthma severity.Sensitivity to house dust mite, dog and cat allergen and exposure to Der p 1, Can f 1 and Fel d 1 were assessed by skin prick tests and settled dust analysis in 28 subjects with severe asthma and 28 age-and sex-matched subjects with mild asthma (two declined skin prick test).All severe asthmatic subjects had at least one positive skin test and 20 of the 28 subjects were positive to all three allergens. Fourteen of the 26 subjects with mild asthma who took skin prick tests were positive to at least one, and one of these subjects was positive to the three allergens tested. Except for bedroom Fel d 1, the proportion of severe asthmatics both sensitized and exposed to each allergen at each site was significantly greater than the proportion sensitized and exposed in the mild asthma group. The geometric mean allergen concentrations, with the exception of bedroom Fel d 1, were greater in sensitized severe asthmatics than the sensitized mild asthmatics, which was significant for Der p 1 in bedroom samples and Can f 1 in bedroom and living room samples.These results support an association between the degrees of domestic allergen exposure in sensitized individuals and asthma severity. Eur Respir J 1999; 13: 654±659.
A serological survey of the prevalence of a new herpesvirus isolated from red deer (Cervus elaphus), tentatively designated herpesvirus of Cervidae type 1 (HVC-1), has shown that the virus is widespread in free-living and farmed red deer. Neutralising antibodies were detected in hill deer culled at three different locations in the north of Scotland, in farmed deer on five of eight Scottish farms and in four of 12 groups of English farmed or park deer. Fifty-eight of 145 (40 per cent) hill deer, 67 of 203 (33 per cent) Scottish farmed deer and 26 of 172 (14 per cent) English deer had antibody, the overall prevalence being 29 per cent. Further outbreaks of ocular disease in farmed red deer calves caused by HVC-1 were investigated. Deer sent to an auction from one farm were found after sale to have been incubating the disease and it was thus spread to seven deer farms. Despite a high incidence of clinical disease in the calves from the original farm, few in-contact deer showed clinical signs.
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