2009
DOI: 10.1007/s11882-009-0056-8
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Allergens and thunderstorm asthma

Abstract: Thunderstorm-related asthma is increasingly recognized in many parts of the world. This review focuses on important advances in the understanding of the mechanism of the role of allergens, in particular fungal spores such as Alternaria, in asthma epidemics associated with thunderstorms. From our observations, we have proposed that the prerequisites for this phenomenon are as follows: 1) a sensitized, atopic, asthmatic individual; 2) prior airway hyperresponsiveness before a sudden, large allergen exposure; 3) … Show more

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Cited by 49 publications
(27 citation statements)
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“…Recently, LOSAPPIO et al [22] observed 20 patients with allergic sensitisation to Olea pollen who presented to an emergency department in Barletta, Italy, for sudden and severe asthmatic symptoms in May 2010 following a thunderstorm. A similar phenomenon has been suggested for moulds [25] after the observation of a possible key role of sensitisation to Alternaria species in thunderstormrelated asthma [21]. To date, among pollens, only grass, Parietaria and olive pollen have been suggested as possible key factors in thunderstorm-related asthma [26].…”
Section: Thunderstorms and Allergic Asthma Epidemics In Pollen Allergsupporting
confidence: 68%
See 1 more Smart Citation
“…Recently, LOSAPPIO et al [22] observed 20 patients with allergic sensitisation to Olea pollen who presented to an emergency department in Barletta, Italy, for sudden and severe asthmatic symptoms in May 2010 following a thunderstorm. A similar phenomenon has been suggested for moulds [25] after the observation of a possible key role of sensitisation to Alternaria species in thunderstormrelated asthma [21]. To date, among pollens, only grass, Parietaria and olive pollen have been suggested as possible key factors in thunderstorm-related asthma [26].…”
Section: Thunderstorms and Allergic Asthma Epidemics In Pollen Allergsupporting
confidence: 68%
“…It is likely that there is no role for cold or thunderbolts as only patients with allergic sensitisation to pollen and not patients suffering from intrinsic asthma have been involved. In the case of fungal spores, such as Alternaria, the prerequisites for asthma epidemics associated with thunderstorms have been described as follows [20,25]: 1) a sensitised, atopic, asthmatic individual; 2) a sudden, large allergen exposure; 3) a large-scale thunderstorm with cold outflow occurring at a time and location during an allergen season in which large numbers of asthmatics are outdoors; and 4) sudden release of large amounts of respirable allergenic fragments, particularly fungal spores such as Alternaria.…”
Section: Possible Mechanisms For Thunderstorm-related Asthmamentioning
confidence: 99%
“…Although mitosporic fungi and pollen seem to predominate in temperate regions, some aerobiological and epidemiological studies performed in these areas have correlated asthma symptoms with concentrations of basidiospores (Jenkins et al 1980;Delfino et al 1996Delfino et al , 1997Epton et al 1997;Dales et al 2000;Newhouse and Levetin 2004). In addition, some of these studies have also found association of respiratory allergies with meteorological conditions that are suitable for the release of basidiospores, such as high humidity and dew point (Morrow-Brown and Jackson 1985; Davidson et al 1996;Lewis et al 2000;Levetin and Van de Water 2001;Taylor and Jonsson 2004;Nasser and Pulimood 2009).…”
Section: Respiratory Allergiesmentioning
confidence: 99%
“…A further genus, Didymella, has been monitored in certain places due to its high abundance in the air and harmful properties. Such spores have been shown to induce allergenic response in sensitised individuals (Harries et al 1985;Nasser and Pulimood 2009). These genera therefore form an important part of the overall bioaerosol load with the implications for ecosystems, crops and human health.…”
Section: Introductionmentioning
confidence: 99%