Allergy

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There are thousands of types of molds and yeasts in the fungus family. Yeasts are single cells that divide to form clusters. Molds are made of many cells that grow as branching threads called hyphae. Although both can probably cause allergic reactions, only a small number of molds are widely recognized offenders. The seeds or reproductive pieces of fungi are called spores. Spores differ in size, shape, and color among types of mold. Each spore that germinates can give rise to new mold growth, which in turn can produce millions of spores. West Tennessee ENT Clinic in Jackson, TN, can be reached at 731-424-3682 today to learn more.

What is mold allergy?

When inhaled, tiny fungal spores, or sometimes pieces of fungi, may cause allergic rhinitis. Because they are so small, mold spores also can reach the lungs. In a small number of people, symptoms of mold allergy may be brought on or worsened by eating certain foods such as cheeses processed with fungi. Occasionally, mushrooms, dried fruits, and foods containing yeast, soy sauce, or vinegar will produce allergy symptoms.

Where do molds grow?

The Golden Triangle, Mississippi, and other areas of the South have very conducive conditions for mold growth. Molds can be found wherever there is moisture, oxygen, and a source of the few other chemicals they need. In the fall, they grow on rotting logs and fallen leaves, especially in moist, shady areas. In gardens they can be found in compost piles and on certain grasses and weeds. Some molds attach to grains such as wheat, oats, barley, and corn, which makes farms, grain bins, and silos likely places to find mold.

Hot spots of mold growth in the home include damp basements and closets, bathrooms (especially shower stalls), places where fresh food is stored, refrigerator drip trays, house plants, air conditioners, humidifiers, garbage pails, mattresses, upholstered furniture, and old foam rubber pillows. Molds also like bakeries, breweries, barns, dairies, and greenhouses. Loggers, mill workers, carpenters, furniture repairers, and upholsterers often work in moldy environments.

What molds are allergenic?

Like pollens, mold spores are important airborne allergens only if they are abundant, easily carried by air currents, and allergenic in their chemical makeup. Found almost everywhere, mold spores in some areas are so numerous they often outnumber the pollens in the air. Fortunately, however, only a few dozen different types are significant allergens. In general, Alternaria and Cladosporium (Hormodendrum) are the molds most commonly found both indoors and outdoors in the United States. Aspergillus, Penicillium, Helminthosporium, Epicoccum, Fusarium, Mucor, Rhizopus, and Aureobasidium (Pullularia) are common as well. There is no relationship, however, between a respiratory allergy to the mold Penicillium and an allergy to the drug penicillin, which is made from mold.

Mold allergies can cause a range of symptoms that can be uncomfortable and disruptive to daily life. Exposure to mold can trigger an allergic reaction, which occurs when the immune system overreacts to a harmless substance like mold.

Symptoms of a mold allergy can include sneezing, runny nose, itchy or watery eyes, nasal congestion, coughing, wheezing, and skin rash. In some cases, mold exposure can also cause more severe reactions, such as difficulty breathing or asthma attacks.

Mold can be found in many places, including damp and humid environments such as basements, bathrooms, and kitchens. It can also be found in outdoor areas with high humidity or near bodies of water. Mold spores can be released into the air and can be easily inhaled.

If you suspect you have a mold allergy, it's important to seek medical attention. Your doctor may recommend allergy testing to determine if mold is the cause of your symptoms. Treatment options for mold allergies may include medications such as antihistamines, nasal corticosteroids, and decongestants. In severe cases, immunotherapy (allergy shots) may be recommended.

Preventing mold exposure is also important in managing mold allergies. This includes controlling humidity levels in the home, fixing any leaks or water damage promptly, and regularly cleaning areas prone to mold growth. If you suspect mold in your home or workplace, it's important to have it removed by a professional to prevent further exposure.

House Dust and Dust Mites

Dust mite allergy is an allergy to a microscopic organism that lives in the dust found in all dwellings and workplaces. House dust, as well as some house furnishings, contains microscopic mites. Dust mites are perhaps the most common cause of perennial (year-round) allergic rhinitis. House dust mite allergy usually produces symptoms similar to pollen allergy and also can produce symptoms of asthma.

House dust mites, which live in bedding, upholstered furniture, and carpets, thrive in summer and die in winter. In a warm, humid house, however, they continue to thrive even in the coldest months. The particles seen floating in a shaft of sunlight include dead dust mites and their waste products. These waste products, which are proteins, actually provoke the allergic reaction.

What is house dust?

Rather than a single substance, so-called house dust is a varied mixture of potentially allergenic materials. It may contain fibers from different types of fabrics and materials such as:

  • Cotton lint, feathers, and other stuffing materials
  • Dander from cats, dogs, and other animals
  • Bacteria
  • Mold and fungus spores (especially in damp areas)
  • Food particles
  • Bits of plants and insects
  • Other allergens peculiar to an individual house or building

Cockroaches are commonly found in crowded cities and in the southern United States and older homes and buildings. Certain proteins in cockroach feces and saliva also can be found in house dust. These proteins can cause allergic reactions or trigger asthma symptoms in some people, especially children. Cockroach allergens likely play a significant role in causing asthma in many inner-city populations.

This information was adapted from the National Institute of Allergy and Infectious Diseases handouts on airborne allergens and food allergy.

Pollen

Each spring, summer, and fall, tiny pollen grains are released from trees, weeds, and grasses. These grains hitch rides on currents of air. Although the mission of pollen is to fertilize parts of other plants, many never reach their targets. Instead, pollen enters human noses and throats, triggering a type of seasonal allergic rhinitis called pollen allergy. Many people know this as hay fever. Of all the things that can cause an allergy, pollen is one of the most common. Many of the foods, medicines, or animals that cause allergies can be avoided to a great extent. Even insects and household dust are escapable. But short of staying indoors, with the windows closed, when the pollen count is high (and even that may not help) there is no easy way to avoid airborne pollen.

What is pollen?

Plants produce tiny (too tiny to see with the naked eye) round or oval pollen grains to reproduce. The types of pollen that most commonly cause allergic reactions are produced by the plain-looking plants (trees, grasses, and weeds) that do not have showy flowers. These plants make small, light, dry pollen grains that are custom-made for wind transport. Amazingly, scientists have collected samples of ragweed pollen 400 miles out at sea and 2 miles high in the air. Because airborne pollen can drift for many miles, it does little good to rid an area of an offending plant. In addition, most allergenic pollen comes from plants that produce it in huge quantities. For example, a single ragweed plant can generate a million grains of pollen a day.

The type of allergens in the pollen is the main factor that determines whether the pollen is likely to cause hay fever. For example, pine tree pollen is produced in large amounts by a common tree, which would make it a good candidate for causing allergy. It is, however, a relatively rare cause of allergy because the types of allergens in pine pollen appear to make it less allergenic.

Among North American plants, weeds are the most prolific producers of allergenic pollen. Ragweed is the major culprit, but other important sources are sagebrush, pigweed, lamb’s quarters, Russian thistle (tumbleweed), and English plantain. Grasses and trees, too, are important sources of allergenic pollens. Although more than 1,000 species of grass grow in North America, only a few produces highly allergenic pollen. It is common to hear people say they are allergic to colorful or scented flowers like roses. In fact, only florists, gardeners, and others who have prolonged, close contact with flowers are likely to be sensitive to pollen from these plants. Most people have little contact with the large, heavy, waxy pollen grains of such flowering plants because this type of pollen is not carried by wind but by insects such as butterflies and bees.

Some Grasses that Produce Pollen:

  • Timothy grass
  • Kentucky bluegrass
  • Johnson grass
  • Bermuda grass
  • Redtop grass
  • Orchard grass
  • Sweet vernal grass

Some Trees that Produce Pollen:

  • Oak
  • Ash
  • Elm
  • Hickory
  • Pecan
  • Box Elder
  • Mountain Cedar

When do plants make pollen?

One of the most obvious features of pollen allergy is its seasonal nature. People have symptoms only when the pollen grains to which they are allergic are in the air. Each plant has a pollinating period that is more or less the same from year to year. Exactly when a plant starts to pollinate seems to depend on the relative length of night and day, and therefore on geographical location, rather than on the weather. On the other hand, weather conditions during pollination can affect the amount of pollen produced and distributed in a specific year.

Animal Hair and Dander

Household pets are the most common source of allergic reactions to animals. Many people think that pet allergy is provoked by the fur of cats and dogs. Researchers have found, however, that the major allergens are proteins in the saliva. These proteins stick to the fur when the animal licks itself. Urine is also a source of allergy-causing proteins, as is the skin. When the substance carrying the proteins dries, the proteins can then float into the air. Cats may be more likely than dogs to cause allergic reactions because they lick themselves more, may be held more, and spend more time in the house, close to humans.

Some rodents, such as guinea pigs and gerbils, have become increasingly popular as household pets. They, too, can cause allergic reactions in some people, as can mice and rats. Urine is the major source of allergens from these animals.

Allergies to animals can take 2 years or more to develop and may not decrease until 6 months or more after ending contact with the animal. Carpet and furniture are a reservoir for pet allergens, and the allergens can remain in them for 4 to 6 weeks. In addition, these allergens can stay in household air for months after the animal has been removed. Therefore, it is wise for people with an animal allergy to check with the landlord or previous owner to find out if furry pets lived on the premises.

This information was adapted from the National Institute of Allergy and Infectious Diseases handouts on airborne allergens and food allergy.

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