We describe 14 consecutive patients with complaints due to the handling of flowers.
The symptoms varied from allergic rhinoconjunctivitis and asthma to urticaria.
Most patients had professions in the flower industry.
Skin prick tests (SPT) were performed with home-made pollen extracts from 17 different flowers known to be the most commonly grown and sold in The Netherlands.
RAST against mugwort, chrysanthemum, and solidago was performed.
The diagnosis of atopy against flowers was based on work-related symptoms due to the handling of flowers, positive SPT with flower extracts, and positive RAST.
The concordance between SPT and case history was 74%, and that between SPT and RAST was 77% Extensive cross-sensitization was seen to pollen of several members of the Compositae family (e.g., Matricaria, chrysanthemum, solidago) and to pollen of the Amaryllidaccae family (Alstroemeria and Narcissus).
Homemade flower extracts can be used to confirm IgE-mediated flower allergy.
Mugwort can be used as a screening test for possible flower allergy.
For most patients, the allergy led to a change of profession.
Mots-clés Pascal : Exposition professionnelle, Fleur, Pays Bas, Europe, Allergie, Test cutané, Prick test, Allergène, Pollen, Adolescent, Homme, Adulte, Réaction croisée, Test radioallergosorbent, Diagnostic, Etude cas, Mâle, Femelle, Maladie professionnelle, Médecine travail, Immunopathologie, Pneumallergène
Mots-clés Pascal anglais : Occupational exposure, Flower, Netherlands, Europe, Allergy, Skin test, Prick test, Allergen, Pollen, Adolescent, Human, Adult, Cross reaction, Radioallergosorbent test, Diagnosis, Case study, Male, Female, Occupational disease, Occupational medicine, Immunopathology, Aeroallergen
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0162371
Code Inist : 002B06C05. Création : 21/07/1998.