| 1. |
- Zemmer, F., et al.
(författare)
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A multidisciplinary approach of outdoor aeroallergen selection for Skin Prick Testing in the geographical area of Greater Istanbul
- 2022
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Ingår i: European Annals of Allergy and Clinical Immunology. - 1764-1489. ; 54:1, s. 34-42
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Tidskriftsartikel (refereegranskat)abstract
- Background. Aeroallergen selection for skin prick testing and the interpretation of results need to be in line with allergenic sources of a specific geographic area. Objective. To identify aeroallergens for a skin test panel for the specific geographical area of Istanbul in a multidisciplinary approach based on aerobiological parameters, cross-reactivity patterns and clinical symptoms. Methods. Aerobiological parameters, cross reactivity patterns and the European Standard Skin Prick Test Panel determined allergen selection. Atopic adult patients (n = 60) compiled a questionnaire and were skin prick tested with 29 aeroallergens. Aerobiological sampling followed the requirements of the European Aerobiology Society. Results were statistically analyzed. Results. 65% of patients had positive skin reactions. Sensitization to at least one grass allergen was 30%. Key grass allergens were timothy grass (Phleum pratense L.) 25.8% and Johnson grass (Sor-ghum halepense (L.) Pers.) 22.6%; correlations between grass-sensitizations were significant at p < 0.01 and so was the correlation of Pooideae sensitization with symptoms and medication. Sensitization to at least one woody plant was 23%; to ash (Fraxinus excelsior L.) 8.1%; hazelnut (Corylus avellana L.), olive (Olea europaea L.) and mulberry (Morus alba L.) 6.5%; juniper (Juniperus ashei J. Buchholz) 4.8%. Correlations between Fagales allergen sensitizations were significant. Sensitization to at least one weed was 22%, sensitization to dock (Rumex crispus L.) 12.9%, ragweed (Ambro-sia artemisiifolia L.), and mugwort (Artemisia vulgaris L.) 4.8%. Sensitization rates correlated significantly with the length of the Main Pollen Season. Conclusions. The European Standard Panel is suitable for the geographical area of Greater Istanbul, if it comprises Johnson grass and ash. Ragweed has become clinically relevant in this region. Mulberry and dock were exclusively associated to polysensitized individuals suggesting pan-allergen involvement. © 2022, EDRA S.p.A. All rights reserved.
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| 2. |
- Zemmer, F., et al.
(författare)
-
The duration and severity of the allergenic pollen season in Istanbul, and the role of meteorological factors
- 2022
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Ingår i: Aerobiologia. - : Springer Science and Business Media LLC. - 0393-5965 .- 1573-3025. ; 38, s. 195-215
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Tidskriftsartikel (refereegranskat)abstract
- Information on the allergenic pollen season provides insight on the state of the environment of a region and facilitates allergy symptom management. We present a retrospective analysis of the duration and severity of the allergenic pollen season and the role of meteorological factors in Istanbul, Turkey. Aerobiological sampling from January 2013 to June 2016, pollen identification and counting followed current standard methodology. Pollen seasons were defined according to 95% of the Annual Pollen Integral (APIn) and the season start date was compared with the first day of 5 day consecutive non-zero records. Generalized additive models (GAMs) were created to study the effect of meteorological factors on flowering. The main pollen contributors were taxa of temperate and Mediterranean climates, and neophytic Ambrosia. Cupressaceae, Poaceae, Pinaceae, Quercus and Ambrosia had the greatest relative abundance. The pollen season defined on 95% of the APIn was adequate for our location with total APIns around 10.000 pollen*day*m(-3). Woody taxa had generally shorter seasons than herbaceous taxa. In trees, we see precipitation as the main limiting factor for assimilate production prior to anthesis. A severe tree pollen season in 2016 suggests intense synchronous flowering across taxa and populations triggered by favourable water supply in the preceding year. GAM models can explain the effect of weather on pollen concentrations during anthesis. Under the climatic conditions over the study period, temperature had a negative effect on spring flowering trees, and a positive one on summer flowering weeds. Humidity, atmospheric pressure and precipitation had a negative effect on weeds. Our findings contribute to environmental and allergological knowledge in southern Europe and Turkey with relevancy in the assessment of impacts of climate change and the management of allergic disease.
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