eMedicine Specialties > Pediatrics: General Medicine > Allergy & Immunology

Mold Allergy: Multimedia

Author: Shih-Wen Huang, MD, Medical Director of Allergy Service, Professor, Department of Pediatrics, Division of Immunology and Infectious Diseases, University of Florida College of Medicine
Contributor Information and Disclosures

Updated: Jun 15, 2009

Multimedia

<em>Alternaria alternata</em>.Media file 1: Alternaria alternata.
<em>Alternaria alternata</em>.

Alternaria alternata.

Bathrooms are favorite habitats for mold.Media file 2: Bathrooms are favorite habitats for mold.
Bathrooms are favorite habitats for mold.

Bathrooms are favorite habitats for mold.

Moisture is trapped in the wall behind a vinyl wa...Media file 3: Moisture is trapped in the wall behind a vinyl wall covering.
Moisture is trapped in the wall behind a vinyl wa...

Moisture is trapped in the wall behind a vinyl wall covering.

Large amounts of moisture support fungal growth, ...Media file 4: Large amounts of moisture support fungal growth, as is the case with this dry wall covering.
Large amounts of moisture support fungal growth, ...

Large amounts of moisture support fungal growth, as is the case with this dry wall covering.

Fungi collected from a spore sampler found in a c...Media file 5: Fungi collected from a spore sampler found in a cubic meter of air.
Fungi collected from a spore sampler found in a c...

Fungi collected from a spore sampler found in a cubic meter of air.

Glues can collect mold.Media file 6: Glues can collect mold.
Glues can collect mold.

Glues can collect mold.

Soapy shower doors collect fungi.Media file 7: Soapy shower doors collect fungi.
Soapy shower doors collect fungi.

Soapy shower doors collect fungi.

Wet drywall collects mold.Media file 8: Wet drywall collects mold.
Wet drywall collects mold.

Wet drywall collects mold.

Wall coverings can pucker because of mold.Media file 9: Wall coverings can pucker because of mold.
Wall coverings can pucker because of mold.

Wall coverings can pucker because of mold.

<EM>Aspergillus.</EM>Media file 10: Aspergillus.
<EM>Aspergillus.</EM>

Aspergillus.

<EM>Bipolaris.</EM>Media file 11: Bipolaris.
<EM>Bipolaris.</EM>

Bipolaris.

<EM>Cladosporium (Hormodendrum).</EM>Media file 12: Cladosporium (Hormodendrum).
<EM>Cladosporium (Hormodendrum).</EM>

Cladosporium (Hormodendrum).

<EM>Curvularia.</EM>Media file 13: Curvularia.
<EM>Curvularia.</EM>

Curvularia.

<EM>Dreschlera (Helminthosporium).</EM>Media file 14: Dreschlera (Helminthosporium).
<EM>Dreschlera (Helminthosporium).</EM>

Dreschlera (Helminthosporium).

<EM>Epicoccum.</EM>Media file 15: Epicoccum.
<EM>Epicoccum.</EM>

Epicoccum.

<EM>Penicillium.</EM>Media file 16: Penicillium.
<EM>Penicillium.</EM>

Penicillium.

<EM>Penicillium.</EM>Media file 17: Penicillium.
<EM>Penicillium.</EM>

Penicillium.

<EM>Stachybotrys.</EM>Media file 18: Stachybotrys.
<EM>Stachybotrys.</EM>

Stachybotrys.

<EM>Rhizopus.</EM>Media file 19: Rhizopus.
<EM>Rhizopus.</EM>

Rhizopus.

More on Mold Allergy

Overview: Mold Allergy
Differential Diagnoses & Workup: Mold Allergy
Treatment & Medication: Mold Allergy
Follow-up: Mold Allergy
Multimedia: Mold Allergy
References

References

  1. Antova T, Pattenden S, Brunekreef B, et al. Exposure to indoor mould and children's respiratory health in the PATY study. J Epidemiol Community Health. Aug 2008;62(8):708-14. [Medline].

  2. Karvala K, Nordman H, Luukkonen R, et al. Occupational rhinitis in damp and moldy workplaces. Am J Rhinol. Sep-Oct 2008;22(5):457-62. [Medline].

  3. Crameri R, Zeller S, Glaser AG, Vilhelmsson M, Rhyner C. Cross-reactivity among fungal allergens: a clinically relevant phenomenon?. Mycoses. Mar 2009;52(2):99-106. [Medline].

  4. Huang SW, Kimbrough JW. Mold allergy is a risk factor for persistent cold-like symptoms in children. Clin Pediatr (Phila). Dec 1997;36(12):695-9. [Medline].

  5. Manning SC, Vuitch F, Weinberg AG, Brown OE. Allergic aspergillosis: a newly recognized form of sinusitis in the pediatric population. Laryngoscope. Jul 1989;99(7 Pt 1):681-5. [Medline].

  6. Huang SW, Kimbrough JW. Effect of air cleaner on mold counts in the air and on symptoms of perennial allergic rhinitis. Pediatr Asthma, Allergy & Immunol. 1995;9:205-11.

  7. Gots RE, Layton NJ, Pirages SW. Indoor health: background levels of fungi. AIHA J (Fairfax, Va). Jul-Aug 2003;64(4):427-38. [Medline].

  8. Shah A, Kala J, Sahay S, Panjabi C. Frequency of familial occurrence in 164 patients with allergic bronchopulmonary aspergillosis. Ann Allergy Asthma Immunol. Oct 2008;101(4):363-9. [Medline].

  9. [Guideline] NAEPP. National Asthma Education and Prevention Program. Expert Panel Report 2: Guideline for the Diagnosis and Management of Asthma. NIH Publication No. 97-4051. July 1997;[Full Text].

  10. Asturias JA, Ibarrola I, Ferrer A, et al. Diagnosis of Alternaria alternata sensitization with natural and recombinant Alt a 1 allergens. J Allergy Clin Immunol. Jun 2005;115(6):1210-7. [Medline].

  11. Klote M. Hypersensitive pneumonitis. Allergy and Asthma Proc. 2005;26:493-5.

  12. Stark PC, Celedon JC, Chew GL, et al. Fungal levels in the home and allergic rhinitis by 5 years of age. Environ Health Perspect. Oct 2005;113(10):1405-9. [Medline].

  13. van der Ent CK, Hoekstra H, Rijkers GT. Successful treatment of allergic bronchopulmonary aspergillosis with recombinant anti-IgE antibody. Thorax. Mar 2007;62(3):276-7. [Medline].

  14. Fluticasone at different doses for chronic asthma in adults and children. [Best Evidence]. Cochrane Database Syst Rev. Oct 8 2008;(4):CD003534.

  15. Ricketti AJ, Greenberger PA, Patterson R. Serum IgE as an important aid in management of allergic bronchopulmonary aspergillosis. J Allergy Clin Immunol. Jul 1984;74(1):68-71. [Medline].

  16. Greenberger PA. Allergic bronchopulmonary aspergillosis. In: Middleton E, Reed CE, Ellis EF, et al. Allergy: Principles and Practice. 4th ed. Mosby-Year Book; 1998:981-93.

  17. Barnes C, Tuck J, Simon S, Pacheco F, Hu F, Portnoy J. Allergenic materials in the house dust of allergy clinic patients. Ann Allergy Asthma Immunol. May 2001;86(5):517-23. [Medline].

  18. Buckland KF, O'Connor E, Murray LA, Hogaboam CM. Toll like receptor-2 modulates both innate and adaptive immune responses during chronic fungal asthma in mice. Inflamm Res. Aug 2008;57(8):379-87. [Medline].

  19. Bush RK, Portnoy JM, Saxon A, Terr AI, Wood RA. The medical effects of mold exposure. J Allergy Clin Immunol. Feb 2006;117(2):326-33. [Medline].

  20. Casey P, Garrett J, Eaton T. Allergic bronchopulmonary aspergillosis in a lung transplant patient successfully treated with nebulized amphotericin. J Heart Lung Transplant. Nov 2002;21(11):1237-41. [Medline].

  21. Committee on Environmental Health. Spectrum of noninfectious health effects from molds. www.pediatrics.org. Available at www.pediatrics.org/cgi/doi/10.1542/peds.2006-2828. Accessed December, 2006.

  22. Denning DW, O'Driscoll BR, Powell G, et al. Randomized controlled trial of oral antifungal treatment for severe asthma with fungal sensitization: The Fungal Asthma Sensitization Trial (FAST) study. Am J Respir Crit Care Med. Jan 1 2009;179(1):11-8. [Medline].

  23. Edmondson DA, Nordness ME, Zacharisen MC, Kurup VP, Fink JN. Allergy and "toxic mold syndrome". Ann Allergy Asthma Immunol. Feb 2005;94(2):234-9. [Medline].

  24. Gruchalla RS, Pongracic J, Plaut M, et al. Inner City Asthma Study: relationships among sensitivity, allergen exposure, and asthma morbidity. J Allergy Clin Immunol. Mar 2005;115(3):478-85. [Medline].

  25. Hamilos DL. Chronic sinusitis. J Allergy Clin Immunol. Aug 2000;106(2):213-27. [Medline].

  26. Huang SW. The risk of sinusitis in children with allergic rhinitis. Allergy Asthma Proc. Mar-Apr 2000;21(2):85-8. [Medline].

  27. Huang SW. Treating pediatric perennial allergic rhinitis. Pract Allergy Immunol. 1995;10:193-8.

  28. Huang SW, Giannoni C. The risk of adenoid hypertrophy in children with allergic rhinitis. Ann Allergy Asthma Immunol. Oct 2001;87(4):350-5. [Medline].

  29. Jaakkola JJ, Hwang BF, Jaakkola N. Home dampness and molds, parental atopy, and asthma in childhood: a six-year population-based cohort study. Environ Health Perspect. Mar 2005;113(3):357-61. [Medline].

  30. Jacob B, Ritz B, Gehring U, et al. Indoor exposure to molds and allergic sensitization. Environ Health Perspect. Jul 2002;110(7):647-53. [Medline].

  31. Knutsen AP. When to suspect allergic bronchopulmonary aspergillosis. J Respir Dis. March 2006;27:123-34.

  32. Krieger JK, Takaro TK, Allen C, et al. The Seattle-King County healthy homes project: implementation of a comprehensive approach to improving indoor environmental quality for low-income children with asthma. Environ Health Perspect. Apr 2002;110 Suppl 2:311-22. [Medline].

  33. Meklin T, Potus T, Pekkanen J, Hyvarinen A, Hirvonen MR, Nevalainen A. Effects of moisture-damage repairs on microbial exposure and symptoms in schoolchildren. Indoor Air. 2005;15 Suppl 10:40-7. [Medline].

  34. Myatt TA, Minegishi T, Allen JG, Macintosh DL. Control of asthma triggers in indoor air with air cleaners: a modeling analysis. Environ Health. Aug 6 2008;7:43. [Medline].

  35. [Guideline] NHLBI. Guideline for the diagnosis and management of asthma-expert panel 11 report. NIH. 1997.

  36. Salvaggio JE, Hendrick DJ. Extrinsic allergic alveolitis. In: Allergy. 2nd ed. 2000:37-53.

  37. Santilli J, Rockwell W. Fungal contamination of elementary schools: a new environmental hazard. Ann Allergy Asthma Immunol. Feb 2003;90(2):203-8. [Medline].

  38. Schneider D, Freeman NC, McGarvey P. Asthma and respiratory dysfunction among urban, primarily Hispanic school children. Arch Environ Health. Jan 2004;59(1):4-13. [Medline].

  39. Solomon WR. Pollen and fungi. Aerobiology and inhalant allergens. In: Middleton E, Reed CE, Ellis EF, et al. Allergy: Principles and Practice. 5th ed. Mosby-Year Book; 1998:367-93.

  40. Suzuki K, Iwata S, Iwata H. Allergic bronchopulmonary aspergillosis in a 9-year-old boy. Eur J Pediatr. Jul 2002;161(7):408-9. [Medline].

  41. Virant FS. Allergic rhinitis. Pediatr Rev. Sep 1992;13(9):323-8. [Medline].

Further Reading

Keywords

mold allergy, fungal allergy, fungi, Oomycetes, Zygomycetes, Ascomycetes, Basidiomycetes, Deuteromycetes, allergic rhinitis, allergic conjunctivitis, allergic asthma, immunoglobulin E–mediated asthma, IgE-mediated asthma, AFS, allergic fungal sinusitis, ABPA, allergic bronchopulmonary aspergillosis, ABPM, non-Aspergillus allergic bronchopulmonary mycosis, non-Aspergillus ABPM, EAA, extrinsic allergic alveolitis, wood pulp worker's lung, malt worker's lung, farmer's lung, maple bark stripper's lung, sewage worker's lung, paprika splitter's lung, humidifier lung, ventilation pneumonitis, cystic fibrosis, CF, mold-related illness, occupational rhinitis, bronchiolitis obliterans, bronchiectasis, allergic shiner, respiratory failure, pulmonary hypertension, heart failure, treatment, diagnosis

Contributor Information and Disclosures

Author

Shih-Wen Huang, MD, Medical Director of Allergy Service, Professor, Department of Pediatrics, Division of Immunology and Infectious Diseases, University of Florida College of Medicine
Shih-Wen Huang, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology
Disclosure: Nothing to disclose.

Medical Editor

C Lucy Park, MD, Head, Division of Allergy, Immunology, and Pulmonology, Associate Professor, Department of Pediatrics, University of Illinois at Chicago
C Lucy Park, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American Medical Association, Chicago Medical Society, Clinical Immunology Society, and Illinois State Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

David J Valacer, MD, Consulting Staff, Hoffman La Roche Pharmaceuticals
David J Valacer, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American Academy of Pediatrics, American Association for the Advancement of Science, American Thoracic Society, and New York Academy of Sciences
Disclosure: Nothing to disclose.

CME Editor

David Pallares, MD, Clinical Assistant Professor, Department of Pediatrics, Division of Allergy and Immunology, University of Louisville
David Pallares, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology
Disclosure: Nothing to disclose.

Chief Editor

Harumi Jyonouchi, MD, Associate Professor, Division of Pulmonary Allergy/Immunology and Infectious Diseases, Department of Pediatrics, UMDNJ-New Jersey Medical School
Harumi Jyonouchi, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American Academy of Pediatrics, American Association of Immunologists, American Medical Association, Clinical Immunology Society, New York Academy of Sciences, Society for Experimental Biology and Medicine, Society for Mucosal Immunology, and Society for Pediatric Research
Disclosure: Nothing to disclose.

 
 
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