Occupational Asthma Reference

Armentia A, Tapias J, Barber D, Martin J, de la Fuente R, Sanchez P, Salcedo G, Carreira J, Sensitization to the storage mite Lepidoglyphus destructor in wheat flour respiratory allergy, Ann Allergy, 1992;68:398-403,

Keywords: oa, storage mite, mite, Lepidoglyphus, Lepidoglyphus destructor, wheat, flour, baker, IgE

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Abstract

Occupational allergy due to hypersensitivity to cereal flours is relatively common among bakers and grain-store workers. Storage mites can contaminate wheat flour and could be an important cause of allergic symptoms due to inhalation. Forty-three patients with criteria for allergic sensitization to wheat flour (skin tests, specific IgE to wheat flour and positive challenge tests) were included in a study to investigate the prevalence of cosensitization to Lepidoglyphus destructor (Ld). This mite was the predominant species in the wheat flour samples supplied by our patients. We found that 30% of the patients had IgE-mediated hypersensitivity of Ld. Of these, 23% did not have a relationship with any bakery or agriculture. We conclude that the prevalence of sensitization to Ld in patients sensitized to wheat flour is important

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