Epidemiology of allergic disease: the fungi

Summary In indoor aerial environments and in particular that of homes, the number and type of fungal spores present in the air depend, more than on air exchange with the outside atmosphere, on the presence of sources or dispersion within the building itself. The concentration of spores is half that normally recorded outside the building, withAspergillus, Penicillium, Cladosporium, Alternaria, Mucor, Rhizopus andOidiodendron as the dominating genera. Aerosporological investigations carried out in homes should ideally be done at night, with the exposition of cultural dishes. The repetitive isolation of the same fungus may be particularly important in the etiology of allergic manifestation in man. Particular environments, if insufficiently aerated, with high levels of relative humidity and insufficient illumination, may become ecological niches particularly well suited to fungi, both during its latent form or during a phase of rapid development. Together with rapidly developing fungi, for instanceMucor andRhizopus, slow developing moulds such asPenicillium, Aspergillus andTrichoderma may also be found, characterized however by a production of a great number of easily dispersed conidia. Etiological research into the allergic manifestations of patients continuously inhaling spores responsible for particular allergies appears to be insufficiently developed.