Betulaceae and Corylaceae in Trieste (NE-Italy):Aerobiological and clinical data

Airborne pollen produced by Betulaceae and Corylaceaeis present in the Trieste area for a long period fromJanuary to June, but only in April it does representa considerable proportion (436 p/m³) of the totalpollen count (1193 p/m³). In the years considered (1995–1997), there was a gradual increase in thepollen count of Corylaceae and Betulaceae: frommaximum levels of 580 p/m³ in 1995 to 1218 p/m³ in 1997, and the taxon making the mostsignificant contribution to the pollen concentrationcurve was Ostrya carpinifolia. Sensitization to Betulaceae and Corylaceae wasanalyzed in 2213 subjects visiting our clinic betweenJanuary 1st 1995 and December 31th 1997, withallergic symptoms believed to be IgE mediated. Of thegroup, 1292 (58.4%) were atopic by skin prick testand 328 of them (25.4%) were sensitized to Betulaceaeand Corylaceae. Of the 328 subjects, 72.6% werecosensitized to Gramineae, 56.1% to Oleaceae, 42.1%to Compositae, and just over half to house-dust mites(52.1%). Only ten cases were mono-sensitized (3%).Of the subjects sentitized to Betulaceae andCorylaceae, 163 complained of rhinitis (72%) and 110of asthma (33.6%), often in association withrhinitis; 177 (54%) had only seasonal symptoms.Sensitization to Betulaceae and Corylaceae is high,but its role in inducing allergic respiratorysymptoms is difficult to evaluate because almost allpatients were sensitized to other pollen types. Inconclusion, the role played by this family of trees indetermining allergic respiratory symptoms could becomeincreasingly important in this geographical area inthe future, if pollen levels continue to rise at theirpresent rates. For the moment, sensitivity toBetulaceae-Corylaceae among the population is presentalmost exclusively in subjects sensitized also toother pollen types.