Uter W, Nöhle M, Randerath B, Schwanitz H J
Deptartment of Medical Informatics, Biometry, and Epidemiology, University of Erlangen/Nürnberg, Erlangen, Germany.
Am J Contact Dermat. 2001 Sep;12(3):182-4.
Insect-pollinated members of the plant family Compositae (Asteraceae) rarely cause immediate-type hypersensitivity disease; however, this may have quite disabling consequences, which is shown by the case of a 42-year-old female florist. She developed contact urticaria later accompanied by rhinoconjunctivitis and bronchial asthma with maximum obstruction occurring some hours after the end of occupational exposure to the causative Compositae pollens of, for example, dandelions, blazing star, golden rod, yarrow, Aster ssp, chrysanthemums, and marguerite. Skin testing revealed immediate-type hypersensitivity to several members of the above-mentioned plant family confirmed by demonstration of specific IgE antibodies. Bronchial provocation testing yielded a positive response with all 4 pollen extracts tested. The patient had to give up work in a flower shop, because sufficient avoidance of airborne inhalant exposure was not considered practical.
菊科植物中靠昆虫授粉的成员很少引发速发型超敏反应疾病；然而，这可能会造成相当严重的致残后果，一名42岁的女性花店员工的病例就表明了这一点。她后来出现了接触性荨麻疹，随后伴有鼻结膜炎和支气管哮喘，在职业接触致病菊科花粉（如蒲公英、蛇鞭菊、一枝黄花、蓍草、紫菀属植物、菊花和玛格丽特菊）结束数小时后，气道阻塞达到最大值。皮肤试验显示对上述植物科的几种植物存在速发型超敏反应，通过检测特异性IgE抗体得以证实。支气管激发试验对所有4种测试花粉提取物均产生阳性反应。由于认为无法切实避免空气中吸入物的暴露，该患者不得不放弃花店的工作。
