Bogacka Ewa, Jahnz-Rózyk Karina
Klinika Chorób Wewnetrznych i Alergologii Akademii Medycznej we Wrocławiu.
Pol Merkur Lekarski. 2003 May;14(83):381-4.
Fungi from human environment or growing in human body may cause allergic reactions. The most common allergens are microfungi (moulds) belonging to imperfect fungi: Alternaria, Cladosporium and sack-like forms: Aspergillus, Penicillium and yeasts. Fungal antigens may stimulate production of specific IgE in atopic individuals what, as a rule, worsens the clinical course of atopic diseases: allergic sinusitis, bronchial asthma or atopic dermatitis. Fungi may also cause IgE-independent allergic reactions: by production of IgE, immunological complexes and by stimulating cell hypersensitivity. Whether allergic bronchopulmonary aspergillosis (ABPA), allergic fungal sinusitis (AFS) or allergic dermatitis appears, depends on the immunological state of human organism and exposure to fungal antigens.
来自人类环境或在人体中生长的真菌可能会引起过敏反应。最常见的过敏原是属于不完全真菌的微真菌(霉菌):链格孢属、枝孢属以及囊状形态的曲霉属、青霉属和酵母菌。真菌抗原可刺激特应性个体产生特异性IgE,这通常会使特应性疾病(过敏性鼻窦炎、支气管哮喘或特应性皮炎)的临床病程恶化。真菌还可能引起与IgE无关的过敏反应:通过产生IgE、免疫复合物以及刺激细胞超敏反应。过敏性支气管肺曲霉病(ABPA)、变应性真菌性鼻窦炎(AFS)或过敏性皮炎是否出现,取决于人体的免疫状态以及接触真菌抗原的情况。