Abstract INTRODUCTION Numerous investigators have stressed the importance of inhalant allergens in the causation of atopic dermatitis.* Those cases produced by the seasonal pollens are the easiest to prove. No one can doubt that the eczema of the patient described by the Mitchells1 was due to the water-soluble albumin fraction of timothy pollen. Likewise, allergic dermatitis from the inhalation of ragweed pollen is well authenticated.7 However, it is difficult to produce incontrovertible evidence of the role of other inhalant allergens, such as wool, dust and feathers, in the etiology of eczema. Nevertheless, the Tufts and Heck6 have presented experimental evidence that dust can produce dermatitis via inhalation. Osborne and Murray10 have carried out definitive work on the relationship of wool to atopic dermatitis. Another group of inhalant allergens, the air-borne molds, are admirably suited for the study and understanding of the inhalants in References 1. References 1 to 11. 2. References 15 to 19. 3. Reference 15, p. 287. 4. References 24 and 25. 5. Reference 15, p, 272, and Reference 31. 6. Mitchell, J. H., and Mitchell, W. F.: Seasonal Dermatitis Due to the Albumin Fraction of Timothy Pollen , J. Allergy 16:48 ( (Jan.) ) 1945.Crossref 7. Zakon, S. J., and Taub, S. J.: The Inhalation of House Dust and Horse Dander as an Etiological Factor in Atopic Dermatitis , J. Allergy 9:523 ( (Aug.) ) 1938. 8. Feinberg, S. M.: Seasonal Atopic Dermatitis: The Role of Inhalant Atopens , Arch. Dermat. & Syph. 40:200 ( (Aug.) ) 1939. 9. Rowe, A. H.: Dermatitis of the Hands Due to Atopic Allergy to Pollen , Arch. Dermat. & Syph. 53:437 ( (May) ) 1946. 10. Tuft, L.: Importance of Inhalant Allergens in Atopic Dermatitis , J. Invest. Dermat. 12:211 ( (April) ) 1949. 11. Tuft, L.; Tuft, H. S., and Heck, V. M.: Atopic Dermatitis: I. An Experimental Clinical Study of the Role of Inhalant Allergens , J. Allergy 21:181 ( (May) ) 1950. 12. Tuft, L., and Heck, V. M.: Studies in Atopic Dermatitis: IV. Importance of Seasonal Inhalant Allergens, Especially Ragweed , J. Allergy 23:528 ( (Nov.) ) 1952. 13. Walker, I. C.: Causation of Eczema, Urticaria, and Angioneurotic Edema , J. A. M. A. 70: 897 ( (March 30) ) 1918. 14. Diamond, H. E.: Atopic Dermatitis Caused by Inhalant Antigens and Its Immunologic Therapy , Ann. Allergy 11:146 ( (March) -April) 1953. 15. Osborne, E. D., and Murray, P. F.: Atopic Dermatitis: A Study of Its Natural Course and of Wool as a Dominant Allergenic Factor , A. M. A. Arch. Dermat. & Syph. 68:619 ( (Dec.) ) 1953. 16. Jillson, O. F., and Piper, E. L.: Inhalant Allergens in Dermatitis: Role in Dermatitis of the Hands , A. M. A. Arch. Dermat. 71:436 ( (April) ) 1955. 17. Hopkins, J. G.; Benham, R. W., and Kesten, B. M.: Asthma Due to a Fungus: Alternaria , J. A. M. A. 94:6 ( (Jan. 4) ) 1930. 18. Hopkins, J. G.; Benham, R. W., and Kesten, B. M.: Sensitization to Saprophytic Fungi in a Case of Eczema , Proc. Soc. Exper. Biol. & Med. 27:342 ( (Jan.) ) 1930. 19. Kesten, B. M.: Allergic Eczema , New York J. Med. 53:2441 ( (Sept.) ) 1954. 20. Feinberg, S. M.: Allergy in Practice , Ed. 2, Chicago, Year Book Publishers, Inc., 1949, pp. 216-285. 21. Morrow, B. M.: Mold Fungi in the Etiology of Respiratory Allergic Diseases: VII. Further Survey Studies , Ann. Allergy 5:442 ( (Sept.) -Oct.) 1947. 22. Pratt, H. M.; Colmes, A.; Fromer, J.; Greene, J. E.; Chafee, F. H., and Clapp, W. B.; Pollen and Mold Survey of Southern New England—1940 , New England J. Med. 225:533 ( (Oct. 2) ) 1941. 23. Kaplan, L.: Studies on Inhalant Allergies Caused by Fungi, Thesis Submitted to Faculty of Harvard University for Ph.D. in Biology, Sept. 1950. 24. Prince, H. E.: Miscellaneous Inhalants and Molds , Ann. Allergy 9:575 ( (Sept.) -Oct.) 1951. 25. Richards, M.: Atmospheric Mold Spores in and out of Doors , J. Allergy 25:440 ( (Sept.) ) 1954. 26. Swaebly, M. A., and Christensen, C. M.: Molds in House Dust, Furniture Stuffing, and in the Air Within Homes , J. Allergy 23:370 ( (July) ) 1952. 27. Conant, N. F.; Wagner, H. C., and Rackemann, F. M.: Fungi Found in Pillows, Mattresses, and Furniture , J. Allergy 7:234 ( (March) ) 1936. 28. Wagner, H. C., and Rackemann, F. M.: Kapok and Molds: an Important Combination , Ann. Int. Med. 11:505 ( (Sept.) ) 1937.Crossref 29. Cobe, H. M.: Asthma Due to a Mold: Hypersensitivity Due to Cladosporium Fulvum: A Case Report , J. Allergy 3:389 ( (May) ) 1932.Crossref 30. Rackemann, F. M.; Randolph, T. G., and Guba, E. F.: The Specificity of Fungus Allergy , J. Allergy 9:447 ( (July) ) 1948.Crossref 31. Bocobo, F. C.; Curtis, A. C.; Block, W. D., and Stuggart, J. F.: Studies on Fungi Encountered in the Atmosphere: II. Production of Dermatitis in Guinea Pigs by Crude Ether-Soluble Extracts of Alternaria, Homodendrum, Penicillium and Aspergillus , J. Invest. Dermat. 23:489 ( (Dec.) ) 1954.Crossref 32. Jillson, O. F., and Huppert, M.: The Immediate Wheal and the 24-48 Hour Tuberculin Type Edematous Reactions to Trichophytin , J. Invest. Dermat. 12:179 ( (March) ) 1949. 33. Wiener, A. S.: The Solution of Certain Fundamental Immunological Problems by Studies on Rh Sensitization , Ann. Allergy 10:535 ( (Sept.) -Oct.) 1952. 34. Epstein, S.: Allergic Dermatitis: Present-Day Concepts and Management , Quart. Rev. Allergy 5:244 ( (Sept.) ) 1951. 35. Theodore, F. H.: Ocular Eczema: Its Classification and Treatment , J. Mount Sinai Hosp. 21: 255 ( (Jan.) -Feb.) 1955. 36. Hansel, F. K.: Clinical Allergy , St. Louis, C. V. Mosby Company, 1953, p. 587.
A.M.A. Archives of Dermatology – American Medical Association
Published: Nov 1, 1955