A few examples of asthma triggered by inhalant allergy

Nuala is a housewife and mother of two. She has been very unwell in recent years with asthma. She also had repeated sinus and chest infections. Furthermore, she was admitted to hospital on two occasions with pneumonia, and once to have her nasal polyps removed. Not surprisingly, some concern was expressed about the state of her immune system. Skin tests were interest­ing, to say the least. She was highly sensitive to house dust mites and grass pollen, moderately sensitive to several mould species (Aspergillus, Alternaria, Candida, etc.), and mildly react­ive to dog. She then told me that her home was an environmen­tal disaster area! They had problems with rising damp, and the wine cellar (they had a wine cellar!) was very damp and musty. As it happens, they were about to move house anyway, so they paid particular attention when looking at new property to avoid mouldy conditions. She improved dramatically within weeks of the move, and remains well at the time of writing (three years later). Asthma can be triggered by mould allergy!

Bartley is an accountant who loves to forget about it all on horseback in an open field. So he was particularly upset to realise that he was starting to wheeze every time he went near his horse. He was perfectly well at other times. Skin tests con­firmed his allergy: within ten minutes of scratching his arm with horse allergen he produced an enormous response. He was not allergic to anything else. Horse allergen is a potent one, and it is capable of triggering a severe and rapidly progressive asthmatic attack. Asthma can be triggered by animals!

John Hamilton was Archbishop of St Andrews in the sixteenth century. He had asthma. He also had a lot of money. Displeased with local treatment, he called for a renowned physician, Jerome Cardan of Pavia. Jerome travelled from Italy to Scotland with nothing much more than his bag. He took one look at the sorry priest puffing and wheezing in his bed. 'Get rid of that feather quilt!' he exclaimed, turned on his heel and returned to his lodg­ings. This may have been the shortest consultation in history, but the cleric's recovery was so complete that he rewarded the good doctor with 1,400 pieces of gold, and a gold chain for his neck. Asthma can be triggered by an allergy to feathers!



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