Allerjik Rinite Neden Olan Atipik Yerleşimli Alternaria Alternata Olgusu

Hatice Tuba Akbayram

doi:10.21763/tjfmpc.649583

Case Report

A Case of Atypical Alternaria Alternata Causing Allergic Rhinitis

Year 2020, Volume: 14 Issue: 2, 345 - 348, 20.01.2020

Hatice Tuba Akbayram

https://doi.org/10.21763/tjfmpc.649583

Abstract

Allergic rhinitis is an IgE-mediated inflammatory disease of the nasal mucosa, associated with various inhalant allergens, such as house dust mites, pollens, and molds. An 11-year-old male patient presented to the Primary Care Clinic with nasal discharge and congestion, itchy throat and eyes, and poor sleep quality. Antihistamine was recommended to the patient. However, as his symptoms were not relieved after nearly one month, he was referred to the Pediatric Allergy Outpatient Clinic to determine the allergens. The tests showed that the patient had elevated IgE and, according skin prick test, was sensitive to Alternaria alternata. His family was then informed of his mold allergy. The patient presented to, with his family stating that had examined the entire house, they found mold on the doorseal of the washing machine located in the hall way to which the child’s room is connected, and that all his complaints disappeared shortly after theyre placed this seal. Here a case of Alternaria alternata with atypical localization stemming from the mold in the washing machine is presented and is assumed to have caused allergic rhinitis. It was reason that it is important to determine specific, while it should be remembered that molds can also be present in modern houses.

Alerjik rinit, burun mukozasının IgE aracılığıyla oluşan enflamatuvar bir hastalığı olup ev tozu akarları, polenler ve küfler gibi çok çeşitli inhalan alerjenlerle ilişkilidir. Burun akıntısı, tıkanıklılığı, boğaz ve gözlerde kaşıntı, rahat uyuyamama şikayetleri olan 11 yaşındaki erkek hasta Aile Sağlığı Merkezine başvurdu. Yaklaşık 1 ay kadar antihistaminik önerilen hastanın şikayetlerinin geçmemesi üzerine alerji etkeninin belirlenmesi amacıyla Çocuk Alerji Polikliniğine yönlendirildi. Hastanın burada yapılan tetkiklerinde IgE yüksekliği ve deri prick testinde Alternaria alternataya duyarlı olduğu saptandı ve aileye küf alerjisi olduğu bildirildi. Tekrar Aile Sağlığı Merkezine başvuran hastanın ailesi ile görüşüldüğünde evdeki tüm ortamların araştırıldığı, çocuğun odasının açıldığı koridorda bulunan çamaşır makinesinin kapağındaki lastikte küf tespit edildiği ve bu lastik değiştirildikten kısa bir süre sonra çocuğun tüm şikayetlerinin ortadan kalktığı öğrenildi. Burada çamaşır makinesi içindeki küften kaynaklanan ve alerjik rinite neden olduğu varsayılan atipik yerleşimli Alternaria alternata olgusu sunulmuştur. Sonuç olarak alerjik riniti olan hastalarda spesifik alerjenin belirlenmesi ve çevre kontrolü yapılması önemlidir ve modern evlerde de küflerin olabileceği unutulmamalıdır.

Keywords

Alternaria Alternata, Mold Allergy, Allergic Rhinitis

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