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Allergens and thunderstorm asthma
Current Allergy and Asthma Reports, 08/20/09

Nasser SM et al. – The authors have proposed that the prerequisites for this phenomenon are as follows: a sensitized, atopic, asthmatic individual; prior airway hyperresponsiveness before a sudden, large allergen exposure; a large–scale thunderstorm with cold outflow occurring at a time and location during an allergen season in which large numbers of asthmatics are outdoors; and sudden release of large amounts of respirable allergenic fragments, particularly fungal spores such as Alternaria.

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