Background:
The identification,
isolation, and
elimination of
allergen(s) causing
bronchial asthma are
the most efficient
form of treatment.
The pet industry has
diversified recently,
increasing the risk
of exposure of pet
owners to many
unknown antigens. We
clinically studied
the characteristics
of asthma associated
with exposure to pet
hamsters.
Methods: The
study group
comprised 30 adults
in whom the onset,
recurrence, or
exacerbation of
asthma was triggered
by contact with pet
hamsters. Clinical
characteristics such
as sex, age, period
required for symptom
onset, species of
hamster, treatment
and disease course,
smoking status, and
hamster-specific IgE
antibodies in serum
were studied.
Results: The
male: female ratio
of the study group
was 1:1.3, and mean
age was 37.7 years.
Patients with no
previous history of
asthma initially
presented with cough,
progressing to
episodes of asthma.
Asthmatic symptoms
were associated with
hamster contact and
ranged in severity
from mild to severe.
Three patients
required hospital
admission for
treatment. The mean
period from the
start of hamster
exposure to the
onset of asthmatic
episodes was 15.7
months. Dwarf
hamsters were
responsible for most
cases. The CAP-RAST
score for hamster-specific
IgE antibodies was 1
to 4 in 22 patients
and 0 in 8 patients.
Eight patients with
a score of 1 or
higher for
hamsterspecific
IgE antibodies had a
CAP-RAST score of 0
for mite antigen. In
these patients,
terminating hamster
contact resulted in
a rapid improvement
in symptoms, with no
need for further
treatment. Twenty-three
of the 30 subjects
(76.7%) were smokers.
Conclusion:
Exposure to pet
hamsters is an
important risk
factor for the onset,
recurrence, or
exacerbation of
asthma. Smoking may
also increase the
risk of asthmatic
symptoms in patients
exposed to hamsters.
Key words:
bronchial asthma,
pet allergy, hamster |