Clinical relevance of Corylus pollen in Poznan, western Poland

Abstract Background. In Central Europe, hazel (Corylus sp.) pollen is considered to be an important aeroallergen in early spring. Objective. This study examines hazel pollen levels in Poznan, western Poland, and the clinical relevance of this aeroallergen in the city. Methods. Corylus pollen data (1996–2010) were obtained by volumetric spore trap located near the centre of Poznan. Clinical data (2006–2010), i.e. skin prick test (SPT) and allergen-specific IgE measurements (asIgE), were supplied by the Allergy Diseases Diagnostic Centre in Poznan. Results. Mean diurnal hazel pollen concentrations peaked around 14:00–16:00 when mean bi-hourly pollen concentrations were ~60 P m-3. Onset of the hazel pollen season varied up to 87 days annually, and was significantly (r=–0.647; p<0.01) related to mean maximum temperature during late December. SPT data revealed that ~11% of allergy patients had positive skin reactions to Corylus pollen allergens, and most of these (94.4%) reacted to pollen allergens from other members of the Betulaceae family – alder or birch. Of those sensitized, 53% suffered from atopic dermatitis. Of patients examined for serum asIgE, 26.0% had asIgE measurements in classes 5 and 6. Conclusions. Hazel pollen has a detrimental effect on the allergic population of Poznan, with more than half of those sensitised to hazel pollen allergens showing symptoms of atopic dermatitis. Hazel pollen concentrations reach levels recognized as being able to induce allergy symptoms, especially in the afternoon and early evening when many people are returning home from work. The cross-reactivity with other members of the Fagales order also increases the allergenic potential of hazel pollen.