- Wine grower
Panonychus Citri, Panonychus ulmi, Plasmopara Viticola, Tetranichus Urticae.
Incidence will vary from year to year. Subjects are usually atopic. IgE-dependent mechanism for subjects with respiratory symptoms. Irritation of an unknown origin is often also present. Symptoms are particularly common during the fruit picking season (autumn). There is common antigenicity between Tetranychus urticae, Panoncychus citri and Panonychus ulmi (respective inhibition between 83% and 71.6%). Concerning Dermatophagoides pteronyssinus and Tyrophagusputrescentiae, a partial cross-reactivity of 54.4% and 57.7% with Panonychus ulmi has been demonstrated. Furthermore, partial cross-reactivity exists between all these mites and Anisakis simplex. In farmers, sensitisation may occur throughout the year depending upon the work they are performing.
Sensitisation to mite excretions in dust during particularly dry summers, and especially to tetranychus urticae (red spider mite). Similarly for Plasmopara viticola during humid autumnal periods (vines). Fungicides and pesticides may aggravate the condition. Fruit growers are most at risk: apples (panoncychus ulmi and tetranychus uritcae); lemons (paronychus citri). Additionally, 6% of farmers show sensitivity to Tetranychus urticae).
Rhinitis, spasmodic cough, conjunctivitis and asthma. Eczema, dermatitis and pruritus on exposed skin.
Skin tests and bronchial provocation tests with the Panoychus Ulmi or Plasmophara viticola extracts (these extracts are not currently commercially available).