Allergologic Laboratory of the Maxillo-Facial Sugery Department, Military School of Medicine, Lodz, Poland
Published in: R. Spiewak (Editor): "Pollens and Pollinosis: Current Problems". Institute of Agricultural Medicine, Lublin (Poland) 1995, pages 57-58.
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The olive tree (Olea europea) is a species that is widely distributed in the Mediterranean area, and its pollen is regarded as a major cause of respiratory allergy. As was described several years ago, patients from central Europe may become sensitized to olive pollen due to cross-reaction between ash (Fraxinus excelsior) and olive pollen [1]. In Poland olive has generally not been considered to be an allergenic hazard at all.
The aim of the study was to perform skin prick test (SPT) with Olea europea (Allergopharma Reinbek) among patients with hay fever.
Material consisted of 47 persons (22 females and 25 males) aged 20.3 years on the average, without any contact with olive pollens during their life. Diagnosis of grass pollinosis was based on clinical, laboratory and palynological data according to own rules [2].
SPT were done with an Allergopharma lancet, in the two stage procedure using non standard aeroallergen battery that included: olive, pine, ash, mugwort, rye, grasses, histamine and negative solution. The SPT results were determined planimetrically.
It have been found 13/47 positive SPT against Olea europea extract (27.65%) suggesting olive allergy. Additionally, 3/47 persons (6.38%) have had a moderately positive SPT with Olea europea allergen, which means atopic status. In 1994/1995 year period no olive pollen grains were detected and a low concentration of ash pollen grains was palynologically observed.
As many as 15.2% of atopics were shown to be skin test positive to olive pollen extracts in the Montpellier area [1], between 30% and 40% in the region of Bari [5], and over 60% in some areas of southern Spain such as Jaen and Cordoba [6]. In the present study, among grass pollinotic patients in Lodz there were 27.65% of such SPT positivity to olive pollen.
If the similarity among the allergens in the Oleaceae family is as close as suggested by Obispo et al. [4], one would expect the incidence of allergies produced by lilac, privet, ash, and forsythia to be high, which is actually under study in our laboratory. This is the first time that an association between grass and olive pollen allergy has been described in Poland.
Above data suggest that olive pollens skin reactivity concerns about 1/3 cases of grass pollinosis in Poland.

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