The purpose of this study was to correlate soybean dust (SD) exposure, skin
reactivity to soybean hull (SH) allergens, and symptoms of asthma and/or a
llergic rhinitis. A group of 365 subjects with asthma and/or allergic rhini
tis and a control group of 50 individuals without respiratory symptoms were
studied. The level of exposure to SD is defined as follows: 1) direct (DE)
; 2) indirect (ID), and 3) urban (UE). All subjects completed standard ques
tionnaires. Skin tests with a SH extract and with common allergens were per
formed by the prick technique (SPT). Fifty-six (15.3%) patients and no subj
ects from control group had positive SPT (histamine index greater than or e
qual to 0.5) with a SH allergen extract. The percentages of positive SPT to
SH extract were 38.7%, 20.3% and 8.4% in subjects with DE, IE and UE, resp
ectively (p<0.001). Monosensitization to SH was absent in all subjects. The
percent of subjects with positive SPTs to mites (p<0.01), pollen (p<0.01)
and molds (p<0.05) were higher in subjects with a positive SPT to SH versus
those with a negative SPT to SH. Sixty-six percent of subjects with DE and
13.6% of subjects with IE or UE reported respiratory symptoms after SD inh
alation (Odds Ratio: 12.67 [2.4 - 74.9], p<0.001). Compared to subjects exc
lusively sensitized to mites, patients sensitized to SH presented significa
ntly different clinical characteristics. Soybean production has been increa
sing in Argentina during the last 20 years, determining an increase in the
population exposed to chronic SD inhalation. This fact determines a high ri
sk of sensitization and triggering of respiratory symptoms in atopic subjec
ts. This study demonstrates that there is: 1) a high prevalence of skin rea
ctivity to SH in subjects with asthma and/or allergic rhinitis from Argenti
na and that this prevalence is associated with the level of exposure to SD,
and 2) an association between sensitivity to SH and severity of asthma. Me
asures to avoid release and inhalation of SD in rural areas from Argentina
are needed.