Mould Allergy

Also known as: Fungal allergy, Alternaria allergy, Mold allergy

Mould spore allergy causes both seasonal and perennial allergic rhinitis and asthma. Key moulds include Alternaria, Cladosporium, Aspergillus, and Penicillium — each with distinct seasonal and indoor exposure patterns.

Category

Environmental

Severity

Moderate to Severe

Prevalence

Up to 10% of the general population is sensitised to mould.

Symptoms

Airways & Breathing

  • Rhinitis
  • Sneezing
  • Asthma — often severe with Alternaria exposure

Skin

  • Itchy eyes
  • Worsened eczema

Systemic / Other

  • Fatigue

How It's Diagnosed

  • Skin prick test to a mould panel (Alternaria, Cladosporium, Aspergillus, Penicillium)
  • Specific IgE blood tests
  • Allergy to Alternaria is particularly associated with severe asthma in children

Avoidance Strategies

  • Fix leaks and damp — mould cannot grow without moisture
  • Run bathroom and kitchen extractor fans; use a dehumidifier in damp rooms
  • Clean visible mould with appropriate antifungal products; wear a mask when cleaning
  • Avoid compost heaps, leaf piles, and damp basements — outdoor mould hotspots
  • Check and clean air conditioning units regularly — they can harbour mould
  • Keep indoor plants to a minimum; moist compost can support mould growth

Alternaria and severe asthma

Alternaria alternata is an outdoor mould with spore counts that peak in late summer and autumn. Sensitisation to Alternaria is one of the strongest risk factors for severe, life-threatening asthma attacks in children and young adults.

Patients with asthma who are Alternaria-sensitised should be particularly vigilant on warm, dry, windy days after rain — conditions that disperse spores widely.

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Medical disclaimer

This page is for educational purposes only. Allergy diagnosis and management must be carried out by a qualified allergist. Do not attempt to test yourself with suspected allergens. Always carry prescribed emergency medications and follow your written action plan.

Reviewed 2026-06-01 · Looms Medical Team