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Hypersensitivity to acetylsalicylic acid (ASA) is characterized by the co-occurrence of symptoms so-called aspirin triad, which include bronchial asthma, chronic rhinitis and sinusitis and the nasal mucosa polyps. The disease affects about 1% of the general population and in patients with bronchial asthma incidence may be as high as 10%. Hypersensitivity to aspirin is a difficult diagnostic problem, so the increased knowledge on this subject is a very important for the physicians of many specialties.

Background: Adverse drug reactions, especially drug hypersensitivity reactions (DHR) are common problem, which impacts on prescription choices. In general pediatric populations data on the epidemiology of DHRs are scarce compared to in-patient and adult populations. In the current study, we assess the prevalence of parental-reported drug allergy in school children., Methods: We performed a cross-sectional survey of a general 6- to 7-yr-old children population from Krakow. The life occurrence of drug allergy along with basic data on sensitization to common environmental allergens was assessed using a self-administered questionnaire. Four thousand eighty questionnaires were collected., Results: The prevalence of drug allergy according to answers given by parents was 3.38% (138/4080). The most common reported drugs were penicillin and its derivatives (39%), followed by sulphonamides (25%), cephalosporins (9%) and non-steroidal anti-inflammatory drugs (8%). Sensitization to inhalant allergens, food allergens or haptens was not significant risk factor for drug allergy., Conclusions: The study showed that drug allergy claims in children are highly prevalent. Although results are based on parental perception, they point out how many patients need complete diagnostic work-up to confirm or exclude drug allergy. Otherwise they are treated with alternative drugs, which are usually less effective and/or more expensive.

Thiomersal is an organomercury compound known for its antiseptic and antifungal properties and used as an antibacterial agent in pharmaceutical products, including vaccines and other injectable biological products. In recent years, concerns about the possible link between immunization with thiomersal-containing vaccines and autism development have grown. Many case-control and cohort studies have been conducted on a number of populations, and none of them have confirmed the hypothetical relation between thiomersal and increased risk of autism spectrum disorders (ASDs) development. It is also confirmed by the fact, that since 1999, number of thiomersal-containing vaccines used worldwide is decreasing year by year, while the prevalence of ASDs cases is rising. There are no contraindications to the use of vaccines with thiomersal in infants, children and non-pregnant women. The risk of serious complications associated with the development of diseases in unvaccinated individuals far outweighs the potential risk of adverse consequences associated with immunization with thiomersal-containing vaccines.

Fungal spores are one of the main groups of allergens. They are present in our environment all year long. The concentration of the spores in July and August is 100-1000 higher than pollens. In contrast with the pollens there is a correlation between the spore count and higher risk of medication use, nocturnal asthma attacks, and hospitalization rates. We have presented the clinical classification of fungi, and characterized main indoor and outdoor allergens. The fungi play also an important role in the sick building syndrome. Fungal allergens are not only aeroallergens, they may also get into our body with food. They may also develop contact reactions. Antibiotic allergy is regarded as one of the classic allergic reactions caused by fungi. The id reactions are caused by the fungi from far infection focuses.

Incidence and causes of allergy to merthiolate (thimerosal) was studied in 685 patients, examined in the Nofer Institute of Occupational Medicine, during the period from 1 September 1993 to 15 October 1995. Allergy to thimerosal was diagnosed in 39 persons (5.7%) including 25 (6.3%) females and 14 (4.9%) males. Health service workers predominated among those sensitized (13.8% of all medical personnel examined during that period). In 19 persons only allergy to mercury was observed. Among them 7 showed no skin changes, 6 manifested symptoms of hand dermatitis, in 4 patients atopic dermatitis and in 2 dermatitis diseminata were diagnosed. Two patients suffered from allergic rhinitis. It was found that the general vaccination of health service workers against viral hepatitis as well as immunotherapy with pollen preparations containing thimerosal (Catalet, Biomed, Poland) were the main causes of allergy to mertiolate. Allergy to thiosalicyclic acid was not observed and two persons reacted positively to mercuric chloride.

The period after which skin changes appear is discussed, as well as localisation of their earliest appearance and allergens characteristic for physicians, dentists, nurses, veterinary surgeons and assistants, photographers and hair- dressers . Photographes handling coloured developers were found to be more exposed to dermatosis than those handling black and white ones. Ladies' hair- dressers suffer more frequently than gentelmen 's and nurses coming into contact with antibiotics and disinfectants are more exposed than other nurses.