Alergia na pleśń – Rokowania, prognozy i postęp choroby

Alergia na pleśń
Rokowania, prognozy i postęp choroby

Alergia na pleśń stanowi przewlekły problem zdrowotny, którego rokowanie zależy od czasu ekspozycji, rodzaju pleśni oraz współistniejących chorób układu oddechowego. Ekspozycja na pleśń lub wilgoć w okresie niemowlęcym zwiększa ryzyko rozwoju astmy przewlekłej (OR 1,73; 95% CI 1,20-2,50) oraz utrzymywania się objawów aż do wieku dojrzewania (16 lat), zwłaszcza w fenotypach niezwiązanych z uczuleniem IgE-zależnym. Występowanie alergii na pleśnie zarówno wewnątrz-, jak i zewnątrzdomowe, a także długotrwała, niezidentyfikowana ekspozycja, pogarszają rokowanie. Szczególnie niekorzystne są pleśnie wydzielające mykotoksyny oraz wywołujące alergiczną aspergilozę oskrzelowo-płucną (ABPA), która dotyka 1-2% pacjentów z astmą i znacząco obniża jakość życia.

Prognozy w alergii na pleśń (Mold allergy Prognosis)

Długoterminowe rokowanie w alergii na pleśń
Prognozy w zależności od fenotypu astmy
Przewidywanie ryzyka w populacji ogólnej
Szczególne zagrożenia prognostyczne
Czynniki wpływające na rokowanie
Strategie poprawiające rokowanie
Rokowanie w perspektywie długoterminowej
Kolejne rozdziały

Prognozy w alergii na pleśń (Mold allergy Prognosis)

Alergia na pleśń stanowi istotny problem zdrowotny, który może towarzyszyć pacjentom przez wiele lat, wpływając na jakość życia i funkcjonowanie układu oddechowego. Prognoza tej choroby zależy od wielu czynników, w tym czasu ekspozycji, rodzaju pleśni oraz współistniejących schorzeń układu oddechowego.¹

Długoterminowe rokowanie w alergii na pleśń

Alergia na pleśń nie może zostać całkowicie wyleczona, jednak odpowiednie zarządzanie chorobą pozwala na skuteczne kontrolowanie objawów. Kluczowe znaczenie ma ograniczenie ekspozycji na pleśń oraz stosowanie zalecanych leków.¹ Badania długoterminowe pokazują, że wczesne narażenie na pleśń lub wilgoć może zwiększać ryzyko utrzymywania się astmy i nieżytu nosa aż do wieku dojrzewania (16 lat), szczególnie w przypadku chorób niezwiązanych z uczuleniem IgE-zależnym.²

Prognozy w zależności od fenotypu astmy

Ekspozycja na pleśń lub wilgoć w okresie niemowlęcym wiąże się ze zwiększonym ryzykiem rozwoju różnych fenotypów astmy, co ma istotne znaczenie prognostyczne. Badania kohortowe wykazują, że:³

Astma przewlekła (persistent asthma) – ekspozycja na pleśń lub wskaźniki wilgoci w okresie niemowlęcym wiąże się z 1,73-krotnie większym ryzykiem rozwoju astmy przewlekłej (OR 1,73; 95% CI 1,20-2,50)⁴
Astma wczesna przemijająca (early-transient asthma) – nie wykazano istotnego związku z ekspozycją na pleśń w okresie niemowlęcym⁵
Astma o późnym początku (late-onset asthma) – podobnie, nie zaobserwowano wyraźnej korelacji z wczesną ekspozycją na pleśń⁶

Przewidywanie ryzyka w populacji ogólnej

Według danych Narodowego Instytutu Zdrowia (NIH), około 3-10% populacji cierpi na alergię na pleśń.⁷ Należy jednak pamiętać, że dla wielu osób ekspozycja na pleśń nie powoduje żadnych problemów zdrowotnych. Prognoza zależy więc od indywidualnej podatności oraz obecności czynników ryzyka, takich jak predyspozycje genetyczne czy współistniejące choroby układu oddechowego.⁸

Szczególne zagrożenia prognostyczne

Niektóre rodzaje pleśni stanowią większe zagrożenie dla zdrowia niż inne, co znacząco wpływa na rokowanie. Dotyczy to szczególnie pleśni wydzielających mykotoksyny lub powodujących zakażenia, które mogą prowadzić do poważnych chorób, a nawet zgonu.⁹ Należy zwrócić uwagę na:

Alergiczną aspergilozę oskrzelowo-płucną (ABPA) – rzadkie schorzenie wywołane nadwrażliwością na pleśń z rodzaju Aspergillus, dotykające około 1-2% osób z astmą, znacząco pogarszające rokowanie¹⁰
Zaostrzenia astmy – zarodniki pleśni, ze względu na swój mały rozmiar, mogą łatwiej przedostawać się do dolnych dróg oddechowych, gdzie mogą wywoływać napady astmy, co pogarsza długoterminowe rokowanie¹¹

Czynniki wpływające na rokowanie

Na przebieg alergii na pleśń i długoterminowe rokowanie wpływa wiele czynników:¹²

Możliwość unikania ekspozycji – skuteczne ograniczenie kontaktu z pleśnią jest kluczowym czynnikiem poprawiającym rokowanie¹³
Występowanie alergii na pleśnie wewnątrz- i zewnątrzdomowe – pacjenci uczuleni na oba typy pleśni mogą doświadczać objawów przez cały rok, co pogarsza rokowanie¹⁴
Długotrwała niezidentyfikowana ekspozycja – pleśń może stanowić istotny problem, jeśli pozostaje niewykryta lub nieleczona przez długi czas¹⁵

Strategie poprawiające rokowanie

Chociaż alergia na pleśń nie może być całkowicie wyleczona, istnieją metody poprawiające długoterminowe rokowanie:¹⁶

Profilaktyka – najlepszym leczeniem każdej alergii jest jej zapobieganie poprzez ograniczenie ekspozycji na pleśń i unikanie czynników wywołujących objawy¹⁷
Immunoterapia – dostępna dla określonych typów pleśni, może zmniejszyć reaktywność organizmu na alergen w miarę upływu czasu. Występuje w formie zastrzyków lub immunoterapia-podjezykowa/” title=”immunoterapia podjęzykowa” class=”to-tag” data-termid=”34090″>immunoterapii podjęzykowej (SLIT)¹⁸
Kompleksowa diagnostyka – dokładna ocena obejmująca wyniki testów, osobistą i rodzinną historię zdrowia, środowisko domowe i zawodowe, oraz badanie fizykalne oczu, uszu, nosa i płuc pozwala na trafniejsze rokowanie i bardziej skuteczne leczenie¹⁹

Rokowanie w perspektywie długoterminowej

Alergia na pleśń to schorzenie, które wymaga stałego monitorowania i zarządzania. Ekspozycja na pleśń lub wilgoć w okresie niemowlęcym zwiększa ryzyko astmy i nieżytu nosa przez co najmniej 16 lat, szczególnie w przypadku chorób niezwiązanych z uczuleniem IgE-zależnym.²⁰ Wczesna ekspozycja może być szczególnie związana z astmą przewlekłą utrzymującą się do okresu dojrzewania. Odpowiednie strategie zarządzania, takie jak unikanie alergenów i immunoterapia, mogą znacząco poprawić jakość życia i długoterminowe rokowanie u pacjentów z alergią na pleśń.²¹²²

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

Materiały źródłowe

#1 Mold Allergy: What It Is, Symptoms, Treatment, Prevention
https://my.clevelandclinic.org/health/diseases/22309-mold-allergy
Mold allergy can’t be cured, but it can be managed with efforts to reduce your exposure to mold and with taking suggested medications if needed. […] There are certain types of molds that are more dangerous to your health than others. These are molds that emit mycotoxins or cause infections, which can cause serious illness and even death.
#2 Mold and dampness exposure and allergic outcomes from birth to adolescence: data from the BAMSE cohort
https://pmc.ncbi.nlm.nih.gov/articles/PMC5434946/
Exposure to mold or dampness during infancy increased the risk of asthma and rhinitis up to 16 years of age, particularly for nonallergic disease. […] Exposure to any mold or dampness indicator was associated with persistent asthma (OR 1.73; 95% CI 1.202.50), but not with early-transient or late-onset asthma. […] In analyses of clinical phenotypes of asthma, children exposed to any mold or dampness indicator during infancy had an increased odds of persistent asthma (OR 1.73; 95% CI 1.202.50), but not early-transient or late-onset asthma. […] Our findings indicate that exposure to mold or dampness during infancy increases the risk of asthma and rhinitis through 16 years of age, particularly for disease without IgE sensitization. Early exposure to mold or dampness may be particularly associated with persistent asthma up to adolescence.
#3 Mold and dampness exposure and allergic outcomes from birth to adolescence: data from the BAMSE cohort
https://pmc.ncbi.nlm.nih.gov/articles/PMC5434946/
Exposure to mold or dampness during infancy increased the risk of asthma and rhinitis up to 16 years of age, particularly for nonallergic disease. […] Exposure to any mold or dampness indicator was associated with persistent asthma (OR 1.73; 95% CI 1.202.50), but not with early-transient or late-onset asthma. […] In analyses of clinical phenotypes of asthma, children exposed to any mold or dampness indicator during infancy had an increased odds of persistent asthma (OR 1.73; 95% CI 1.202.50), but not early-transient or late-onset asthma. […] Our findings indicate that exposure to mold or dampness during infancy increases the risk of asthma and rhinitis through 16 years of age, particularly for disease without IgE sensitization. Early exposure to mold or dampness may be particularly associated with persistent asthma up to adolescence.
#4 Mold and dampness exposure and allergic outcomes from birth to adolescence: data from the BAMSE cohort
https://pmc.ncbi.nlm.nih.gov/articles/PMC5434946/
Exposure to mold or dampness during infancy increased the risk of asthma and rhinitis up to 16 years of age, particularly for nonallergic disease. […] Exposure to any mold or dampness indicator was associated with persistent asthma (OR 1.73; 95% CI 1.202.50), but not with early-transient or late-onset asthma. […] In analyses of clinical phenotypes of asthma, children exposed to any mold or dampness indicator during infancy had an increased odds of persistent asthma (OR 1.73; 95% CI 1.202.50), but not early-transient or late-onset asthma. […] Our findings indicate that exposure to mold or dampness during infancy increases the risk of asthma and rhinitis through 16 years of age, particularly for disease without IgE sensitization. Early exposure to mold or dampness may be particularly associated with persistent asthma up to adolescence.
#5 Mold and dampness exposure and allergic outcomes from birth to adolescence: data from the BAMSE cohort
https://pmc.ncbi.nlm.nih.gov/articles/PMC5434946/
Exposure to mold or dampness during infancy increased the risk of asthma and rhinitis up to 16 years of age, particularly for nonallergic disease. […] Exposure to any mold or dampness indicator was associated with persistent asthma (OR 1.73; 95% CI 1.202.50), but not with early-transient or late-onset asthma. […] In analyses of clinical phenotypes of asthma, children exposed to any mold or dampness indicator during infancy had an increased odds of persistent asthma (OR 1.73; 95% CI 1.202.50), but not early-transient or late-onset asthma. […] Our findings indicate that exposure to mold or dampness during infancy increases the risk of asthma and rhinitis through 16 years of age, particularly for disease without IgE sensitization. Early exposure to mold or dampness may be particularly associated with persistent asthma up to adolescence.
#6 Mold and dampness exposure and allergic outcomes from birth to adolescence: data from the BAMSE cohort
https://pmc.ncbi.nlm.nih.gov/articles/PMC5434946/
Exposure to mold or dampness during infancy increased the risk of asthma and rhinitis up to 16 years of age, particularly for nonallergic disease. […] Exposure to any mold or dampness indicator was associated with persistent asthma (OR 1.73; 95% CI 1.202.50), but not with early-transient or late-onset asthma. […] In analyses of clinical phenotypes of asthma, children exposed to any mold or dampness indicator during infancy had an increased odds of persistent asthma (OR 1.73; 95% CI 1.202.50), but not early-transient or late-onset asthma. […] Our findings indicate that exposure to mold or dampness during infancy increases the risk of asthma and rhinitis through 16 years of age, particularly for disease without IgE sensitization. Early exposure to mold or dampness may be particularly associated with persistent asthma up to adolescence.
#7 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
For many people, exposure to mold causes no issues. But some people have allergic reactions to mold. The National Institutes of Health estimates that about 3-10% of people have a mold allergy. […] An allergy to aspergillus can be particularly problematic for people with chronic lung diseases. There is a rare condition known as allergic bronchopulmonary aspergillosis or ABPA which is caused by a hypersensitivity to aspergillus. ABPA affects approximately 1-2% of people with asthma. […] Mold spores are harmful to people with asthma. The small size of mold spores allows them to pass more easily into the lower airways, where they can trigger an asthma attack. […] The doctor will put together all the evidence test results, your personal and family health history, home and work environments, activities that might expose you to allergens, a physical exam of your eyes, ears, nose and lungs before reaching a diagnosis.
#8 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
For many people, exposure to mold causes no issues. But some people have allergic reactions to mold. The National Institutes of Health estimates that about 3-10% of people have a mold allergy. […] An allergy to aspergillus can be particularly problematic for people with chronic lung diseases. There is a rare condition known as allergic bronchopulmonary aspergillosis or ABPA which is caused by a hypersensitivity to aspergillus. ABPA affects approximately 1-2% of people with asthma. […] Mold spores are harmful to people with asthma. The small size of mold spores allows them to pass more easily into the lower airways, where they can trigger an asthma attack. […] The doctor will put together all the evidence test results, your personal and family health history, home and work environments, activities that might expose you to allergens, a physical exam of your eyes, ears, nose and lungs before reaching a diagnosis.
#9 Mold Allergy: What It Is, Symptoms, Treatment, Prevention
https://my.clevelandclinic.org/health/diseases/22309-mold-allergy
Mold allergy can’t be cured, but it can be managed with efforts to reduce your exposure to mold and with taking suggested medications if needed. […] There are certain types of molds that are more dangerous to your health than others. These are molds that emit mycotoxins or cause infections, which can cause serious illness and even death.
#10 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
For many people, exposure to mold causes no issues. But some people have allergic reactions to mold. The National Institutes of Health estimates that about 3-10% of people have a mold allergy. […] An allergy to aspergillus can be particularly problematic for people with chronic lung diseases. There is a rare condition known as allergic bronchopulmonary aspergillosis or ABPA which is caused by a hypersensitivity to aspergillus. ABPA affects approximately 1-2% of people with asthma. […] Mold spores are harmful to people with asthma. The small size of mold spores allows them to pass more easily into the lower airways, where they can trigger an asthma attack. […] The doctor will put together all the evidence test results, your personal and family health history, home and work environments, activities that might expose you to allergens, a physical exam of your eyes, ears, nose and lungs before reaching a diagnosis.
#11 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
For many people, exposure to mold causes no issues. But some people have allergic reactions to mold. The National Institutes of Health estimates that about 3-10% of people have a mold allergy. […] An allergy to aspergillus can be particularly problematic for people with chronic lung diseases. There is a rare condition known as allergic bronchopulmonary aspergillosis or ABPA which is caused by a hypersensitivity to aspergillus. ABPA affects approximately 1-2% of people with asthma. […] Mold spores are harmful to people with asthma. The small size of mold spores allows them to pass more easily into the lower airways, where they can trigger an asthma attack. […] The doctor will put together all the evidence test results, your personal and family health history, home and work environments, activities that might expose you to allergens, a physical exam of your eyes, ears, nose and lungs before reaching a diagnosis.
#12 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#13 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#14 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#15 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#16 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#17 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#18 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#19 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
For many people, exposure to mold causes no issues. But some people have allergic reactions to mold. The National Institutes of Health estimates that about 3-10% of people have a mold allergy. […] An allergy to aspergillus can be particularly problematic for people with chronic lung diseases. There is a rare condition known as allergic bronchopulmonary aspergillosis or ABPA which is caused by a hypersensitivity to aspergillus. ABPA affects approximately 1-2% of people with asthma. […] Mold spores are harmful to people with asthma. The small size of mold spores allows them to pass more easily into the lower airways, where they can trigger an asthma attack. […] The doctor will put together all the evidence test results, your personal and family health history, home and work environments, activities that might expose you to allergens, a physical exam of your eyes, ears, nose and lungs before reaching a diagnosis.
#20 Mold and dampness exposure and allergic outcomes from birth to adolescence: data from the BAMSE cohort
https://pmc.ncbi.nlm.nih.gov/articles/PMC5434946/
Exposure to mold or dampness during infancy increased the risk of asthma and rhinitis up to 16 years of age, particularly for nonallergic disease. […] Exposure to any mold or dampness indicator was associated with persistent asthma (OR 1.73; 95% CI 1.202.50), but not with early-transient or late-onset asthma. […] In analyses of clinical phenotypes of asthma, children exposed to any mold or dampness indicator during infancy had an increased odds of persistent asthma (OR 1.73; 95% CI 1.202.50), but not early-transient or late-onset asthma. […] Our findings indicate that exposure to mold or dampness during infancy increases the risk of asthma and rhinitis through 16 years of age, particularly for disease without IgE sensitization. Early exposure to mold or dampness may be particularly associated with persistent asthma up to adolescence.
#21 Mold Allergy – Allergy & Asthma Network
https://allergyasthmanetwork.org/allergies/mold-allergy/
Yes, you can have an indoor mold allergy and outdoor mold allergy. If you are allergic to mold, you will need to learn where it grows and how to avoid it. […] Mold can become a significant problem if it remains undiscovered or unaddressed. Allergy symptoms can occur when mold is inhaled. […] One of the best treatments for any allergy is prevention. Limit your exposure to mold and avoid anything known to trigger symptoms. If avoidance is not possible, discuss treatment options with your doctor or allergist. […] Immunotherapy, also called allergy shots, is designed to make your body less reactive to an allergen over time. It comes in the form of either shots or sublingual immunotherapy (SLIT). Immunotherapy is available for certain types of molds, according to the American College of Allergy, Asthma Immunology (ACAAI). Talk with an allergist for more information.
#22 Mold Allergy: What It Is, Symptoms, Treatment, Prevention
https://my.clevelandclinic.org/health/diseases/22309-mold-allergy
Mold allergy can’t be cured, but it can be managed with efforts to reduce your exposure to mold and with taking suggested medications if needed. […] There are certain types of molds that are more dangerous to your health than others. These are molds that emit mycotoxins or cause infections, which can cause serious illness and even death.