Mold

  • Medical Author:
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

Quick GuideTips for a Healthy and Safe Home

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What kinds of health risks may be linked to mold? What are symptoms and signs of mold allergy?

Molds produce irritating substances that may act as allergy causing substances (allergens) in sensitive individuals. Furthermore, some molds produce toxic substances known as mycotoxins, but mold itself is not poisonous or toxic. The term "toxic mold," therefore, refers to the fact that certain kinds of mold can produce mycotoxins. The conditions under which some molds produce toxins are poorly understood, and the presence of mold, even a mold that is capable of producing toxins, does not always imply that toxins are being produced or that a health risk or problem is present. Mold may not cause any health problems, or it may lead to allergy or other symptoms in people, including adults and children, who are sensitive to molds.

Allergic reactions to mold are the most common health effects of mold and are therefore the greatest health risk related to mold. Allergic reactions may happen immediately or develop after a period of time following exposure. Both growing mold and mold spores may lead to allergic reactions. Symptoms and signs of mold allergy may include

Asthma attacks may be caused by mold or mold spores in people who have asthma and are allergic to mold. Even in some nonallergic individuals, mold can cause symptoms of irritation in the eyes, skin, and airways. For example, the "black mold" Stachybotrys, along with some other types of mold, produces toxins known as mycotoxins that can cause irritation of the skin and airways in susceptible individuals.

Sometimes, people may develop severe reactions to mold exposure. Symptoms of severe reactions, which are uncommon, include fever and difficulty breathing. People with compromised immune systems or patients with chronic lung disease can develop serious infections of the lungs due to molds.

It is not possible to predict the degree of severity of the health risks associated with mold in the home. Allergic individuals vary in their degree of susceptibility to mold, and any symptoms and health risk may also depend upon the extent and exact type of mold that is present.

In 2004 guidelines update in 2009, the Institute of Medicine (IOM) reported there was sufficient evidence to link indoor exposure to mold with upper respiratory tract symptoms, cough, and wheezing in otherwise healthy people. Mold also was linked to the worsening of asthma symptoms in people who have asthma. Mold was also reported to be linked to hypersensitivity pneumonitis in individuals susceptible to this immunologic condition. This uncommon disease is similar to pneumonia and can develop in susceptible individuals after brief or prolonged exposure to mold.

According to the U.S. Centers for Disease Control and Prevention (CDC), "There are very few reports that toxigenic molds found inside homes can cause unique or rare health conditions such as pulmonary hemorrhage or memory loss. These case reports are rare, and a causal link between the presence of the toxigenic mold and these conditions has not been proven."

Reviewed on 5/30/2017
References
REFERENCES:

"Adverse Human Health Effects Associated With Molds in the Indoor Environment." American College of Occupational and Environmental Medicine. Feb. 24, 2011. <http://www.acoem.org/AdverseHumanHealthEffects_Molds.aspx#sthash.h7g5iNu7.dpuf>.

Switzerland. World Health Organization. "WHO Guidelines for Indoor Air Quality: Dampness and Mould." 2009. <http://www.euro.who.int/__data/assets/pdf_file/0017/43325/E92645.pdf>.

United States. Centers for Disease Control and Prevention. "Mold: Basic Facts." May 22, 2014. <http://www.cdc.gov/mold/faqs.htm>.

United States. Environmental Protection Association (EPA). "Mold." Feb. 21, 2017. <http://www.epa.gov/mold/>.

United States. United States Department of Agriculture. "Molds On Food: Are They Dangerous?" Aug. 22, 2013. <https://www.fsis.usda.gov/wps/portal/fsis/topics/food-safety-education/get-answers/food-safety-fact-sheets/safe-food-handling/molds-on-food-are-they-dangerous_/>. IMAGES:

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