Table 12.1(continued)Location# patients in studyRoute of exposureClinical presentationAllergens (molecularweights)ReferenceMunich,GermanyandValladolid,Spain16 (8 Spanish and 8German)All 8 Spanish patientswere identified asdrug-dependent users ofCannabis.Cannabisusewas reported unknownamong German patientsAsthma, conjunctivitis,rhinitis and urticariawere commonmanifestations. In arare case anaphylaxiswas also noted.IgE reactivityspecifically tested to Pru
p 3 (LTP)(Rihs et al.2014)Antwerp,Belgium21 patients reporting oralallergy syndrome(OAS) or food-relatedallergies, including 12patients with respiratoryand cutaneous reactions toC. sativaAll 12 patients wereidentified to haveexposure to marijuana orhashish by smoking orcutaneous transmissionRhinitis, conjunctivitis,asthma and contacturticaria and itchingN/A(Ebo et al.2013)Fukuoka,Japan1UncharacterizedexposureUncharacterizedclinical observations10, 14, 45, 60 and 68(Tanaka et al. 1998)Izmir,Turkey1Smoking exposureErythematous,vesiculobullous, scalyrashN/A(Ozyurt et al.2014)Tucson, AZ(USA)63Environmental exposuretoC. sativapollenAllergic rhinitis,asthma, urticaria andatopic dermatitisN/A(Freeman1983)Papillion,NE (USA)127 total with 78 patientswith SPT determinedtowardsC. sativaextractEnvironmental exposuretoC. sativapollenRhinitis andasthma/asthma-likesymptomsN/A(Stokes et al.2000)Lucknow,India48 total with 7 patientswith SPT determinedtowardsC. sativapollenPossibly environmentalexposure toC. sativapollenNasobronchial allergyN/A(Prasad et al.2009)268 A.P. Nayak et al.