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however, involvement of trunk and legs as well as widespread dermatitis has also been reported.145,146 Urticarial-like dermatitis has also been reported.147 Immediate, possibly allergic, reactions from common ivy causing rhinitis and asthma have rarely been reported, The majority of mucosal symptoms in gardeners are probably irritant, perhaps caused by hederin.148150 Patch Test Testing the plant material as is as well as extracts of these carries the risk of false positive reactions

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Mucin can be stained with PAS to identify airway goblet cell hyperplasia/metaplasia, with mucus hypersecretion being a pathological feature of severe asthma and its exacerbation [67, 107]