“…15 , 16 , 18 , 19 Because of the complexity of fungal exposure assessment, few studies have assessed exposure to Alternaria or other fungal allergens in indoor environments. 20 Fungal allergen extracts have largely remained uncharacterized and non-standardized, unlike other common allergens derived from cat, dog, dust mite, cockroach, or pollens. 21 , 22 Exposure to fungal allergens is traditionally estimated by indirect methods, considering spores as indicators of the presence of allergens.…”