“…Some individuals that cannot be described as atopic escape sensitization to common allergens in childhood and adolescence, but develop IgE‐mediated allergy later in life when exposed to high doses of allergen, often together with some adjuvant, such as tobacco smoke (66). This situation is illustrated by many cases of occupational allergy (74), as to laboratory animals such as mice (90), enzymes such as α‐amylase (11, 101), Bacillus subtilis protease (95), and houseplants such as Ficus benjamina (7, 78). There are some indications that, in addition to the IgE trait, atopy includes some kind of target organ sensitivity, as shown, for example, by the adverse effect of exercise in some patients, the finding of nonallergen‐specific bronchial hyperreactivity in patients with allergic asthma, and the disturbed barrier function of atopic skin.…”