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Occupational Allergy (occupational + allergy)

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Medical Sciences100%

Selected Abstracts

Dynamics in cytokine responses during the development of occupational sensitization to rats

ALLERGY, Issue 10 2010
E. J. M. Krop
To cite this article: Krop EJM, van de Pol MA, Lutter R, Heederik DJJ, Aalberse RC, van der Zee JS. Dynamics in cytokine responses during the development of occupational sensitization to rats. Allergy 2010; 65: 1227,1233. Abstract Background:, Occupational allergy forms an attractive model to study the development of allergic responses, as in some occupations it has a high incidence and develops quickly. In a cohort of starting laboratory animal workers, we previously found 20% sensitization to animal allergens within 2 years. Methods:, We compared cellular responses of incident laboratory animal workers who developed rat-specific sensitization (cases, n = 18) during 2 years of follow-up to control animal workers matched for atopic status but without sensitization after follow-up (controls, n = 18). Practically, this is a case,control study, nested within the cohort. Rat-specific IgE antibodies were measured in sera, and allergen-specific and nonspecific cytokine responses were measured in whole blood and in isolated peripheral blood mononuclear cells. Results:, Self-reported allergic symptoms were related to the presence of rat-specific IgE (P , 0.01). Cases developed a rat allergen,specific interleukin (IL)-4 response during sensitization, while controls did not show an increased IL-4 response (at visit D: 33 vs 5 IL-4 producing cells/106 cells, P < 0.001). The IL-4 response was related to the levels of rat-specific IgE in cases (visit D: rho = 0.706, P < 0.001). By contrast, allergen-specific IL-10 and interferon , (IFN,) responses as well as nonspecific cytokine responses were comparable between cases and controls. Conclusion:, This study is the first to show the development of an allergen-specific IL-4 response in adult human subjects during allergen-specific sensitization. This IL-4 response was quantitatively associated with the development of the specific IgE antibodies. Allergen-specific or nonspecific IL-10 and IFN, responses showed no protective effect on the development of allergic sensitization. [source]

Occupational allergy caused by marigold (Tagetes erecta) flour inhalation

ALLERGY, Issue 7 2009
M. Lluch-Pérez
No abstract is available for this article. [source]

Brassica oleracea pollen, a new source of occupational allergens

ALLERGY, Issue 4 2006
H. K. Hermanides
Background:, Vegetable pollen is a rare source of occupational allergens. Occupational allergy has only been described in the case of paprika pollen and tomato pollen. We describe a new source of occupational pollen allergy. Aim:, To study the incidence and the impact of broccoli and cauliflower pollen allergy in employees involved in classical plant breeding. Methods:, Fifty-four employees of five companies working with cauliflower (Brassica oleracea botrytis) and broccoli (B. oleracea italica/cymosa) pollen were eligible for complete evaluation. Allergy to cauliflower and broccoli pollen was evaluated by questionnaire and determination of sensitization by radioallergosorbent test (RAST) and skin-prick tests (SPT). SPT and RAST were performed with a panel of commercial and homemade extracts from cauliflower and broccoli pollen. Results:, Work-related symptoms such as rhinitis, conjunctivitis, asthma and urticaria caused by B. oleracea pollen were reported by 44% of the participants (24/54), of whom all but one had positive SPT for cauliflower- and/or broccoli-pollen/flower extracts and 58% (14/24) had positive RAST results. Symptoms had developed within the first 2 years in 33% of the patients. Six patients had to stop or change work. Conclusions:,Brassica oleracea pollen is a new source of occupational allergen with strong allergenic potential leading to symptoms in almost half of the exposed employees. [source]

Occupational allergy and asthma among salt water fish processing workers

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 12 2008
Mohamed F. Jeebhay MBChB
Abstract Background Fish processing is a common economic activity in Southern Africa. The aim of this study was to determine the prevalence and host determinants of allergic symptoms, allergic sensitization, bronchial hyper-responsiveness and asthma among workers processing saltwater fish. Methods A cross-sectional study was conducted on 594 currently employed workers in two processing plants involved in pilchard canning and fishmeal processing. A modified European Community Respiratory Health Survey (ECRHS) questionnaire was used. Skin prick tests (SPT) used extracts of common airborne allergens, fresh fish (pilchard, anchovy, maasbanker, mackerel, red eye) and fishmeal. Spirometry and methacholine challenge tests (MCTs; tidal breathing method) used ATS guidelines. Results Work-related ocular-nasal symptoms (26%) were more common than asthma symptoms (16%). The prevalence of atopy was 36%, while 7% were sensitized to fish species and 26% had NSBH (PC20,,,8 mg/ml or ,12% increase in FEV1 post-bronchodilator). The prevalence of probable occupational asthma was 1.8% and fish allergic rhino-conjunctivitis 2.6%. Women were more likely to report work-related asthma symptoms (OR,=,1.94) and have NSBH (OR,=,3.09), while men were more likely to be sensitized to fish (OR,=,2.06) and have airway obstruction (OR,=,4.17). Atopy (OR,=,3.16) and current smoking (OR,=,2.37), but not habitual seafood consumption were associated with sensitization to fish. Conclusions Based on comparison with previous published studies, the prevalence of occupational asthma to salt water fish is lower than due to shellfish. The gendered distribution of work and exposures in fish processing operations together with atopy and cigarette smoking are important determinants of occupational allergy and asthma. Am. J. Ind. Med. 51:899,910, 2008. © 2008 Wiley-Liss, Inc. [source]

Cross-reactive carbohydrate determinants in diagnostics of occupational allergy , preliminary results

ALLERGY, Issue 5 2010
M. Wiszniewska
No abstract is available for this article. [source]

Occupational allergy and asthma among salt water fish processing workers

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 12 2008
Mohamed F. Jeebhay MBChB
Abstract Background Fish processing is a common economic activity in Southern Africa. The aim of this study was to determine the prevalence and host determinants of allergic symptoms, allergic sensitization, bronchial hyper-responsiveness and asthma among workers processing saltwater fish. Methods A cross-sectional study was conducted on 594 currently employed workers in two processing plants involved in pilchard canning and fishmeal processing. A modified European Community Respiratory Health Survey (ECRHS) questionnaire was used. Skin prick tests (SPT) used extracts of common airborne allergens, fresh fish (pilchard, anchovy, maasbanker, mackerel, red eye) and fishmeal. Spirometry and methacholine challenge tests (MCTs; tidal breathing method) used ATS guidelines. Results Work-related ocular-nasal symptoms (26%) were more common than asthma symptoms (16%). The prevalence of atopy was 36%, while 7% were sensitized to fish species and 26% had NSBH (PC20,,,8 mg/ml or ,12% increase in FEV1 post-bronchodilator). The prevalence of probable occupational asthma was 1.8% and fish allergic rhino-conjunctivitis 2.6%. Women were more likely to report work-related asthma symptoms (OR,=,1.94) and have NSBH (OR,=,3.09), while men were more likely to be sensitized to fish (OR,=,2.06) and have airway obstruction (OR,=,4.17). Atopy (OR,=,3.16) and current smoking (OR,=,2.37), but not habitual seafood consumption were associated with sensitization to fish. Conclusions Based on comparison with previous published studies, the prevalence of occupational asthma to salt water fish is lower than due to shellfish. The gendered distribution of work and exposures in fish processing operations together with atopy and cigarette smoking are important determinants of occupational allergy and asthma. Am. J. Ind. Med. 51:899,910, 2008. © 2008 Wiley-Liss, Inc. [source]