Advances in methods used in evaluation of occupational asthma

Current Opinion in Pulmonary Medicine

Volumn 10, Issue 2, 2004, Pages 142-146

  Campo, Paloma ^a   Lummus, Zana L ^a   Bernstein, David I ^a  

^a UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

Author keywords

Diagnosis; Occupational asthma; Skin prick test; Specific antibodies; Specific inhalation challenge

Indexed keywords

NITRIC OXIDE;

BREATH ANALYSIS; BRONCHUS HYPERREACTIVITY; CLINICAL EXAMINATION; FORCED EXPIRATORY VOLUME; FUNCTIONAL ASSESSMENT; HUMAN; OCCUPATIONAL ASTHMA; PEAK EXPIRATORY FLOW; PRICK TEST; PROVOCATION TEST; REVIEW; SPUTUM ANALYSIS;

EID: 1642569592     PISSN: 10705287     EISSN: None     Source Type: Journal    
DOI: 10.1097/00063198-200403000-00009     Document Type: Review

References (19)

1. Bernstein IL, Chan-Yeung M, Malo J-L, Bernstein DI: Definition and classification of Asthma. In Asthma in the Workplace and Related Disorders. 2nd edition. Edited by Bernstein I.L., Chan-Yeung M., Malo J-L. Marcel Dekker, Inc.: New York, NY;1999: 1-3.
2. Hamilton RG, Adkinson NF Jr: Diagnosis of natural rubber latex allergy: multicenter latex skin testing efficacy study. Multicenter Latex Skin Testing Study Task Force. J Allergy Clin Immunol 1998, 102:482-490.
3. Zeiler T, Taivainen A, Mäntyjärvi R, et al.: Threshold levels of purified natural Bos d 2 for inducing bronchial airway response in asthmatic patients. Clin Exp Allergy 2002, 32:1454-1460. Skin prick testing can be used to predict the antigen concentration of purified allergen that is likely to elicit a positive SIC response to cow epithelium.
4. Bernstein DI, Biagini RE, Karnani R, et al.: In vivo sensitization to purified Hevea brasiliensis proteins in health care workers sensitized to natural rubber latex. J Allergy Clin Immunol 2003, 111:610-616. SPT with purified Hev b proteins is highly specific when used in the evaluation of natural rubber latex allergy.
5. Shirai T, Reshad K, Yoshitomi A, et al.: Green tea-induced asthma: relationship between immunological reactivity, specific and non-specific bronchial responsiveness. Clin Exp Allergy 2003, 33:1252-1255. Skin testing with ECG has excellent sensitivity and positive predictive value for identifying green tea-induced OA. However, larger studies are required to confirm this finding.
6. Shirai T, Sato A, Chida K, et al.: Epigallocatechin gallate-induced histamine release in patients with green tea-induced asthma. Ann Allergy Asthma Immunol 1997, 79:65-69.
7. Koskela H, Taivainen A, Tukiainen H, Chan HK: Inhalation challenge with bovine dander allergens: who needs it? Chest 2003, 124:383-391. As for certain food allergies (ie, peanut allergy), high levels of serum bovine allergen specific IgE possess high positive predictive value for correctly identifying OA in cow farmers.
8. Bernstein DI, Cartier A, Côte J, et al.: Diisocyanate antigen-stimulated monocyte chemoattractant protein-1 synthesis has greater test efficiency than specific antibodies for identification of diisocyanate asthma. Am J Respir Crit Care Med 2002, 166:445-450. In vitro antigen-specific cellular assays combined with specific antibodies may prove to be useful diagnostic tools for excluding diisocyanate asthma in workers with a high diagnostic probability.
9. Hendrick DJ: Diagnostic tests for occupational asthma. Am J Respir Crit Care Med 2002, 166:436-437.
10. Sastre J, Fernández-Nieto M, Novalbos A, et al.: Need for monitoring nonspecific bronchial hyperresponsiveness before and after isocyanate inhalation challenge. Chest 2003, 123:1276-1279. Serial methacholine testing combined with SIC is more sensitive than SIC alone in the diagnosis of OA, especially in those asymptomatic workers lacking recent isocyanate exposure.
11. Alberts WM: Getting the most from the "gold standard". Chest 2003, 123:987-989.
12. de Meer G, Postma DS, Heederik D: Bronchial responsiveness to adenosine-5′-monophosphate and methacholine as predictors for nasal symptoms due to newly introduced allergens. A follow-up study among laboratory animal workers and bakery apprentices. Clin Exp Allergy 2003, 33:789-794.
13. Anees W, Huggins V, Pavord ID, et al.: Occupational asthma due to low molecular weight agents: eosinophilic and non-eosinophilic variants. Thorax 2002, 57:231-236.
14. Park HS, Kim HA, Jung JW, et al.: Metalloproteinase-9 is increased after toluene diisocyanate exposure in the induced sputum from patients with toluene diisocyanate-induced asthma. Clin Exp Allergy 2003, 33:113-118. Metalloproteinase in induced sputum is significantly increased in patients with OA, although there is insufficient data for this to be recommended as a diagnostic tool.
15. Piipari R, Piirilä P, Keskinen H, et al.: Exhaled nitric oxide in specific challenge tests to assess occupational asthma. Eur Respir J 2002, 20:1532-1537. The usefulness of eNO in the diagnosis of OA, although promising, has not been proven.
16. Baldwin DR, Gannon P, Bright P, et al: Interpretation of occupational peak flow records: level of agreement between expert clinicians and Oasys-2. Thorax 2002, 57:860-864. Level of agreement between experts and Oasys-2 in the interpretation of serial PEF measurements is evaluated in this study.
17. Perfetti L, Bramé B, Ferrari M, Moscato G: Occupational asthma (OA) with sensitization to diphenylmethane diisocyanate (MDI) presenting at the onset like a reactive airways dysfunction syndrome (RADS). Am J Ind Med 2003, 44:325-328. In cases where diisocyanate-induced RADS is suspected, SIC is indicated to exclude diisocyanate asthma
18. Bernstein DI, Smith AB, Moller DR, et al.: Clinical and immunologic studies among egg-processing workers with occupational asthma. J Allergy Clin Immunol 1987, 80:791-797.
19. Escudero C, Quirce S, Fernández-Nieto M, et al.: Egg white proteins as inhalant allergens associated with baker's asthma. Allergy 2003, 58:616-620. Workers with OA caused by inhaled egg proteins are also at risk of developing food allergy to ingested egg products.