Agents causing occupational asthma
Abstract
The workplace is a significant contributor to the burden of asthma. Although the majority of cases probably represent what is labeled work-exacerbated asthma, in a significant number of subjects, asthma is actually caused by 1 or more agents present in the workplace; this is occupational asthma. Two types of occupational asthma are distinguished, according to whether the asthma appears after a latency period. This article discusses (1) two types of agents causing asthma with a latency period and acting through an apparently immunologic mechanism (high-molecular-weight agents and low-molecular-weight agents) and (2) agents causing asthma without a latency period.
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Over 250 agents may potentially cause sensitization and possibly occupational asthma.
“Over 250 agents may potentially cause sensitization and possibly occupational asthma (OA), and comprehensive lists are available (Table 1) (112–115).”
From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [114]
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BackgroundCells and mediators in diisocyanate-induced occupational asthma
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“Occupational asthma with latency period can be induced by sensitization to either a specific allergen (high molecular weight compounds, HMWC) or chemical compounds (low molecular weight compounds, LMWC) present in the workplace [1].”
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“The resulting metal dusts can be inhaled; this inhalation per se produces damage; moreover it causes pathologies like respiratory syndrome or chromosome damage (Gurzau et al., 2003; Jelmert et al., 1994; Malo and Chan-Yeung, 2009; Rana, 2008).”
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“Workers from many industries are typically not exposed to a single sensitizing agent, but to several agents (13).”
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Immunological Treatments for Occupational Allergy
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Japanese Guideline for Occupational Allergic Diseases 2014
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“a) PUVA [A] b) NB-UVB [B] (5) Barrier-cream gloves are effective for prevention.”
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- Authors
- Malo, J.-L., & Chan-Yeung, M.
- Affiliations
- Hôpital du Sacré-Cœur de Montréal (CA)
- ORCID
- Malo, Jean-Luc
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 123
- Issue
- 3
- Pages
- 545-550
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W1965344915
- Cited by
- 145
- References
- 40
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 10 · 2021: 5 · 2020: 11 · 2019: 6 · 2018: 2 · 2017: 8 · 2016: 6 · 2015: 9 · 2014: 12 · 2013: 18 · 2012: 19
- FWCI
- 9.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- occupational asthma, asthma triggers, high molecular weight allergens, low molecular weight allergens, immune mechanisms, latency period, work-exacerbated asthma, occupational exposure
- MeSH terms
- Air Pollutants, Occupational, Allergens, Asthma, Humans, Occupational Diseases, Occupational Exposure, Workplace
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