Inferences from occupational asthma. 1997

P Cullinan, and A J Newman Taylor
Imperial College of Science, Technology & Medicine, National Heart & Lung Institute, London, UK.

Occupational asthma-asthma induced by an agent inhaled at work-provides a valid model for the examination of the more general environmental causes of asthma. In many instances, definable populations exposed to a novel allergen in the workplace at concentrations that are relatively easily measured develop IgE-associated asthma and characteristic eosinophilic bronchitis. Carefully designed epidemiological studies suggest that the incidence of IgE antibody and asthma is highest in the first one to two years of exposure; and that the risk is directly related to the intensity of airborne allergen exposure. The relationship between exposure and outcome is modified both by concurrent cigarette smoking and by genotype, although the details of this latter interaction remain unclear. Symptoms, airway hyper-responsiveness and airway inflammation may persist for several years after avoidance of exposure to the initiating agent. If the relevance of the model is accepted then these insights require testing and further investigation, both within the field of occupational asthma and, by extension, in the wider field of asthma in the general environment.

UI MeSH Term Description Entries
D009784 Occupational Diseases Diseases caused by factors involved in one's employment. Diseases, Occupational,Occupational Illnesses,Disease, Occupational,Illnesse, Occupational,Illnesses, Occupational,Occupational Disease,Occupational Illnesse
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001249 Asthma A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL). Asthma, Bronchial,Bronchial Asthma,Asthmas
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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