Document Detail


Occupational asthma and occupational rhinitis in hairdressers.
MedLine Citation:
PMID:  16304318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hairdressers are at risk for occupational respiratory diseases, but the risk factors, causal agents, and underlying mechanisms are not completely defined. AIM: To describe the features of a large group of hairdressers consecutively referred to our center for suspected occupational asthma (OA) over an 8-year period, the type of occupational respiratory diseases, the etiologic agents, and the diagnostic tests. RESULTS: Forty-seven hairdressers (mean age, 25 years; range, 17 to 52 years) were studied. On the basis of the response to the specific inhalation challenge (SIC), 24 patients received a diagnosis of OA (51.1%), which was due to persulfate salts in 21 patients (87.5%), permanent hair dyes in 2 patients (8.3%), and latex in 1 patient (4.2%). Thirteen of these 24 patients (54.2%) also received a diagnosis of occupational rhinitis, which was due to persulfate salts in 11 patients (84.6%) and to paraphenylenediamine in two patients (15.4%). Patients with persulfate asthma had a long period of exposure to bleaching agents, a long latent period between the start of exposure and the onset of symptoms, and a prevalent eosinophilic airway inflammation in induced sputum. The skin-prick test with ammonium persulfate performed in a subset of patients gave negative results CONCLUSIONS: In the present study, we confirmed that persulfate salts are the major agents involved in OA and occupational rhinitis in hairdressers. The positive response to the SIC in only a part of the population of symptomatic exposed workers, the period between the starting of exposure and the onset of symptoms, the type of response to the SIC, and the high frequency of association of asthma with other diseases such as dermatitis and rhinitis suggest an immunologic mechanism that remains to be elucidated.
Authors:
Gianna Moscato; Patrizia Pignatti; Mona-Rita Yacoub; Canzio Romano; Sandro Spezia; Luca Perfetti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  128     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-23     Completed Date:  2005-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3590-8     Citation Subset:  AIM; IM    
Affiliation:
Allergy and Immunology Unit, Fondazione Salvatore Maugeri, Institute of Research and Care, Scientific Institute of Pavia, Italy. gmoscato@fsm.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Ammonium Sulfate / adverse effects*
Asthma / chemically induced,  diagnosis,  epidemiology*,  immunology
Beauty Culture*
Female
Humans
Male
Middle Aged
Occupational Diseases / chemically induced,  epidemiology*,  immunology
Occupational Exposure
Rhinitis, Allergic, Perennial / epidemiology*,  immunology
Skin Tests
Spirometry
Sputum / cytology
Threshold Limit Values
Chemical
Reg. No./Substance:
7727-54-0/ammonium peroxydisulfate; 7783-20-2/Ammonium Sulfate

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