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Skin Tests and Specific IgE Determinations in the Diagnosis of Contact Urticaria and Respiratory Disease Caused by Low-Molecular-Weight Chemicals
Published in Ana M. Giménez-Arnau, Howard I. Maibach, Contact Urticaria Syndrome, 2014
Kristiina Aalto-Korte, Outi Kuuliala, Eva Helaskoski
Specific inhalation challenge is the principal method used to confirm the diagnosis of occupational asthma and rhinitis at FIOH, but serial peak flow monitoring is also used. Placebo-controlled challenges are performed in challenge chambers as work simulation or nebulization of the occupational agent in the air. These include a 24-hour follow-up for each agent.
Occupational chronic obstructive pulmonary disorder: prevalence and prevention
Published in Expert Review of Respiratory Medicine, 2022
Periodical examinations of the workers are performed according to the national legislatives of the certain countries. As a minimum, the preventive medical examinations should include: medical history to identify any existing health problem or disease that may affect breathing, standardized respiratory questionnaire inquiring about such concerns as cough, sputum production, exertional and resting dyspnea, wheezing, smoking history, etc., spirometric measurements the results of which should be compared with the results of the baseline (pre-employment) spirometric testing. Periodical medical examinations should include additional tests as needed, e.g. skin prick tests, bronchodilator test, nonspecific or specific inhalation challenge test, serial peak expiratory flow rate (PEFR) recording, measurements of diffusion capacity, etc., in order to clarify respiratory disorder in affected workers.
Methyl methacrylate and respiratory sensitisation: a comprehensive review
Published in Critical Reviews in Toxicology, 2022
Third, it is necessary to make it clear that although this review found the available human data insufficient to support the classification of MMA as a respiratory sensitiser, this is not intended to be a criticism of the important work undertaken by health care professionals and occupational physicians charged with investigation and diagnosis of workplace-associated asthma. Worker health monitoring, national surveillance data, individual case studies, exposure monitoring and the conduct of specific inhalation challenge tests are all very important elements of monitoring and ensuring worker safety. However, it has to be acknowledged that while such activities fulfil important clinical and occupational hygiene needs they are not designed to provide data on which clear decisions can necessarily be reached about causation, and the requirements for accurate classification of chemicals encountered in the workplace.
Asthma and rhinitis in Greek furniture workers
Published in Journal of Asthma, 2021
Katerina Paraskevaidou, Konstantinos Porpodis, Theodoros Kontakiotis, Ioannis Kioumis, Dionisios Spyratos, Despina Papakosta
In this study, we aimed to define the presence of WRA and WRR in a sample of furniture workers in the area of Thessaloniki, Greece and also to determine the usefulness of different tests for early screening the disease. To our knowledge, there was no other study about medical surveillance conducted in the furniture industry in Greece. We performed a complete evaluation using, the ECRHS questionnaire, spirometry before and after bronchodilation, FeNo measurements, skin prick tests, rhinomanometry, and PEFR records using the OASYS score and ABC score for the detection of WRA. The evaluation of this variety of tests for screening WRA has not been found in any previous published studies in the literature. Specific Inhalation Challenge (SIC) tests are not standardized, and are not used in many countries, including Greece and thus were not performed in our study (32).