Cobalt‐induced anaphylaxis, contact urticaria, and delayed allergy in a ceramics decorator

Krêcisz, Beata; Kieć-Swierczyńska, M; Chomiczewska, Dorota; Pałczyński, Cezary

doi:10.1111/j.1600-0536.2008.01465.x

Cited by 24 publications

(7 citation statements)

References 4 publications

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“…Cutaneous and anaphylactic reactions have occasionally been reported during SICs [136][137][138][139][140]. Skin contact with occupational agents should be reduced as much as possible during SIC by using protective clothes or closed-circuit delivery systems.…”

Section: Cutaneous and Anaphylactic Reactionsmentioning

confidence: 99%

Specific inhalation challenge in the diagnosis of occupational asthma: consensus statement

Vandenplas

Suojalehto

Aasen

et al. 2014

European Respiratory Journal

178

144

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This consensus statement provides practical recommendations for specific inhalation challenge (SIC) in the diagnosis of occupational asthma. They are derived from a systematic literature search, a census of active European centres, a Delphi conference and expert consensus. This article details each step of a SIC, including safety requirements, techniques for delivering agents, and methods for assessing and interpreting bronchial responses. The limitations of the procedure are also discussed.Testing should only be carried out in hospitals where physicians and healthcare professionals have appropriate expertise. Tests should always include a control challenge, a gradual increase of exposure to the suspected agent, and close monitoring of the patient during the challenge and for at least 6 h afterwards. In expert centres, excessive reactions provoked by SIC are rare.A positive response is defined by a fall in forced expiratory volume in 1 s o15% from baseline. Equivocal reactions can sometimes be clarified by finding changes in nonspecific bronchial responsiveness, sputum eosinophils or exhaled nitric oxide. The sensitivity and specificity of SIC are high but not easily quantified, as the method is usually used as the reference standard for the diagnosis of occupational asthma. @ERSpublications ERS Task Force: a statement on specific inhalation challenges in the diagnosis of occupational asthma

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Section: Cutaneous and Anaphylactic Reactionsmentioning

confidence: 99%

Specific inhalation challenge in the diagnosis of occupational asthma: consensus statement

Vandenplas

Suojalehto

Aasen

et al. 2014

European Respiratory Journal

178

144

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“…Among them, platinum salts are important allergens in the catalyst industry and clinical manifestations may involve both the respiratory system and the skin. [106][107][108][109][110][111] Fig. 1.…”

Section: Biocides and Preservativesmentioning

confidence: 99%

Immediate Skin Contact Reactions Induced by Chemicals

Giménez‐Arnau

2018

Contact Urticaria Syndrome

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An ever-expanding list of causes has been reported for immediate skin contact reactions, of which mostly proteins (molecular weight 10000 Da to several hundred thousands), but also chemical compounds of low molecular weight (lower than 1000 Da). Low molecular weight chemical agents can be indeed responsible for immediate contact skin symptoms in the different defined categories of contact urticaria. The most important chemicals responsible for non-immunological and immunological contact urticaria are described in this chapter. For simplification and comprehension purposes they have been classified into the major containing families of products that include fragrances and cosmetic ingredients, biocides and preservatives and drugs, together with other categories.

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“…Metals : Several metals, such as chromium , iridium , and cobalt have been shown to cause occupational contact urticaria, asthma, and anaphylaxis of uncertain mechanism. Positive SPTs have been observed to iridium, and the involvement of cell‐mediated mechanisms to chromium has been suggested.…”

Section: Specific Causes Of Occupational Anaphylaxismentioning

confidence: 99%

Occupational anaphylaxis - an EAACI task force consensus statement

Siracusa

Folletti

Wijk

et al. 2015

Allergy

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Anaphylaxis is a systemic allergic reaction, potentially life-threatening that can be due to nonoccupational or, less commonly, to occupational triggers. Occupational anaphylaxis (OcAn) could be defined as anaphylaxis arising out of triggers and conditions attributable to a particular work environment. Hymenoptera stings and natural rubber latex are the commonest triggers of OcAn. Other triggers include food, medications, insect/mammal/snake bites, and chemicals. The underlying mechanisms of anaphylactic reactions due to occupational exposure are usually IgE-mediated and less frequently non-IgE-mediated allergy or nonallergic. Some aspects of work-related allergen exposure, such as route and frequency of exposure, type of allergens, and cofactors may explain the variability of symptoms in contrast to the nonoccupational setting. When assessing OcAn, both confirmation of the diagnosis of anaphylactic reaction and identification of the trigger are required. Prevention of further episodes is important and is based on removal from further exposure. Workers with a history of OcAn should immediately be provided with a written emergency management plan and an adrenaline auto-injector and educated to its use. Immunotherapy is recommended only for OcAn due to Hymenoptera stings.

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Cobalt‐induced anaphylaxis, contact urticaria, and delayed allergy in a ceramics decorator

Cited by 24 publications

References 4 publications

Specific inhalation challenge in the diagnosis of occupational asthma: consensus statement

Specific inhalation challenge in the diagnosis of occupational asthma: consensus statement

Immediate Skin Contact Reactions Induced by Chemicals

Occupational anaphylaxis - an EAACI task force consensus statement

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