Is the incidence of aliphatic amine-induced occupational rhinitis and asthma underestimated?

Autor: Nicole Rosenberg, Patricia Dupont, Hervé Laborde-Castérot, Robert Garnier
Rok vydání: 2014
Předmět:
Zdroj: American Journal of Industrial Medicine. 57:1303-1310
ISSN: 0271-3586
DOI: 10.1002/ajim.22373
Popis: Background Amines, some of which are known to cause asthma, are frequently present in the work environment, but are rarely identified as being responsible for occupational rhinitis (OR) or asthma (OA). However, amine-induced OR/OA may be underreported. To discuss this hypothesis, we report a series of patients with positive amine-specific nasal provocation test (NPT). Methods Review of the medical charts of 37 patients with OR (alone or associated with asthma), submitted to a NPT with an aliphatic or alicyclic amine (except for EDTA) present in a product used at work. Results Most patients worked in the healthcare sector or for a cleaning company. Amines were mostly present in cleaning products. Seven patients had a positive NPT. NPTs were positive for the following amines: bis(aminopropyl)laurylamine, C12-C18 alkyldimethylamine oxides, bis(2-hydroxyethyl)tallowamine oxides, 3-dimethylaminopropylamine, 2,2′-dimethyl-4,4′-methylene-bis(cyclohexylamine), lauryldimethylamine oxide. NPTs were negative for the following amines: monoethanolamine, diethanolamine, triethanolamine, isopropanolamine, triethylamine, triethylenetetramine, aminopropyltriethoxysilane, alkylpropylenediamineguanidine acetate. Conclusions The frequency of amine-induced OR/OA may be underestimated, particularly when cleaning products are incriminated. Comprehensive investigation of all cases is mandatory to ensure an efficient prevention policy and consequently a good clinical and socio-occupational prognosis of occupational respiratory disease. Am. J. Ind. Med. 57:1303–1310, 2014. © 2014 Wiley Periodicals, Inc.
Databáze: OpenAIRE
Externí odkaz: