Nasal symptoms and pathophysiology in farmers
Autor: | Anders Thelin, Birgitta Kolmodin-Hedman, Mats Holmström, Mats Åhman |
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Rok vydání: | 2001 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.drug_class Mucous membrane of nose Nasal Polyps Acoustic rhinometry immune system diseases Surveys and Questionnaires Internal medicine Respiratory Hypersensitivity otorhinolaryngologic diseases Olfactory threshold Humans Medicine Nasal polyps Animal Husbandry Occupations Therapeutic Irrigation Nose Aged Skin Tests Eosinophil cationic protein business.industry Public Health Environmental and Occupational Health food and beverages Middle Aged respiratory system medicine.disease Agricultural Workers' Diseases Respiratory Function Tests respiratory tract diseases Decongestant Dairying Nasal Mucosa medicine.anatomical_structure Data Interpretation Statistical Immunology Nasal Lavage Female business |
Zdroj: | International Archives of Occupational and Environmental Health. 74:279-284 |
ISSN: | 0340-0131 |
DOI: | 10.1007/pl00007944 |
Popis: | Objectives: Increased morbidity and mortality in lower airway diseases have been reported among farmers. The aim of this study was to assess upper airway problems in farmers. Subjects and methods: Twenty-five dairy farmers, 20 pig farmers, 21 grain farmers and 19 control subjects were studied, by use of questionnaire, skin-prick test, dynamic spirometry, nasal inspection, acoustic rhinometry (before and after a decongestant) as well as by determinations of the olfactory threshold and nasal lavage (NAL) concentrations of eosinophil cationic protein (ECP), myeloperoxidase (MPO) and albumin. Results: Compared with the control group, farmers had more complaints of work-related symptoms from the lower airways, and symptoms of smell impairment, and more often had nasal polyps and hyperaemia of the nasal mucosa. They also had higher levels of MPO in NAL (especially dairy farmers and pig farmers), and a tendency to more swollen nasal mucosa and lower olfactory threshold (especially grain farmers). Conclusions: The farmers had more pathological findings in their nasal mucosa, possibly indicating effects of allergens and irritants in their work environment. More studies are needed to evaluate work environment factors causing these pathological findings in farmers. |
Databáze: | OpenAIRE |
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