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Comments for the paper: "High-altitude treatment: a therapeutic option for patients with severe, refractory asthma?", 2011, Clin Exp Allergy

Interesting review, mainly non-occupational

Published Paper Comments, , 26/05/2011, 26/05/2011,

Comments for the causative agent: "Actichlor ?"

asked for second time to comment on health worker symptomatic after exposure to higher conc actichlor. Any similar experience? Not sure why listed uinder chrome fumes

Page Comments, , 18/05/2011, 21/05/2011,

occupational asthma and chromite mining

I was consulted by a 33 year old woman who developed asthma after two years of exposure to chromite ore during underground chromite mining. Other exposure was diesel exhaust emissions. Symptoms worse at work and improved away from work. No smelter on site so exposure was only to chromite dust (n ...

Occupational Asthma, Specialist, 20/05/2011, 20/05/2011,

Comments for the causative agent: "Myristica fragrans"

Also known as mace or nutmeg

Page Comments, , 19/05/2011, 19/05/2011,

Comments for the paper: "Irritant-induced occupational asthma", 1989, Chest

A four-fold change in methacholine Pc20 was seen in 16/49 with sensitizer-induced occupational asthma (clinical diagnosis, some with challenges). 19/49 had supporting PEF changes (denominator of those actually doing the test not stated) Irritant induced asthma seen in 15, (No prior asthma, onse ...

Published Paper Comments, , 18/05/2011, 18/05/2011,

Increased risk of bronchopulmonary aspergillosis in certain occupations

I wonder if you can give me any information regarding the possibility of increased risk of bronchopulmonary aspergillosis in certain occupations. It is my understanding that the Aspergillus exposure is likely to be higher if one is working with organic waste such as gardeners. I have a patient ...

Occupational Asthma, Specialist, 20/02/2006, 01/05/2011,

Comments for the paper: "Airway hyperresponsiveness in elite swimmers: Is it a transient phenomenon?", 2011, J Allergy Clin Immunol

These are club athletes rather than elite national swimmers. The type of pool is not stated. The NSBR improves away from intense training, but swimmers remain more reactive than non-swimmers. The conclusion that NSBR is transitory are overstated

Published Paper Comments, , 26/04/2011, 26/04/2011,

Comments for the paper: "Medical surveillance programme for diisocyanate exposure ", 2011, Occup Environ Med

Really a cross-sectional study at the start of a surveillance programme compared with workers diagnosed with occupational asthma presenting clinically (historical controls). Those identified by surveillance had less NSBR and recovered better than the historical controls (2 years after removal f ...

Published Paper Comments, , 13/04/2011, 13/04/2011,

Comments for the paper: "Association of bronchial reactivity to occupational agents with methacholine reactivity, sputum cells and immunoglobulin E-mediated reactivity", 2011, Clin Exp Allergy

This is an interesting paper, but all the analysis is retrospective and requires prospective validation. Although there was a relationship between sputum eosinophilia, NSBR and occupatiuonal asthma both together and separately, the negative combination is not enough to exclude occupational asthm ...

Published Paper Comments, , 02/04/2011, 02/04/2011,

Occupational asthma from pesticides

Im concerned about pesticides? Herbicides used near were i work ? im having thyroid trouble , insomnia, tremour in left hand , hair loss , muscle pain.C an you advise if we need to wear respiritory mask ?

Occupational Asthma, Specialist, 28/03/2011, 28/03/2011,