Diesel exhaust and occupational asthma?


I have a patient with adult-onset asthma with low dose exposure to diesel exhaust. Do you know whether the bus depot workers with DEP OA had raised FeNO? - the experimental diesel challenges seem to suggest neutrophilic inflammation rather than eosinophilic?
Full Text Available for DIESEL EXHAUST CAUSING LOW-DOSE IRRITANT ASTHMA WITH LATENCY? Adewole F, Moore VC, Robertson AS, Burge PS, DIESEL EXHAUST CAUSING LOW-DOSE IRRITANT ASTHMA WITH LATENCY?, Occup Med, 2009;59:424-427,
Sherwood Burge, Oasys, an author of 'DIESEL EXHAUST CAUSING LOW-DOSE IRRITANT ASTHMA WITH LATENCY?' Vicky Moore, Oasys, an author of 'DIESEL EXHAUST CAUSING LOW-DOSE IRRITANT ASTHMA WITH LATENCY?' Alastair Robertson, Selly Oak Hospital, an author of 'DIESEL EXHAUST CAUSING LOW-DOSE IRRITANT ASTHMA WITH LATENCY?' Femi Adewole, Nigeria, an author of 'DIESEL EXHAUST CAUSING LOW-DOSE IRRITANT ASTHMA WITH LATENCY?'

Abstract Available for Diesel asthma. Reactive airways disease following overexposure to locomotive exhaust Wade JF, Newman LS, Diesel asthma. Reactive airways disease following overexposure to locomotive exhaust, J Occup Med, 1993;35:149-154,
Lee Newman, Colorado University, an author of 'Diesel asthma. Reactive airways disease following overexposure to locomotive exhaust'

Occupational Asthma, Specialist, 5/10/2019, 5/10/2019,

I have looked at 17/20 reports to SWORD for 2000-2018 from our unit with available data. There are FeNO results in the letters in 8/20 the value are 20, 20, 26, 31, 31, 38, 39, 47 ppb. 12 have positive Oasys records. Jobs include vehicle maintenance, including bus garages (7); warehouse loader/fork lift driver (6); railway engine maintenance (2); coach depot secretary (1)
5/10/2019

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