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Occupational asthma in a crusher of almond shells (new cause)

Occupational asthma in a crusher of almond shells (new cause)
Agent Almond shells (Prunus dulcis)
Job Sheller of hulled almonds
Specific IgE None by SDS page 11-14 kDa
Lymphocyte proliferation not tested
Skin prick test negative to almonds and almond shell extract 1:10
Patch test not done
Non-specific reactivity methacholine 180ug/ml pre challenge
Serial Peak Flow not done
 Induced sputum not done
Specific Challenge 

immediate reaction to almond shell dust at 5mg/m3 immediate reaction lasting >24 hours

Follow-up

not stated

References

Abstract Available for Non-allergic occupational asthma because of almond shell dust Foti C, Nettis E, Cassano N, Damiani E, Carino M, Vena GA, Non-allergic occupational asthma because of almond shell dust , Allergy, 28;63:1087-1088,

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