Abstract
A worker developed toluene diisocyanate induced asthma in 1974. On reassessment, 11 years after leaving the chemical plant where toluene diisocyanate was produced, he had no respiratory symptoms and normal bronchial reactivity in response to methacholine, and showed no reaction when challenged with a subirritant concentration of toluene diisocyanate. He developed asthma within five months of returning to the workplace. Repeat challenge testing showed bronchial hyperreactivity to methacholine and to the specific sensitising agent, toluene diisocyanate. This clinical pattern could be due to underlying toluene diisocyanate sensitivity with resolution and reappearance of hyperresponsiveness to methacholine and toluene diisocyanate reactivity associated with workplace toluene diisocyanate exposure. Alternatively, this worker may have developed sensitisation to toluene diisocyanate anew.
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Selected References
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- American Lung Association 80th annual meeting; American Thoracic Society 79th annual meeting; Congress of Lung Association Staff 72nd annual meeting. May 20-23, 1984, Miami Beach. Abstracts. Am Rev Respir Dis. 1984 Apr;129(4 Pt 2):A1–362. [PubMed] [Google Scholar]
- Banks D. E., Barkman H. W., Jr, Butcher B. T., Hammad Y. Y., Rando R. J., Glindmeyer H. W., 3rd, Jones R. N., Weill H. Absence of hyperresponsiveness to methacholine in a worker with methylene diphenyl diisocyanate (MDI)-induced asthma. Chest. 1986 Mar;89(3):389–393. doi: 10.1378/chest.89.3.389. [DOI] [PubMed] [Google Scholar]
- Brooks S. M. The evaluation of occupational airways disease in the laboratory and workplace. J Allergy Clin Immunol. 1982 Jul;70(1):56–66. doi: 10.1016/0091-6749(82)90202-0. [DOI] [PubMed] [Google Scholar]
- Butcher B. T., Karr R. M., O'Neil C. E., Wilson M. R., Dharmarajan V., Salvaggio J. E., Weill H. Inhalation challenge and pharmacologic studies of toluene diisocyanate (TDI)-sensitive workers. J Allergy Clin Immunol. 1979 Aug;64(2):146–152. doi: 10.1016/0091-6749(79)90049-6. [DOI] [PubMed] [Google Scholar]
- Butcher B. T., O'Neil C. E., Reed M. A., Salvaggio J. E., Weill H. Development and loss of toluene diisocyanate reactivity: immunologic, pharmacologic, and provocative challenge studies. J Allergy Clin Immunol. 1982 Oct;70(4):231–235. doi: 10.1016/0091-6749(82)90058-6. [DOI] [PubMed] [Google Scholar]
- Cartier A., Malo J. L., Forest F., Lafrance M., Pineau L., St-Aubin J. J., Dubois J. Y. Occupational asthma in snow crab-processing workers. J Allergy Clin Immunol. 1984 Sep;74(3 Pt 1):261–269. doi: 10.1016/0091-6749(84)90256-2. [DOI] [PubMed] [Google Scholar]
- Hendrick D. J., Fabbri L. M., Hughes J. M., Banks D. E., Barkman H. W., Jr, Connolly M. J., Jones R. N., Weill H. Modification of the methacholine inhalation test and its epidemiologic use in polyurethane workers. Am Rev Respir Dis. 1986 Apr;133(4):600–604. doi: 10.1164/arrd.1986.133.4.600. [DOI] [PubMed] [Google Scholar]
- Lozewicz S., Assoufi B. K., Hawkins R., Taylor A. J. Outcome of asthma induced by isocyanates. Br J Dis Chest. 1987 Jan;81(1):14–22. doi: 10.1016/0007-0971(87)90103-3. [DOI] [PubMed] [Google Scholar]
- Paggiaro P. L., Loi A. M., Rossi O., Ferrante B., Pardi F., Roselli M. G., Baschieri L. Follow-up study of patients with respiratory disease due to toluene diisocyanate (TDI). Clin Allergy. 1984 Sep;14(5):463–469. doi: 10.1111/j.1365-2222.1984.tb02230.x. [DOI] [PubMed] [Google Scholar]
