Occupational asthma and occupational rhinitis: the united airways disease model revisited
Identifieur interne : 000451 ( France/Analysis ); précédent : 000450; suivant : 000452Occupational asthma and occupational rhinitis: the united airways disease model revisited
Auteurs : Jacques Ameille [France] ; Karine Hamelin [France] ; Pascal Andujar [France] ; Lynda Bensefa-Colas [France] ; Vincent Bonneterre [France] ; Dominique Dupas [France] ; Robert Garnier [France] ; Brice Alain Loddé [France] ; Mickael Rinaldo [France] ; Alexis Descatha [France] ; Gérard Lasfargues [France] ; Jean-Claude Pairon [France] ; C. Doutrellot-Philippon ; I. Thaon ; P. Brochard ; C. Verdun-Esquer ; Jd Dewitte ; B. Lodde ; M. Letourneux ; B. Clin ; Mf Marquignon ; A. Chamoux ; D. Gabrillargues ; Jc Pairon ; P. Andujar ; J. Ameille ; A. Descatha ; R. De Gaudemaris ; V. Bonneterre ; A. Gislard ; N. Lepage ; C. Nisse ; A. Bergeret ; Jc Normand ; Mp Le Hucher-Michel ; A. Roulet ; C. Paris ; E. Penven ; D. Dupas ; D. Choudat ; L. Bensefa-Colas ; R. Garnier ; A. Villa ; E. Ben-Brik ; C. Berson ; F. Deschamps ; Fx Lesage ; Jf Gehanno ; L. Fontana ; C. Orset ; A. Cantineau ; S. Kleinogel ; Jm Soulat ; F. HérinSource :
- Occupational and Environmental Medicine [ 1351-0711 ] ; 2013-07.
Abstract
Objectives Whereas accumulating evidence indicates close associations between rhinitis and asthma, little is known about the relationships between occupational rhinitis (OR) and occupational asthma (OA). This study analyses the prevalence of OR associated with OA, globally and according to the various causal agents, and investigates the temporal relationships between these two conditions. Methods Data on incident cases of OA (2008–2010) were collected through the French national occupational disease surveillance and prevention network, using a standardised form including information on occupation, causal agents, presence of OR, and respective dates of occurrence of rhinitis and asthma. Results Among the 596 reported OA cases with latency period, 555 could be attributed to identified agents: high molecular weight (HMW) agents (n=174); low molecular weight (LMW) agents (n=381). Overall, OR was associated with OA in 324 (58.4%) cases. The frequency of association was significantly higher for HMW agents than for LMW agents (72.2% vs 51.5%, p<0.001). OR occurred before OA significantly more frequently for HMW agents than for LMW agents (p<0.01). Conclusions These results show that OR is frequently associated with OA, especially when HMW agents are involved. They are consistent with the hypothesis that OR, in conjunction with OA, is more likely to be caused by sensitisers that cause disease via IgE-mediated mechanisms and suggest that symptoms of OR should be taken into account in the medical surveillance of workers exposed to HMW agents.
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DOI: 10.1136/oemed-2012-101048
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Lepage</name></author><author wicri:is="80%"><name sortKey="Nisse, C" sort="Nisse, C" uniqKey="Nisse C" first="C" last="Nisse">C. Nisse</name></author><author wicri:is="80%"><name sortKey="Bergeret, A" sort="Bergeret, A" uniqKey="Bergeret A" first="A" last="Bergeret">A. Bergeret</name></author><author wicri:is="80%"><name sortKey="Normand, Jc" sort="Normand, Jc" uniqKey="Normand J" first="Jc" last="Normand">Jc Normand</name></author><author wicri:is="80%"><name sortKey="Le Hucher Michel, Mp" sort="Le Hucher Michel, Mp" uniqKey="Le Hucher Michel M" first="Mp" last="Le Hucher-Michel">Mp Le Hucher-Michel</name></author><author wicri:is="80%"><name sortKey="Roulet, A" sort="Roulet, A" uniqKey="Roulet A" first="A" last="Roulet">A. Roulet</name></author><author wicri:is="80%"><name sortKey="Paris, C" sort="Paris, C" uniqKey="Paris C" first="C" last="Paris">C. Paris</name></author><author wicri:is="80%"><name sortKey="Penven, E" sort="Penven, E" uniqKey="Penven E" first="E" last="Penven">E. Penven</name></author><author wicri:is="80%"><name sortKey="Dupas, D" sort="Dupas, D" uniqKey="Dupas D" first="D" last="Dupas">D. Dupas</name></author><author wicri:is="80%"><name sortKey="Choudat, D" sort="Choudat, D" uniqKey="Choudat D" first="D" last="Choudat">D. Choudat</name></author><author wicri:is="80%"><name sortKey="Bensefa Colas, L" sort="Bensefa Colas, L" uniqKey="Bensefa Colas L" first="L" last="Bensefa-Colas">L. Bensefa-Colas</name></author><author wicri:is="80%"><name sortKey="Garnier, R" sort="Garnier, R" uniqKey="Garnier R" first="R" last="Garnier">R. Garnier</name></author><author wicri:is="80%"><name sortKey="Villa, A" sort="Villa, A" uniqKey="Villa A" first="A" last="Villa">A. Villa</name></author><author wicri:is="80%"><name sortKey="Ben Brik, E" sort="Ben Brik, E" uniqKey="Ben Brik E" first="E" last="Ben-Brik">E. Ben-Brik</name></author><author wicri:is="80%"><name sortKey="Berson, C" sort="Berson, C" uniqKey="Berson C" first="C" last="Berson">C. Berson</name></author><author wicri:is="80%"><name sortKey="Deschamps, F" sort="Deschamps, F" uniqKey="Deschamps F" first="F" last="Deschamps">F. Deschamps</name></author><author wicri:is="80%"><name sortKey="Lesage, Fx" sort="Lesage, Fx" uniqKey="Lesage F" first="Fx" last="Lesage">Fx Lesage</name></author><author wicri:is="80%"><name sortKey="Gehanno, Jf" sort="Gehanno, Jf" uniqKey="Gehanno J" first="Jf" last="Gehanno">Jf Gehanno</name></author><author wicri:is="80%"><name sortKey="Fontana, L" sort="Fontana, L" uniqKey="Fontana L" first="L" last="Fontana">L. Fontana</name></author><author wicri:is="80%"><name sortKey="Orset, C" sort="Orset, C" uniqKey="Orset C" first="C" last="Orset">C. Orset</name></author><author wicri:is="80%"><name sortKey="Cantineau, A" sort="Cantineau, A" uniqKey="Cantineau A" first="A" last="Cantineau">A. Cantineau</name></author><author wicri:is="80%"><name sortKey="Kleinogel, S" sort="Kleinogel, S" uniqKey="Kleinogel S" first="S" last="Kleinogel">S. Kleinogel</name></author><author wicri:is="80%"><name sortKey="Soulat, Jm" sort="Soulat, Jm" uniqKey="Soulat J" first="Jm" last="Soulat">Jm Soulat</name></author><author wicri:is="80%"><name sortKey="Herin, F" sort="Herin, F" uniqKey="Herin F" first="F" last="Hérin">F. Hérin</name></author></analytic><monogr></monogr><series><title level="j">Occupational and Environmental Medicine</title><title level="j" type="abbrev">Occup Environ Med</title><idno type="ISSN">1351-0711</idno><idno type="eISSN">1470-7926</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2013-07">2013-07</date><biblScope unit="volume">70</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="471">471</biblScope></imprint><idno type="ISSN">1351-0711</idno></series><idno type="istex">80479D9602CE9DA591597EB74B87644289B6D6B6</idno><idno type="DOI">10.1136/oemed-2012-101048</idno><idno type="href">oemed-70-471.pdf</idno><idno type="ArticleID">oemed-2012-101048</idno><idno type="PMID">23390199</idno><idno type="local">oemed;70/7/471</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1351-0711</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objectives Whereas accumulating evidence indicates close associations between rhinitis and asthma, little is known about the relationships between occupational rhinitis (OR) and occupational asthma (OA). This study analyses the prevalence of OR associated with OA, globally and according to the various causal agents, and investigates the temporal relationships between these two conditions. Methods Data on incident cases of OA (2008–2010) were collected through the French national occupational disease surveillance and prevention network, using a standardised form including information on occupation, causal agents, presence of OR, and respective dates of occurrence of rhinitis and asthma. Results Among the 596 reported OA cases with latency period, 555 could be attributed to identified agents: high molecular weight (HMW) agents (n=174); low molecular weight (LMW) agents (n=381). Overall, OR was associated with OA in 324 (58.4%) cases. The frequency of association was significantly higher for HMW agents than for LMW agents (72.2% vs 51.5%, p<0.001). OR occurred before OA significantly more frequently for HMW agents than for LMW agents (p<0.01). Conclusions These results show that OR is frequently associated with OA, especially when HMW agents are involved. They are consistent with the hypothesis that OR, in conjunction with OA, is more likely to be caused by sensitisers that cause disease via IgE-mediated mechanisms and suggest that symptoms of OR should be taken into account in the medical surveillance of workers exposed to HMW agents.</div></front></TEI><affiliations><list><country><li>France</li></country><settlement><li>Bordeaux</li><li>Brest</li><li>Créteil</li><li>Grenoble</li><li>Nantes</li><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Ameille, J" sort="Ameille, J" uniqKey="Ameille J" first="J" last="Ameille">J. Ameille</name><name sortKey="Andujar, P" sort="Andujar, P" uniqKey="Andujar P" first="P" last="Andujar">P. Andujar</name><name sortKey="Ben Brik, E" sort="Ben Brik, E" uniqKey="Ben Brik E" first="E" last="Ben-Brik">E. Ben-Brik</name><name sortKey="Bensefa Colas, L" sort="Bensefa Colas, L" uniqKey="Bensefa Colas L" first="L" last="Bensefa-Colas">L. Bensefa-Colas</name><name sortKey="Bergeret, A" sort="Bergeret, A" uniqKey="Bergeret A" first="A" last="Bergeret">A. Bergeret</name><name sortKey="Berson, C" sort="Berson, C" uniqKey="Berson C" first="C" last="Berson">C. Berson</name><name sortKey="Bonneterre, V" sort="Bonneterre, V" uniqKey="Bonneterre V" first="V" last="Bonneterre">V. Bonneterre</name><name sortKey="Brochard, P" sort="Brochard, P" uniqKey="Brochard P" first="P" last="Brochard">P. Brochard</name><name sortKey="Cantineau, A" sort="Cantineau, A" uniqKey="Cantineau A" first="A" last="Cantineau">A. Cantineau</name><name sortKey="Chamoux, A" sort="Chamoux, A" uniqKey="Chamoux A" first="A" last="Chamoux">A. Chamoux</name><name sortKey="Choudat, D" sort="Choudat, D" uniqKey="Choudat D" first="D" last="Choudat">D. Choudat</name><name sortKey="Clin, B" sort="Clin, B" uniqKey="Clin B" first="B" last="Clin">B. Clin</name><name sortKey="De Gaudemaris, R" sort="De Gaudemaris, R" uniqKey="De Gaudemaris R" first="R" last="De Gaudemaris">R. De Gaudemaris</name><name sortKey="Descatha, A" sort="Descatha, A" uniqKey="Descatha A" first="A" last="Descatha">A. Descatha</name><name sortKey="Deschamps, F" sort="Deschamps, F" uniqKey="Deschamps F" first="F" last="Deschamps">F. Deschamps</name><name sortKey="Dewitte, Jd" sort="Dewitte, Jd" uniqKey="Dewitte J" first="Jd" last="Dewitte">Jd Dewitte</name><name sortKey="Doutrellot Philippon, C" sort="Doutrellot Philippon, C" uniqKey="Doutrellot Philippon C" first="C" last="Doutrellot-Philippon">C. Doutrellot-Philippon</name><name sortKey="Dupas, D" sort="Dupas, D" uniqKey="Dupas D" first="D" last="Dupas">D. Dupas</name><name sortKey="Fontana, L" sort="Fontana, L" uniqKey="Fontana L" first="L" last="Fontana">L. Fontana</name><name sortKey="Gabrillargues, D" sort="Gabrillargues, D" uniqKey="Gabrillargues D" first="D" last="Gabrillargues">D. Gabrillargues</name><name sortKey="Garnier, R" sort="Garnier, R" uniqKey="Garnier R" first="R" last="Garnier">R. Garnier</name><name sortKey="Gehanno, Jf" sort="Gehanno, Jf" uniqKey="Gehanno J" first="Jf" last="Gehanno">Jf Gehanno</name><name sortKey="Gislard, A" sort="Gislard, A" uniqKey="Gislard A" first="A" last="Gislard">A. Gislard</name><name sortKey="Herin, F" sort="Herin, F" uniqKey="Herin F" first="F" last="Hérin">F. Hérin</name><name sortKey="Kleinogel, S" sort="Kleinogel, S" uniqKey="Kleinogel S" first="S" last="Kleinogel">S. Kleinogel</name><name sortKey="Le Hucher Michel, Mp" sort="Le Hucher Michel, Mp" uniqKey="Le Hucher Michel M" first="Mp" last="Le Hucher-Michel">Mp Le Hucher-Michel</name><name sortKey="Lepage, N" sort="Lepage, N" uniqKey="Lepage N" first="N" last="Lepage">N. Lepage</name><name sortKey="Lesage, Fx" sort="Lesage, Fx" uniqKey="Lesage F" first="Fx" last="Lesage">Fx Lesage</name><name sortKey="Letourneux, M" sort="Letourneux, M" uniqKey="Letourneux M" first="M" last="Letourneux">M. Letourneux</name><name sortKey="Lodde, B" sort="Lodde, B" uniqKey="Lodde B" first="B" last="Lodde">B. Lodde</name><name sortKey="Marquignon, Mf" sort="Marquignon, Mf" uniqKey="Marquignon M" first="Mf" last="Marquignon">Mf Marquignon</name><name sortKey="Nisse, C" sort="Nisse, C" uniqKey="Nisse C" first="C" last="Nisse">C. Nisse</name><name sortKey="Normand, Jc" sort="Normand, Jc" uniqKey="Normand J" first="Jc" last="Normand">Jc Normand</name><name sortKey="Orset, C" sort="Orset, C" uniqKey="Orset C" first="C" last="Orset">C. Orset</name><name sortKey="Pairon, Jc" sort="Pairon, Jc" uniqKey="Pairon J" first="Jc" last="Pairon">Jc Pairon</name><name sortKey="Paris, C" sort="Paris, C" uniqKey="Paris C" first="C" last="Paris">C. Paris</name><name sortKey="Penven, E" sort="Penven, E" uniqKey="Penven E" first="E" last="Penven">E. Penven</name><name sortKey="Roulet, A" sort="Roulet, A" uniqKey="Roulet A" first="A" last="Roulet">A. Roulet</name><name sortKey="Soulat, Jm" sort="Soulat, Jm" uniqKey="Soulat J" first="Jm" last="Soulat">Jm Soulat</name><name sortKey="Thaon, I" sort="Thaon, I" uniqKey="Thaon I" first="I" last="Thaon">I. Thaon</name><name sortKey="Verdun Esquer, C" sort="Verdun Esquer, C" uniqKey="Verdun Esquer C" first="C" last="Verdun-Esquer">C. Verdun-Esquer</name><name sortKey="Villa, A" sort="Villa, A" uniqKey="Villa A" first="A" last="Villa">A. Villa</name></noCountry><country name="France"><noRegion><name sortKey="Ameille, Jacques" sort="Ameille, Jacques" uniqKey="Ameille J" first="Jacques" last="Ameille">Jacques Ameille</name></noRegion><name sortKey="Ameille, Jacques" sort="Ameille, Jacques" uniqKey="Ameille J" first="Jacques" last="Ameille">Jacques Ameille</name><name sortKey="Andujar, Pascal" sort="Andujar, Pascal" uniqKey="Andujar P" first="Pascal" last="Andujar">Pascal Andujar</name><name sortKey="Bensefa Colas, Lynda" sort="Bensefa Colas, Lynda" uniqKey="Bensefa Colas L" first="Lynda" last="Bensefa-Colas">Lynda Bensefa-Colas</name><name sortKey="Bonneterre, Vincent" sort="Bonneterre, Vincent" uniqKey="Bonneterre V" first="Vincent" last="Bonneterre">Vincent Bonneterre</name><name sortKey="Descatha, Alexis" sort="Descatha, Alexis" uniqKey="Descatha A" first="Alexis" last="Descatha">Alexis Descatha</name><name sortKey="Dupas, Dominique" sort="Dupas, Dominique" uniqKey="Dupas D" first="Dominique" last="Dupas">Dominique Dupas</name><name sortKey="Garnier, Robert" sort="Garnier, Robert" uniqKey="Garnier R" first="Robert" last="Garnier">Robert Garnier</name><name sortKey="Hamelin, Karine" sort="Hamelin, Karine" uniqKey="Hamelin K" first="Karine" last="Hamelin">Karine Hamelin</name><name sortKey="Lasfargues, Gerard" sort="Lasfargues, Gerard" uniqKey="Lasfargues G" first="Gérard" last="Lasfargues">Gérard Lasfargues</name><name sortKey="Lodde, Brice Alain" sort="Lodde, Brice Alain" uniqKey="Lodde B" first="Brice Alain" last="Loddé">Brice Alain Loddé</name><name sortKey="Pairon, Jean Claude" sort="Pairon, Jean Claude" uniqKey="Pairon J" first="Jean-Claude" last="Pairon">Jean-Claude Pairon</name><name sortKey="Rinaldo, Mickael" sort="Rinaldo, Mickael" uniqKey="Rinaldo M" first="Mickael" last="Rinaldo">Mickael Rinaldo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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