Occupational Asthma from Hydroxylamine (new cause)
This paper describes two case reports of Hydroxylamine (used as a replacement for glutaraldehyde) causing asthma in paper recyclers.
Hydroxylamine (replacement for glutaraldehyde)
Deinking recycled paper
IgE not tested Skin prick test to allergen extract not tested
Non specific bronchial reactivity abnormal in 2/2 and improved post removal but < fourfold
Serial peak flow records positive 2/2; Oasys scores 2.85 and 2.67
Specific Bronchial Challenge: late reaction to aerosolised hydroxylamine; lesser reaction when painted
Better after relocation away from exposure, improving NSBR
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