What is the prognosis of occupational asthma?


*** 2+ The symptoms and functional impairment of occupational asthma caused by various agents may persist for many years after avoidance of further exposure to the causative agent.

Evidence

Allard C, Cartier A, Ghezzo H, Malo JL , Occupational asthma due to various agents: Absence of clinical and functional improvement at an interval of four or more years after cessation of exposure , Chest , 1989 ; 96 : 1046-1049

Barker RD, Harris JM, Welch JA et al , Occupational asthma caused by tetrachlorophthalic anhydride: a 12-year follow-up , J Allergy Clin Immunol , 1998 ; 101 : 717-719

ChanYeung M, Lam S, Koener S , Clinical features and natural history of occupational asthma due to western red Cedar (Thuja plicata) , Am J Med , 1982 ; 72 : 411-415

ChanYeung M, Maclean L, Paggiaro PL , Follow-up study of 232 patients with occupational asthma caused by western red cedar (Thuja plicata) , J Allergy Clin Immunol , 1987 ; 79 : 792-796

Hudson P, Cartier A, Pineau L, Lafrance M, St Aubin JJ, Dubois JV, Malo JL , Follow-up of occupational asthma caused by crab and various agents , J Allergy Clin Immunol , 1985 ; 76 : 682-688

Lemiere C, Cartier A, Dolovich J et al , Outcome of specific bronchial responsiveness to occupational agents after removal from exposure , Am J Respir Crit Care Med , 1996 ; 154 : 329-333

Lozewicz S, Assoufi BK, Hawkins R et al , Outcome of asthma induced by isocyanates , Br J Dis Chest , 1987 ; 1 : 14-22

Mapp CE, Beghe B, Balboni A et al , Persistent asthma due to isocyanates : A follow-up study of subjects with occupational asthma due to toluene di-isocyanate (TDI) , Am Rev Respir Dis , 1988 ; 137 : 1326-1329

Marabini A, Brugnami G, Curradi F et al , Response to bronchoprovocation test and outcome of occupational asthma. A follow-up study of subjects with TDI asthma , Med del Lavoro , 1994 ; 85 : 134-141

Merget R, Reineke M, Rueckmann A et al , Nonspecific and specific bronchial responsiveness in occupational asthma caused by platinum salts after allergen avoidance , Am J Respir Crit Care Med , 1994 ; 150 : 1146-1149

Moller DR, Brooks SM, McKay RT, Cassedy K, Kopp S, Bernstein IL , Chronic asthma due to toluene di-isocyanate , Chest , 1986 ; 90 : 494-499

Munoz X, Cruz MJ, Orriols R et al , Occupational asthma due to persulfate salts: diagnosis and follow-up , Chest , 2003 ; 123 : 124-129

O'Donnell TV, Welford B, Coleman ED , Potroom asthma: New Zealand experience and follow-up , Am J Ind Med , 1989 ; 15 : 43-49

Padoan M, Pozzato V, Simoni M et al , Long-term follow-up of toluene di-isocyanate-induced asthma , Eur Respir J , 2003 ; 21 : 637-640

Paggiaro PL, Loi AM, Rossi O et al , Follow-up study of patients with respiratory disease due to toluene di-isocyanate (TDI) , Clin Allergy , 1984 ; 14 : 463-469

Paggiaro PL, Vagaggini B, Dente FL et al , Bronchial hyper-responsiveness and toluene di-isocyanate. Long-term change in sensitized asthmatic subjects , Chest , 1993 ; 103 : 1123-1128

Pisati G, Baruffini A, Zedda S , Toluene Di-isocyanate Induced Asthma: Outcome According To Persistence Or Cessation Of Exposure , Br J Ind Med , 1993 ; 50 : 60-64

Rosenberg N, Garnier R, Rousselin X et al , Clinical and socio-professional fate of isocyanate-induced asthma , Clin Allergy , 1987 ; 17 : 55-61

Tarlo SM, Liss G, Corey P et al , A workers' compensation claim population for occupational asthma. Comparison of subgroups , Chest , 1995 ; 107 : 634-641

Venables KM, Davison AG, NewmanTaylor AJ , Consequences of occupational asthma , Respir Med , 1989 ; 83 : 437-440

Venables KM, Topping MD, Nunn AJ, Howe W, Newman Taylor AJ , Immunologic and functional consequences of chemical (tetrachlorophthalic anhydride)-induced asthma after four years of avoidance of exposure , J Allergy Clin Immunol , 1987 ; 80 : 212-218


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