Occupational asthma to gel flux containing dodecanedioic acid (new cause) |
|
Agent |
Dodecanedioic acid |
Job |
Soldering Instructor |
Specific IgE |
not done |
Skin prick test |
not done |
Non-specific reactivity |
Pre challenge >4800µg methacholine (Yan technique), becoming measurable post challenge at 3490µg. |
Serial Peak Flow |
positive oasys score |
Induced sputum |
not done |
FENO |
14.3ppb (Aerocrine Niox) while exposed (normal); 10.7ppb away from exposure |
Specific Challenge |
Specific bronchial challenge showing dual reaction to heated gel flux containing dodecanedioic acid, no reaction to colophony flux. Reaction lasted 12 hours. |
Follow-up |
improved on removal from exposure |
References
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