Distinct Clinical Phenotypes of Occupational Asthma due to Diisocyanates.

Objective: To assess whether diisocyanate occupational asthma represents a unique phenotype. Methods: We studied 187 patients with diagnosis of asthma due to diisocyanates confirmed by a positive specific inhalation challenge. The simplified algorithm from severe asthma research program (SARP) (Moor...

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Detalles Bibliográficos
Publicado en:Journal of Occupational & Environmental Medicine Vol. 59; no. 6; pp. 539 - 543
Autores principales: Mason, Paola, Scarpa, Maria Cristina, Liviero, Filippo, Guarnieri, Gabriella, Maestrelli, Piero
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jun2017
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Objective: To assess whether diisocyanate occupational asthma represents a unique phenotype. Methods: We studied 187 patients with diagnosis of asthma due to diisocyanates confirmed by a positive specific inhalation challenge. The simplified algorithm from severe asthma research program (SARP) (Moore et al, 2010) was applied to classify patients into five clusters. Results: Our patients were allocated in three of the five clusters described in common asthma, since the most severe Clusters (4 and 5) were not represented. Cluster 2 was the most populated, as in common asthma, and included the youngest patients with the shortest duration of exposure to the sensitizers. Cluster 3 included older men patients with worse lung function and longer occupational exposure. Conclusions: Diisocyanate asthma is a heterogeneous disease. Differences across clusters include demographic characteristics, lung function, and chronology of diisocyanate exposure.