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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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
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      dt: Jun2017
      vid: 59
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/JOM.0000000000001017
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        atl: Distinct Clinical Phenotypes of Occupational Asthma due to Diisocyanates.
      aug:
        au:
          Mason, Paola
          Scarpa, Maria Cristina
          Liviero, Filippo
          Guarnieri, Gabriella
          Maestrelli, Piero
        affil: Department of Cardiologic, Thoracic and Vascular Sciences, University of Padova, Padova, Italy
      sug:
        subj:
          Asthma, Occupational Etiology
          Phenotype
          Asthma, Occupational Familial and Genetic
          Occupational Exposure
          Organic Chemicals Adverse Effects
          Human
          Algorithms
          Research Methodology
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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