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Follow-up study of patients with respiratory disease due to toluene diisocyanate (TDI).

Authors :
Paggiaro PL
Loi AM
Rossi O
Ferrante B
Pardi F
Roselli MG
Baschieri L
Source :
Clinical allergy [Clin Allergy] 1984 Sep; Vol. 14 (5), pp. 463-9.
Publication Year :
1984

Abstract

The outcome of the respiratory symptoms, pulmonary function tests and bronchial hyperresponsiveness was studied in forty-seven workers with respiratory disease due to toluene diisocyanate (TDI) (twenty-seven asthmatic and twenty non-asthmatic subjects) after about 2 years from the first examination. Eight of twelve asthmatic subjects who left the industry after the first examination complained at the follow-up of dyspnoea and wheezing, but pulmonary function tests were unchanged; bronchial hyperresponsiveness decreased in three, but most were still positive to challenge test with bethanechol at the follow-up. Fifteen subjects who continued their exposure to TDI showed at the follow-up a significant decrease of the spirometric parameters and an increase of the bronchial hyperresponsiveness, and symptoms of chronic bronchitis were more frequent at the second examination. Non-asthmatic subjects, both exposed and non-exposed to TDI at the second examination, showed a significant decrease of the pulmonary function tests but no relevant changes in bronchial hyperresponsiveness. Our data suggest that stopping occupational exposure to TDI frequently did not produce an improvement of the TDI bronchial asthma, and persistence of the occupational exposure causes a more rapid decline in the respiratory function.

Details

Language :
English
ISSN :
0009-9090
Volume :
14
Issue :
5
Database :
MEDLINE
Journal :
Clinical allergy
Publication Type :
Academic Journal
Accession number :
6091946
Full Text :
https://doi.org/10.1111/j.1365-2222.1984.tb02230.x