1975
DOI: 10.1080/0002889758507230
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A Retrospective Study of Clinical, Physiologic and Immunologic Changes in Workers Exposed to Toluene Diisocyanate

Abstract: A retrospective study was made of workers in a toluene disocyanate plant using an immunologic test procedure developed at the NIOSH laboratories. Case histories of 32 workers in seven response groupings are presented. Sensitization was found to correlate with the frequency and severity of significant exposures to TDI. Immunologic changes producing tolerance to TDI exposure also resulted in negative response to the antigen challenge tests. Some individuals exposed to TDI may have protective antibodies but still… Show more

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Cited by 63 publications
(46 citation statements)
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“…Wide -ranging prevalence estimates for isocyanate -induced asthma in occupationally exposed workers were reported between industries: 5-10% in diisocyanate production facilities (Porter et al, 1975;Weill, 1979), 25% in PU production plants (Adams, 1975;Weill, 1979 ), and 30% in PU seatcover operation (White et al, 1980 ). These discrepancies in asthma prevalence for TDI -related workers might be due to varied exposure conditions in their working environments.…”
Section: Discussionmentioning
confidence: 99%
“…Wide -ranging prevalence estimates for isocyanate -induced asthma in occupationally exposed workers were reported between industries: 5-10% in diisocyanate production facilities (Porter et al, 1975;Weill, 1979), 25% in PU production plants (Adams, 1975;Weill, 1979 ), and 30% in PU seatcover operation (White et al, 1980 ). These discrepancies in asthma prevalence for TDI -related workers might be due to varied exposure conditions in their working environments.…”
Section: Discussionmentioning
confidence: 99%
“…Die Induktion der Sensibilisierung ist individuell dosisabhängig (Diller 1990). Bei TDI-Exposition unter 0,01-0,02 ml/m 3 werden im allgemeinen keine neuen Fälle von TDI-Asthma beobachtet (Karol 1981;Olsen et al 1989;Porter et al 1975). Allerdings wird auch die Induktion einer bronchialen Sensibilisierung durch Hautkontakt diskutiert (Diller 1990).…”
Section: Atemtraktunclassified
“…18,21 Respiratory sensitization from exposure to diisocyanates results in the typical symptoms of asthma. Estimates of the prevalence of diisocyanate-induced asthma in exposed worker populations vary considerably; from 5% to 10% in diisocyanate production facilities, 22,23 to 25% in polyurethane production plants 22,24 and 30% in polyurethane seatcover operations. 25 A worker suspected of having diisocyanate-induced sensitization will present with symptoms of traditional acute airway obstruction; e.g., coughing, wheezing, shortness of breath, tightness in the chest, nocturnal awakening, etc.…”
Section: Diisocyanate-induced Sensitizationmentioning
confidence: 99%