Allergic Disorders in the Athlete

MacKnight, John M.; Mistry, Dilaawar J.

doi:10.1016/j.csm.2005.04.003

Cited by 11 publications

(2 citation statements)

References 61 publications

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“…Appropriate management of symptoms with safe, effective, and permitted medications needs to be addressed to not compromise the athlete's performance ability or interfere with their ability to compete. [57][58][59][60][61] In addition, tear film dysfunction should be considered high in this population. Common complaints include excessive tearing from exposure to cigarette smoke, fumes, and perfumes, resulting in varying degrees of intensity of conjunctival injection.…”

Section: Nonallergic Perennial (Vasomotor) Conjunctivitismentioning

confidence: 99%

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Bielory

Delgado

Katelaris

et al. 2020

Annals of Allergy, Asthma & Immunology

109

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Ocular allergy (OA), interchangeably known as allergic conjunctivitis, is a common immunological hypersensitivity disorder affecting up to 40% of the population. Ocular allergy has been increasing in frequency, with symptoms of itching, redness, and swelling that significantly impacts an individual's quality of life (QOL). Ocular allergy is an often underdiagnosed and undertreated health problem, because only 10% of patients with OA symptoms seek medical attention, whereas most patients manage with over-the-counter medications and complementary nonpharmacological remedies. The clinical course, duration, severity, and co-morbidities are varied and depend, in part, on the specific ocular tissues that are affected and on immunologic mechanism(s) involved, both local and systemic. It is frequently associated with allergic rhinitis (commonly recognized as allergic rhino conjunctivitis), and with other allergic comorbidities. The predominance of self-management increases the risk of suboptimal therapy that leads to recurrent exacerbations and the potential for development of more chronic conditions that can lead to corneal complications and interference with the visual axis. Multiple, often co-existing causes are seen, and a broad differential diagnosis for OA, increasing the difficulty of arriving at the correct diagnosis(es). Ocular allergy commonly overlaps with other anterior ocular disease disorders, including infectious disorders and dry eye syndromes. Therefore, successful management includes overcoming the challenges of underdiagnosis and even misdiagnosis by a better understanding of the subtleties of an in-depth patient history, ophthalmologic examination techniques, and diagnostic procedures, which are of paramount importance in making an accurate diagnosis of OA. Appropriate cross-referral between specialists (allergists and eyecare specialists) would maximize patient care and outcomes. This would significantly improve OA management and overcome the unmet needs in global health.

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Section: Nonallergic Perennial (Vasomotor) Conjunctivitismentioning

confidence: 99%

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Bielory

Delgado

Katelaris

et al. 2020

Annals of Allergy, Asthma & Immunology

109

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“…According to MacKnight and Mistry (), heat syncope occurs with orthostatic hypertension resulting from venous pooling and peripheral vasodilation. Prolonged standing after significant exertion and rapid change in the position of the body after exertion may lead to heat syncope which is proceeded by lightheadedness and weakness (Barrow & Clark, ).…”

Section: Heat‐related Illnessmentioning

confidence: 99%

Latex glove industry: Prevalence of heat‐related illness among Malaysian workers

Kassim

Karuppiah

Abidin

et al. 2018

Hum Ftrs & Erg Mfg Svc

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Glove production involves work processes with a high temperature. However, few studies have been conducted on the hazards of high temperature among workers. This study was conducted to evaluate the prevalence of heat‐related illness among glove industry workers under heat stress conditions. This cross‐sectional study was conducted in a glove factory at Selangor. The total number of workers (n = 82) were interviewed using adapted questionnaires. The highest prevalent heat‐related illnesses in respondents were dehydration (82.2%), followed by heat exhaustion (81.1%), heat cramps (23.2%), heat rashes (22.2%), heat stroke (5.6%), and heat syncope (4.4%). The workers are highly exposed to dehydration and heat exhaustion illness. Therefore, prevention of heat stress is very important in this industry. It is the duty of the employers to implement suitable prevention measures to protect the health and safety of their workers. As a recommendation, personal protective equipment such as a cool vest also helps in protection from the hot working environment. The cool vest has inserted frozen liquid placed between the fabrics and is worn on the upper trunk. This helps in giving workers freedom to move around, as it has no attached lines. This suit has a constant and steady cooling effect on the whole body. Besides this, training on heat stress and on the ways of controlling heat stress should be provided by employers. This training program can help in educating and creating awareness among workers on the symptoms of heat‐related illness, which can help in preventing any worst case of heat stress from occurring. The training program may include the description of heat stress, including the symptoms of heat‐related illness and the first‐aid measures for each disorder.

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