1987
DOI: 10.1016/0091-6749(87)90012-1
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Cockroach sensitization in laboratory workers

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Cited by 26 publications
(11 citation statements)
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“…In a study of 35 patients in the Boston area, there was concordance of skin test reactivity to commercial extracts of either German or American cockroach [2], In another study, cockroach-specific IgE was mea sured in the sera of 13 cockroach-sensitive patients, and it was suggested that the cockroach cross-reactiv ity may have been due to exposure to multiple species and that most of the allergenic activity of the German cockroach could be extracted from whole bodies and cast skins [1], Other studies have documented the high prevalence of cutaneous reactivity to cockroach al lergens among urban patients with asthma and the presence of both immediate-and dual-phase bronchoconstrictive responses in patients with extrinsic asthma following bronchial challenge with cockroach allergens [3,4,8], Recently, a clinical and immuno logic study on cockroach-laboratory workers demon strated that American cockroach hemolymph pos sessed a broad range of cross-reactivity not only with American cockroach fecal antigens but with a whole range of whole body allergens from different cock roach species, as well as with a beetle larval antigen [14] . These data supported the findings of Baur et al [15] , who suggested that increases in asthmatic disease reported in the Sudan and other areas were predomi nantly caused by sensitization to hemoglobin mole cules of chironomids.…”
Section: Discussionmentioning
confidence: 99%
“…In a study of 35 patients in the Boston area, there was concordance of skin test reactivity to commercial extracts of either German or American cockroach [2], In another study, cockroach-specific IgE was mea sured in the sera of 13 cockroach-sensitive patients, and it was suggested that the cockroach cross-reactiv ity may have been due to exposure to multiple species and that most of the allergenic activity of the German cockroach could be extracted from whole bodies and cast skins [1], Other studies have documented the high prevalence of cutaneous reactivity to cockroach al lergens among urban patients with asthma and the presence of both immediate-and dual-phase bronchoconstrictive responses in patients with extrinsic asthma following bronchial challenge with cockroach allergens [3,4,8], Recently, a clinical and immuno logic study on cockroach-laboratory workers demon strated that American cockroach hemolymph pos sessed a broad range of cross-reactivity not only with American cockroach fecal antigens but with a whole range of whole body allergens from different cock roach species, as well as with a beetle larval antigen [14] . These data supported the findings of Baur et al [15] , who suggested that increases in asthmatic disease reported in the Sudan and other areas were predomi nantly caused by sensitization to hemoglobin mole cules of chironomids.…”
Section: Discussionmentioning
confidence: 99%
“…among entomologists and laboratory personnel who work with CR (1-4). In urban or "inner city" areas, up to 60% of patients with asthma have IgE antibodies to CR allergens, as demonstrated by skin tests, bronchial challenge tests, and serum IgE antibody assays (1)(2)(3)(4). Delayed bronchial reactions involving eosinophil recruitment, a characteristic immunopathologic feature of asthma, also occur following inhalation of CR extract (5).…”
mentioning
confidence: 99%
“…Conversely, the Asian extract showed little inhibitory capacity with either D/H-S Am or D/H-S Or cock roach extract solid-phase polymers and IgE serum pool. Although direct RAST indicated that extracts of whole bodies, cast skins, and egg cases of the German cockroach contained the clinically relevant allergens [4], RAST inhibition studies demonstrated cross-inhi bition to American hemolymph by American, Ger man, and Brown-banded cockroach whole-body ex tracts [22], Collectively, these results suggest that the allergen concentration and/or presentation exposed on the polymers may vary significantly and lead to an oversimplification or misinterpretation of the results. Shared epitopes on allergens may be present among all cockroach species and could be dependent on dif ferences in the respective allergen concentration.…”
Section: Discussionmentioning
confidence: 87%