Occupational airborne contact urticaria, anaphylaxis and asthma in farmers and agronomists due to <scp><i>Bruchus pisorum</i></scp>

Armentia, Alicia; Álvarez, Rafael; Moreno-González, Víctor; Martín, Blanca Garrido; Fernández, S; Martin, S Staege; Moro, Ângela M.; Vega, José M.; Barrios, Abel; Castillo, Miriam; Pineda, Fernando

doi:10.1111/cod.13644

Cited by 10 publications

(3 citation statements)

References 22 publications

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“…Multiple recent case reports describe novel occupational CU triggers including diethyl phthalate in hand sanitizers among healthcare workers [ 70 ], indigo dye in natural hair dyes among hairdressers [ 71 ], pork among slaughterhouse workers [ 72 ], buckwheat among food handlers [ 73 ], and legume pests among farmers [ 74 ].…”

Section: Contact Urticaria and Protein Contact Dermatitismentioning

confidence: 99%

Occupational Hand Dermatitis

Karagounis

Cohen

2023

Curr Allergy Asthma Rep

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Purpose of Review Occupational hand dermatitis is a common work-related disorder of the skin. Prevention and management of this disease is critical to improving workers’ quality of life and for occupation-specific retention. Recent Findings This is a critical review of the current literature on occupational hand dermatitis. Occupational dermatitis continues to have a high prevalence among workers although the overall incidence may be slowly decreasing. Irritant contact dermatitis due to wet work exposure is the most common cause of occupational hand dermatitis. Healthcare workers, hairdressers, and metal workers are at particularly high risk for this disease. While some prevention programs have been ineffective in mitigating occupational hand dermatitis, other more resource-intensive initiatives may have benefit. Summary Continued research is needed on ways to manage wet work exposures and on scalable, effective prevention programs for occupational hand dermatitis. The spectrum of culprit contact allergens continues to evolve, and vigilance for potential occupation-specific allergens remains important.

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Section: Contact Urticaria and Protein Contact Dermatitismentioning

confidence: 99%

Occupational Hand Dermatitis

Karagounis

Cohen

2023

Curr Allergy Asthma Rep

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“…Beetles can be pests in legumes, such as lentils and peas, where they are an occupational risk to the farmers, agronomists or even to the cooks preparing the food (Table 2) [35][36][37]. The use of extracts of non-infested legumes, infested legumes and the beetles Bruchus lentis or Bruchus pisorum in SPT and bronchial challenge tests could exclude allergy to the legumes themselves.…”

Section: Beetle Allergymentioning

confidence: 99%

Reported Cases and Diagnostics of Occupational Insect Allergy: A Systematic Review

Ganseman

Gouwy

Bullens

et al. 2022

IJMS

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A significant part of adult-onset asthma is caused by occupational exposure to both high- and low-molecular-mass agents. Insects are occasionally described to cause occupational allergy in professions including anglers and fishers, laboratory workers, employees of aquaculture companies, farmers, bakers, sericulture workers and pet shop workers. Occupational insect allergies are often respiratory, causing asthma or rhinoconjunctivitis, but can be cutaneous as well. The European Union recently approved three insect species for human consumption, enabling an industry to develop where more employees could be exposed to insect products. This review overviews knowledge on occupational insect allergy risks and the tools used to diagnose employees. Despite the limited availability of commercial occupational insect allergy diagnostics, 60.9% of 164 included reports used skin prick tests and 63.4% of reports used specific IgE tests. In 21.9% of reports, a more elaborate diagnosis of occupational asthma was made by specific inhalation challenges or peak expiratory flow measurements at the workplace. In some work environments, 57% of employees were sensitized, and no less than 60% of employees reported work-related symptoms. Further development and optimization of specific diagnostics, together with strong primary prevention, may be vital to the health conditions of workers in the developing insect industry.

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“…The results showed a positive response to prick testing, provocation testing and immune detection to parasitic pea extracts and B. pisorum . The authors concluded that the entrance by inhalation or puncture of setae released by B. pisorum may be a cause of contact urticaria, anaphylaxis and asthma [21]. As regards nematodes, Anisakis simplex infests fishes and cephalopods, causing a number of clinical disorders, including occupational respiratory disease, dermatitis and anaphylaxis.…”

Section: Causes Of Airborne Anaphylaxismentioning

confidence: 99%

Airborne anaphylaxis: highlighting an invisible enemy

Ridolo

Incorvaia

Schroeder

2022

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of reviewAirborne anaphylaxis is a rare disorder defined by the occurrence of anaphylactic reactions to inhaled allergens, which may arise not only in occupational exposure but also in common settings. Foods are the most common cause of airborne anaphylaxis, even organic mixtures scents. The other important cause is represented by drugs, while in the wide range of other causes, there are often reports on unique cases. This review aims to make an overview about the potential causes of airborne anaphylaxis, by analysing what is described in literature on this topic.Recent findingsConcerning epidemiology, no data on specific prevalence of airborne allergy in adults are available. To date, only one study evaluated the specific prevalence of airborne allergy with anaphylaxis to foods in children, resulting in 5.9% of reactions due to exposure to aerosolized foods, compared with 78% of reactions caused by food ingestion. In addition to anaphylaxis, airborne-related reactions may also present with symptoms such as rhino-conjunctivitis, wheezing, dyspnoea and asthma.SummaryA detailed anamnesis facilitates a correct diagnosis, which allows appropriate therapeutic and preventive interventions, but, similarly to rare diseases in general, only specialized doctors are able to implement it. The assumption of the approach used in emergency medicine for other causes of anaphylaxis, that is referring the patient at discharge to an allergist who will teach the basic notions to recognize symptoms and access the appropriate therapy, would allow the patient to avoid situations of serious danger.

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Occupational airborne contact urticaria, anaphylaxis and asthma in farmers and agronomists due to Bruchus pisorum

Cited by 10 publications

References 22 publications

Occupational Hand Dermatitis

Occupational Hand Dermatitis

Reported Cases and Diagnostics of Occupational Insect Allergy: A Systematic Review

Airborne anaphylaxis: highlighting an invisible enemy

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