CommunIcations to the Editor genesis ofthe pulmonary edema in this patient. Indeed, endorphins are released in stress situations and they can adversely affect physiologic systems, such as respiration and circulation.’ In the human fetus at term, plasma levels of beta-endorphins and betaLPH are inversely correlated with arterial pH and Po5 suggesting that hypoxia and secondary acidosis may be im...

CommunIcations to the Editor genesis ofthe pulmonary edema in this patient. Indeed, endorphins are released in stress situations and they can adversely affect physiologic systems, such as respiration and circulation.’ In the human fetus at term, plasma levels of beta-endorphins and betaLPH are inversely correlated with arterial pH and Po5 suggesting that hypoxia and secondary acidosis may be im...

Objective Work-related asthma (WRA) is one of the most common occupational diseases. In this study, we aimed to review diagnosing procedures and the characteristics of patients who were diagnosed with WRA. Methods Between November 2013 and June 2016; 214 patients were referred to our clinic with WRA suspicion by an occupational health specialist, personal visit, chest disease specialists [61 ...

1. Fiocchi A, Bouygue GR, Restani P, Gaiaschi A, Terracciano L, Martelli A. Anaphylaxis to rice by inhalation. J Allergy Clin Immunol. 2003;111:193--5. 2. Nakase M, Usui Y, Alvarez-Nakase AM, Adachi T, Urisu A, Nakamura R, et al. Cereal allergens: rice-seed allergens with structural similarity to wheat and barley allergens. Allergy. 1998;53 Suppl.:55--7. 3. Asero R, Amato S, Alfieri B, Folloni ...

Papain is a proteolytic enzyme which is widely used in food industry, pharmaceuticals, and cosmetics. Occupational and non-occupational papain allergies have previously been documented; however, there are limited publications about papain allergy with its relative fruit allergy. Here, we present a case of occupational, IgE-mediated papain allergy with kiwi fruit and fig fruit allergy. A 53-year...

It is well known that almost all patients w ith allergic asthma simultaneously present symptoms of rhinitis, although the severity of the underlying disease may minimize the annoyance produced by nasal symptoms, w hich are scarcely noticeable in some patients. In contrast, only 12-20 % of patients w ith allergic rhinitis suffer from asthma. These epidemiological data are in agreement w ith the ...

BACKGROUND Occupational asthma is the most frequently reported work related respiratory disease in many countries. This work was commissioned by the British Occupational Health Research Foundation to assist the Health and Safety Executive in achieving its target of reducing the incidence of occupational asthma in Great Britain by 30% by 2010. AIM The guidelines aim to improve the prevention, ...

BACKGROUND Piperazine is a secondary heterocyclic amine that may give rise to occupational asthma of uncertain mechanism. METHODS We report on a 42-year-old woman, a process operator in a chemical factory, who developed work-related symptoms of rhinitis and asthma upon exposure to piperazine citrate. She remained symptom free during holidays and days off work. RESULTS Skin prick test with p...

BACKGROUND Allergic sensitization and reactions to guinea pig (Cavia porcellus) have been well documented in laboratory animal handlers, primarily manifesting as rhinitis, conjunctivitis, and asthma. Severe allergic reactions, however, are rare. METHODS We report two patients with severe allergic reactions following non-occupational exposure to guinea pigs. The first patient, an 11-year-old f...