Papain-induced occupational rhinoconjunctivitis and asthma – A case report

This report presents a case of occupational asthma, rhinitis and conjunctivitis to papain in a 50-year-old herbs and spices packer, with documented increased eosinophilia in induced sputum and in the nasal lavage fluids after a specific inhalation challenge test (SICT) and specific nasal challenge t...

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Main Authors: Diana Tymoszuk, Marta Wiszniewska, Jolanta Walusiak-Skorupa
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2016-04-01
Series:Medycyna Pracy
Subjects:
Online Access:http://medpr.imp.lodz.pl/Papain-induced-occupational-rhinoconjunctivitis-and-asthma-A-case-report,61070,0,2.html
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author Diana Tymoszuk
Marta Wiszniewska
Jolanta Walusiak-Skorupa
author_facet Diana Tymoszuk
Marta Wiszniewska
Jolanta Walusiak-Skorupa
author_sort Diana Tymoszuk
collection DOAJ
description This report presents a case of occupational asthma, rhinitis and conjunctivitis to papain in a 50-year-old herbs and spices packer, with documented increased eosinophilia in induced sputum and in the nasal lavage fluids after a specific inhalation challenge test (SICT) and specific nasal challenge test (SNCT) with this enzyme. Immunoglobulin E-mediated (IgE) sensitization to papain was confirmed by positive results of a skin prick test with specific solution. Specific inhalation and nasal challenge tests demonstrated a direct and significant link between the exposure to this protease and the allergic response from the respiratory system. Additionally, the SNCT induced a severe reaction of the conjunctivae and a significant increase in the count of eosinophils in tears, despite the lack of direct contact of the allergen with the conjunctiva. Med Pr 2016;67(1):109–112
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spelling doaj.art-5993e853f5ea4fe9a03efffe62e8ec7d2022-12-21T23:41:46ZengNofer Institute of Occupational MedicineMedycyna Pracy0465-58932353-13392016-04-0167110911210.13075/mp.5893.00317Papain-induced occupational rhinoconjunctivitis and asthma – A case reportDiana TymoszukMarta WiszniewskaJolanta Walusiak-SkorupaThis report presents a case of occupational asthma, rhinitis and conjunctivitis to papain in a 50-year-old herbs and spices packer, with documented increased eosinophilia in induced sputum and in the nasal lavage fluids after a specific inhalation challenge test (SICT) and specific nasal challenge test (SNCT) with this enzyme. Immunoglobulin E-mediated (IgE) sensitization to papain was confirmed by positive results of a skin prick test with specific solution. Specific inhalation and nasal challenge tests demonstrated a direct and significant link between the exposure to this protease and the allergic response from the respiratory system. Additionally, the SNCT induced a severe reaction of the conjunctivae and a significant increase in the count of eosinophils in tears, despite the lack of direct contact of the allergen with the conjunctiva. Med Pr 2016;67(1):109–112http://medpr.imp.lodz.pl/Papain-induced-occupational-rhinoconjunctivitis-and-asthma-A-case-report,61070,0,2.htmlasthmaoccupational allergyenzymerhinitispapainconjunctivitis
spellingShingle Diana Tymoszuk
Marta Wiszniewska
Jolanta Walusiak-Skorupa
Papain-induced occupational rhinoconjunctivitis and asthma – A case report
Medycyna Pracy
asthma
occupational allergy
enzyme
rhinitis
papain
conjunctivitis
title Papain-induced occupational rhinoconjunctivitis and asthma – A case report
title_full Papain-induced occupational rhinoconjunctivitis and asthma – A case report
title_fullStr Papain-induced occupational rhinoconjunctivitis and asthma – A case report
title_full_unstemmed Papain-induced occupational rhinoconjunctivitis and asthma – A case report
title_short Papain-induced occupational rhinoconjunctivitis and asthma – A case report
title_sort papain induced occupational rhinoconjunctivitis and asthma a case report
topic asthma
occupational allergy
enzyme
rhinitis
papain
conjunctivitis
url http://medpr.imp.lodz.pl/Papain-induced-occupational-rhinoconjunctivitis-and-asthma-A-case-report,61070,0,2.html
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AT jolantawalusiakskorupa papaininducedoccupationalrhinoconjunctivitisandasthmaacasereport