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Long-term follow-up of toluene diisocyanate-induced asthma

M. Padoan, V. Pozzato, M. Simoni, L. Zedda, G. Milan, I. Bononi, C. Piola, P. Maestrelli, P. Boschetto, C.E. Mapp
European Respiratory Journal 2003 21: 637-640; DOI: 10.1183/09031936.03.00060703
M. Padoan
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V. Pozzato
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M. Simoni
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L. Zedda
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G. Milan
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I. Bononi
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C. Piola
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P. Maestrelli
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P. Boschetto
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C.E. Mapp
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Tables

  • Table 1—

    Characteristics of 87 subjects with toluene diisocyanate (TDI) asthma at the time of diagnosis and the follow-up visit

    DiagnosisFollow-up
    Age yrs38.0±1.248.7±1.2#
    Sex
     Male63
     Female24
    Smoking habits
     Nonsmoker63.2%63.2%
     Exsmoker28.7%29.9%
     Current smoker8.0%6.9%
    Atopic status23.0%28.7%
    Duration of exposure yrs12.0±0.9
    Duration of symptoms yrs3.8±0.5
    Current exposure
     Yes15.0%
     No85.0%
    Symptoms of asthma100%71.0%¶
    Type of asthmatic reaction
     Immediate20.7%
     Late alone54.0%
     Dual25.3%
    • Data are presented as mean±sem unless otherwise stated

    • #: significantly different from age of diagnosis by use of Mann-Whitney test

    • p<0.001

    • ¶: significantly different from symptoms at diagnosis by use of the Chi-squared test

    • p<0.001

  • Table 2—

    Respiratory parameters measured at diagnosis and the follow-up visit

    DiagnosisFollow-up
    FVC % pred98.1±1.2¶94.4±1.4§
    FEV1 % pred98.8±1.698.1±1.7
    FEV1/FVC ratio77.4±0.877.1±0.7
    Airway obstruction#33.3%37.9%
    FEV1/FVC <75%
    PD20 mg0.466 (1.12)+1.042 (1.11)ƒ
    • FVC: forced vital capacity

    • FEV1: forced expiratory volume in one second

    • PD20: provocative dose of methacholine causing a 20% fall in FEV1

    • #: criteria from the American Thoracic Society

    • 1986 15; ¶: predicted values from Commissions des Communautes Europeennes 16

    • +: geometric (G) mean and Gsem

    • §: significantly different from FVC (% pred) at diagnosis

    • by use of Mann-Whitney test

    • p<0.05

    • ƒ: significantly different from PD20 at diagnosis by use of Mann-Whitney test

    • p<0.001

  • Table 3—

    Summary of the stepwise logistic regression analysis for the effects of initial provocative dose causing a 20% fall in the forced expiratory volume in one second (PD20), duration of exposure, duration of follow-up and treatment with inhaled steroids among subjects with PD20 ≤1 mg and >1 mg at follow-up#

    VariableModel 0Model 1Model 2Model 3
    Initial PD20, log dose
     B−2.422−2.313−3.42−2.14
     se1.0391.0491.3841.070
     OR0.080.090.030.11
     CI0.01–0.680.01–0.770.002–0.490.01–0.95
     p-value0.020.020.010.04
    Duration of exposure, yrs
     B−0.08−0.08−0.13−0.10
     se0.0600.0610.0710.074
     OR0.910.920.870.90
     CI0.81–1.030.81–1.040.76–1.010.78–1.04
     p-value0.160.190.060.16
    Last exposure to TDI yrsNINI
     B0.040.03
     se0.0890.102
     OR1.041.03
     CI0.87–1.240.84–1.26
     p-value0.110.72
    Interval since removal from exposure yrs (≥10 <10)NI
     B2.02
     se1.172
     OR7.59
     CI0.76–75.6
     p-value0.08
    Current inhaled steroids, yes versus no
     B2.22
     se1.211
     OR9.22
     CI0.85–99.08
     p-value0.06
    Prediction82.982.987.282.9
    • #: dependent variable

    • PD20 ≤1 mg

    • Model: NI: variable not included in the model

    • 0: normal airway responsiveness (PD20 >1 mg)

    • 1: airway hyperresponsiveness (PD20 ≤1 mg)

    • 0: interval since removal from exposure ≥10 yrs

    • 1: interval since removal from exposure <10 yr

    • 0: no current inhaled steroids

    • 1: yes current inhaled steroids

    • B: regression coefficient

    • OR: odds ratio

    • CI: 95% confidence interval

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Long-term follow-up of toluene diisocyanate-induced asthma
M. Padoan, V. Pozzato, M. Simoni, L. Zedda, G. Milan, I. Bononi, C. Piola, P. Maestrelli, P. Boschetto, C.E. Mapp
European Respiratory Journal Apr 2003, 21 (4) 637-640; DOI: 10.1183/09031936.03.00060703

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Long-term follow-up of toluene diisocyanate-induced asthma
M. Padoan, V. Pozzato, M. Simoni, L. Zedda, G. Milan, I. Bononi, C. Piola, P. Maestrelli, P. Boschetto, C.E. Mapp
European Respiratory Journal Apr 2003, 21 (4) 637-640; DOI: 10.1183/09031936.03.00060703
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