The spectrum of building-related airway disorders: difficulty in retrospectively diagnosing building-related asthma.

Abstract:

INTRODUCTION:The specific causes and mechanism(s) for asthma occurring among occupants of non-residential buildings with poor indoor air quality are not known, but allergic and nonallergic processes are possible explanations METHODS:Repeated indoor air quality measurements were made while employees were working in a building where cigarette smoking was allowed. Seven of 19 employees who sought medical care from their private physicians because of respiratory complaints received a diagnosis of asthma. Subsequently, 19 symptomatic employees were examined at the University of South Florida (USF) 2 +/- 0.8 months (mean +/- SD) after removal from the building. RESULTS:The first floor of the building, where employee complaints were prevalent, was characterized by markedly reduced outdoor fresh air supply, diminished air circulation to the occupant spaces, and elevated airborne concentrations of formaldehyde. Nineteen workers examined at the USF 2 +/- 0.8 months after leaving the building reported ear, nose, and throat irritation and asthma-like symptoms while working in the building. There was resolution of symptoms in most of the seven employees (37%) with asthma previously diagnosed by their private physician. In fact, 16 of 19 subjects (84%) reported resolution or significant improvement of symptoms. Among 11 persons with symptoms suggesting asthma while working in the building, 4 persons (21%) showed a negative provocative concentration of methacholine producing a 20% fall in FEV1, including two subjects with doctor-diagnosed asthma. CONCLUSIONS:Confirmation of building-related asthma is influenced by time factors and the clinical criteria used for diagnosis. A nonallergic mechanism seems operative in our cases. While considered an example of occupational asthma, building-related asthma is a challenge for the practicing physician to confirm retrospectively.

journal_name

Chest

journal_title

Chest

authors

Brooks SM,Spaul W,McCluskey JD

doi

10.1378/chest.128.3.1720

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

1720-7

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)52210-1

journal_volume

128

pub_type

杂志文章

相关文献

CHEST文献大全
  • Usefulness of bronchoscopic microsampling to detect the pathogenic bacteria of respiratory infection.

    abstract:BACKGROUND:Bronchoscopic microsampling (BMS) is a method in which a device consisting of a wire with a polyester probe at the tip is used to collect bronchial epithelial lining fluid with bronchoscopy. In this study, we bacteriologically investigated sample collection using BMS to incorporate BMS into diagnosis of resp...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-0989

    authors: Sasabayashi M,Yamazaki Y,Tsushima K,Hatayama O,Okabe T

    更新日期:2007-02-01 00:00:00

  • Low-grade systemic inflammation and the response to exercise training in patients with advanced COPD.

    abstract:STUDY OBJECTIVE:Low-grade systemic inflammation may cause a chronic catabolic state that may affect trainability in patients with COPD as has been seen previously in healthy elderly. Therefore, the aim of the present study was to study the relationship between baseline circulating levels of inflammatory markers and the...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3183

    authors: Spruit MA,Gosselink R,Troosters T,Kasran A,Van Vliet M,Decramer M

    更新日期:2005-11-01 00:00:00

  • Detection of aortopulmonary window with ventricular septal defect by Doppler color flow imaging.

    abstract::Aortopulmonary window is a rare congenital cardiac anomaly. When it coexists with a ventricular septal defect, the accurate diagnosis of aortopulmonary window on the basis of clinical examination is difficult. We report the case of an infant who had an aortopulmonary window together with a ventricular septal defect. A...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.1.280

    authors: Horimi H,Hasegawa T,Shiraishi H,Endo H,Yanagisawa M

    更新日期:1992-01-01 00:00:00

  • Behçet's disease presenting with a pulmonary mass lesion.

    abstract::We report a case of Behçet's disease with pulmonary and splenic involvement. The radiologic presentation was quite different from the modes defined in the literature. A large, anteriorly located, well circumscribed ovoid mass was the x-ray film image of a large area of infarction with hemorrhage. The involved pulmonar...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.104.5.1635

    authors: Tüzün H,Yaman M,Gemicioglu B,Bozkurt K,Uygun N,Aktan K

    更新日期:1993-11-01 00:00:00

  • Asthma and Cushing's syndrome.

    abstract::A female patient was treated with high-dose inhaled fluticasone propionate for her asthma. Over 2 years, she developed features of Cushing's syndrome with proximal myopathy, osteopenia, hypertension, depressive psychosis, and cushingoid appearance. She had biochemical evidence of marked adrenal suppression with a 9:00...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.2.593

    authors: Wilson AM,Blumsohn A,Jung RT,Lipworth BJ

    更新日期:2000-02-01 00:00:00

  • Daytime Cheyne-Stokes respiration in ambulatory patients with severe congestive heart failure is associated with increased mortality.

    abstract:BACKGROUND:Cheyne-Stokes respiration (CSR) frequently occurs in patients with severe heart failure during sleep and may increase mortality. Daytime CSR supposedly poses an even greater risk, but its prevalence and prognostic importance remain elusive. Therefore, we investigated the circadian prevalence of CSR and its i...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-0121

    authors: Brack T,Thüer I,Clarenbach CF,Senn O,Noll G,Russi EW,Bloch KE

    更新日期:2007-11-01 00:00:00

  • Talc pleurodesis through indwelling pleural catheters for malignant pleural effusions: retrospective case series of a novel clinical pathway.

    abstract::Malignant pleural effusions cause significant morbidity, but there is no gold standard minimally invasive treatment. A new therapeutic approach combines talc pleurodesis and indwelling pleural catheters (IPCs) to enable outpatient management. This case series summarizes the safety and efficacy data of all patients (24...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.14-0394

    authors: Ahmed L,Ip H,Rao D,Patel N,Noorzad F

    更新日期:2014-12-01 00:00:00

  • Sleep Apnea Morbidity: A Consequence of Microbial-Immune Cross-Talk?

    abstract::OSA has emerged as a highly prevalent public health problem that imposes important mid- and long-term consequences, namely cardiovascular, metabolic, cognitive, and cancer-related alterations. OSA is characterized by increased upper airway resistance, alveolar hypoventilation, and recurrent upper airway obstruction du...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2018.03.001

    authors: Farré N,Farré R,Gozal D

    更新日期:2018-10-01 00:00:00

  • Mediastinal abscess due to passage of a broncholith.

    abstract::We report a case of a 32-year-old woman who, after passage of broncholiths, developed a mediastinal abscess that required surgical drainage for treatment. Previously reported infectious complications resulting from broncholiths include obstructive pneumonitis and recurrent aspiration pneumonitis secondary to bronchoes...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.1.296

    authors: Studer SM,Heitmiller RF,Terry PB

    更新日期:2002-01-01 00:00:00

  • Pleural Myiasis Associated With Pleural Angiosarcoma.

    abstract::Myiasis refers to a parasitic infestation of vertebrate mammals by dipterous larvae (maggots) of higher flies. Infections in humans typically occur in tropical and subtropical regions, regions with limited medical access, and areas with poor hygiene and living conditions. Infestations in humans have been described in ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2015.12.022

    authors: Patel MB,Munzer K,Dougherty M,Williams P,Loiselle A

    更新日期:2016-06-01 00:00:00

  • Small airways obstruction syndrome.

    abstract:STUDY OBJECTIVES:To clarify the significance of a functional lung pattern characterized by a decreased vital capacity (VC) and an increased residual volume (RV), but with a normal FEV1/VC ratio. SETTING:A university teaching hospital. SUBJECTS:Patients with bronchial asthma, pulmonary emphysema, and small airways dis...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.1.231

    authors: Stănescu D

    更新日期:1999-07-01 00:00:00

  • Clinical efficacy of doxycycline for pleurodesis.

    abstract::To determine the efficacy of doxycycline as a pleural sclerosing agent, we examined the outcomes in 31 patients (aged 31 to 87 years) receiving doxycycline (500 to 1,000 mg) through a chest tube for malignant pleural effusions or persistent bronchopleural fistulae. Of the 27 patients with malignant pleural effusions, ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.105.6.1743

    authors: Heffner JE,Standerfer RJ,Torstveit J,Unruh L

    更新日期:1994-06-01 00:00:00

  • Cystic Fibrosis Sputum Rheology Correlates With Both Acute and Longitudinal Changes in Lung Function.

    abstract:BACKGROUND:Cystic fibrosis (CF) airway secretions are abnormal, contributing to decreased clearance and a cycle of infection and inflammation. CF sputum properties may predict disease progression. We hypothesized that sputum viscoelasticity and clearance abnormalities would inversely correlate with pulmonary function d...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2018.03.005

    authors: Ma JT,Tang C,Kang L,Voynow JA,Rubin BK

    更新日期:2018-08-01 00:00:00

  • Variability in the classification of radiographs using the 1980 International Labor Organization Classification for Pneumoconioses.

    abstract::This study describes the extent of agreement in classification of chest radiographs using the International Labor Organization (ILO) classification among six readers from the United States and Canada. A set of 119 radiographs was created and read by three Canadian and three US readers. The two ratings of interest were...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.6.1740

    authors: Welch LS,Hunting KL,Balmes J,Bresnitz EA,Guidotti TL,Lockey JE,Myo-Lwin T

    更新日期:1998-12-01 00:00:00

  • Analysis of neural mechanisms accompanying different intensities of dynamic exercise.

    abstract::The neural mechanisms accompanying dynamic exercise of different intensities were analyzed in dogs and human subjects by means of autoregressive spectral analysis of heart period and arterial pressure variabilities. In the animal experiments, 8 conscious dogs were examined after implanting a solid state pressure gauge...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.5_supplement.226s

    authors: Rimoldi O,Furlan R,Pagani MR,Piazza S,Guazzi M,Pagani M,Malliani A

    更新日期:1992-05-01 00:00:00

  • Longitudinal Measurement of Pleural Fluid Biochemistry and Cytokines in Malignant Pleural Effusions.

    abstract:BACKGROUND:Malignant pleural effusion (MPE) is common. Existing literature on pleural fluid compositions is restricted to cross-sectional sampling with little information on longitudinal changes of fluid biochemistry and cytokines with disease progression. Indwelling pleural catheters provide the unique opportunity for...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2016.01.001

    authors: Thomas R,Cheah HM,Creaney J,Turlach BA,Lee YC

    更新日期:2016-06-01 00:00:00

  • Correlation between perioperative blood transfusion and prognosis of patients subjected to surgery for stage I lung cancer.

    abstract:BACKGROUND:It has been reported, but not proven, that perioperative blood transfusions have a detrimental effect on the survival of patients undergoing surgery for lung cancer. STUDY DESIGN:and methods: A prospective study was carried out on the patients undergoing lobectomy for stage I lung cancer at our department f...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.1.102

    authors: Nosotti M,Rebulla P,Riccardi D,Baisi A,Bellaviti N,Rosso L,Santambrogio L

    更新日期:2003-07-01 00:00:00

  • Bronchial intraepithelial neoplasia/early central airways lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition).

    abstract:BACKGROUND:An evidence-based approach is necessary for the localization and management of intraepithelial and microinvasive non-small cell lung cancer in the central airways. METHODS:Material appropriate to this topic was obtained by literature search of a computerized database. Recommendations were developed by the w...

    journal_title:Chest

    pub_type: 杂志文章,实务指引

    doi:10.1378/chest.07-1377

    authors: Kennedy TC,McWilliams A,Edell E,Sutedja T,Downie G,Yung R,Gazdar A,Mathur PN,American College of Chest Physicians.

    更新日期:2007-09-01 00:00:00

  • Sensitivity, specificity, positive predictive value, and negative predictive value of the dipyridamole sestamibi stress test comparing arterial to vein conduits.

    abstract:STUDY OBJECTIVES:To determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the dipyridamole stress test (DSST) in predicting > or = 50% obstruction of an internal mammary artery or new native coronary artery disease (CAD) compared with saphenous vein graft obstru...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.4.1040

    authors: Deluca AJ,Cusack E,Aronow WS,Monsen CE

    更新日期:2004-10-01 00:00:00

  • Massive hemoptysis successfully treated by modified bronchoscopic balloon tamponade technique.

    abstract::A 60-year-old man with massive hemoptysis was treated successfully by modified bronchoscopic balloon tamponade technique. Compared with previously reported techniques, the modified technique requires no special catheter, no complicated maneuver, and is able to be applied to more massive bleeding. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.3.842

    authors: Kato R,Sawafuji M,Kawamura M,Kikuchi K,Kobayashi K

    更新日期:1996-03-01 00:00:00

  • A comparative study of oral endotracheal tube securing methods.

    abstract::A prospective study was done to compare four different methods of securing oral endotracheal tubes: adhesive tape (A), Twill tape (T), Twill tape with FlexBlue bite block (TFXB), and Velcro tie with FlexBlue (VFXB), used on sequential days. Thirty-six patients were enrolled for 136 patient-days and 18 had complete 4-d...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.5.1537

    authors: Levy H,Griego L

    更新日期:1993-11-01 00:00:00

  • Elevated levels of the receptor for advanced glycation end products, a marker of alveolar epithelial type I cell injury, predict impaired alveolar fluid clearance in isolated perfused human lungs.

    abstract:BACKGROUND:Although alveolar epithelial injury is a major determinant of outcome in patients with acute lung injury, there is no reliable biological marker of alveolar epithelial injury. The primary objective was to determine whether elevated levels of the receptor for advanced glycation end products (RAGE), a marker o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-0919

    authors: Briot R,Frank JA,Uchida T,Lee JW,Calfee CS,Matthay MA

    更新日期:2009-02-01 00:00:00

  • Sexual content of advertisements and the smoking process in adolescents.

    abstract:STUDY OBJECTIVE:s: To analyze the perception of sexual content (PSC) of tobacco advertisements and its potential impact on the process of smoking in adolescents. DESIGN, PARTICIPANTS, AND SETTING:A questionnaire was administered to 1,186 adolescents at the National Institute of Respiratory Diseases in Mexico City to d...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.6.2016

    authors: Sansores RH,Giraldo-Buitrago G,Reddy C,Ramírez-Venegas A

    更新日期:2002-06-01 00:00:00

  • Bronchoalveolar lavage. Its safety in subjects with mild asthma.

    abstract::It has been suggested that fiberoptic bronchoscopy may induce life-threatening bronchospasm in persons with asthma. The safety of bronchoscopy and bronchoalveolar lavage (BAL) with bilateral installation of 300 ml of saline solution was assessed prospectively in ten adults with mild asthma as a part of a study of the ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.85.6.723

    authors: Rankin JA,Snyder PE,Schachter EN,Matthay RA

    更新日期:1984-06-01 00:00:00

  • Risk factors for childhood asthma in Costa Rica.

    abstract:BACKGROUND:Little is known about factors determining the pathogenesis and severity of asthma in Latin American countries. Costa Rica, one of the most prosperous Latin American nations, has a very high asthma prevalence. OBJECTIVE:To examine the relation between potential risk factors and childhood asthma in Costa Rica...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.3.785

    authors: Celedón JC,Soto-Quiros ME,Silverman EK,Hanson L,Weiss ST

    更新日期:2001-09-01 00:00:00

  • Time course of hemostatic abnormalities in sepsis and its relation to outcome.

    abstract:OBJECTIVES:To investigate the time course and the relation to prognosis of coagulation and fibrinolytic abnormalities in patients with septic shock. PATIENTS AND METHODS:Forty-eight consecutive patients admitted to the medical ICU with the diagnosis of septic shock (diagnosed by defined criteria) were studied. Mortali...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.5.1536

    authors: Lorente JA,García-Frade LJ,Landín L,de Pablo R,Torrado C,Renes E,García-Avello A

    更新日期:1993-05-01 00:00:00

  • Preflight medical screenings of patients. Analysis of health and flight characteristics.

    abstract::We evaluated the demographic, medical, and flight characteristics of 1,115 passengers who were routinely referred for preflight medical screening by a major domestic air carrier. The largest category consisted of 892 patients who requested in-flight oxygen therapy for cardiopulmonary conditions, of which COPD and card...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.3.788

    authors: Gong H Jr,Mark JA,Cowan MN

    更新日期:1993-09-01 00:00:00

  • Thoracoscopic lobectomy for lung cancer with a largely fused fissure.

    abstract:BACKGROUND:While isolating the pulmonary arterial branches within the fissure is a crucial step in lobectomy, a largely fused fissure usually hinders its achievement, making lobectomy with video-assisted thoracoscopic surgery (VATS) difficult to achieve. For VATS lobectomy in lung cancer patients with a largely fused f...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.2.619

    authors: Nomori H,Ohtsuka T,Horio H,Naruke T,Suemasu K

    更新日期:2003-02-01 00:00:00

  • Differential diagnosis of bronchiolitis obliterans organizing pneumonia.

    abstract::The disease concept of idiopathic BOOP has emerged from a study of many open lung biopsy cases of diffuse infiltrative lung disease. The histopathologic features of idiopathic BOOP have several components: bronchiolitis obliterans, organizing pneumonia, accumulation of foamy cells in the peripheral air spaces, and int...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.1_supplement.44s

    authors: Kitaichi M

    更新日期:1992-07-01 00:00:00

  • Lung cancer. The past twenty-five years.

    abstract::On the occasion of this Fourth World Conference on Lung Cancer, I am privileged to present the opening keynote address. This presentation has been sponsored by the Ontario Cancer Treatment and Research Foundation. In 1952, the Foundation established an annual lectureship in memory of one of their prominent physicians....

    journal_title:Chest

    pub_type: 临床试验,历史文章,杂志文章,评审

    doi:10.1378/chest.89.4.200s

    authors: Pearson FG

    更新日期:1986-04-01 00:00:00