Acute and long-term airway hyperreactivity in aluminium-salt exposed workers with nocturnal asthma

Eur J Respir Dis. 1985 Feb;66(2):105-18.

Abstract

Nineteen young male workers exposed occupationally from 1975-1977 to inhaled particles of aluminium fluoride or sulphate at 2 plants, developed nocturnal wheezing and breathlessness with reversible airways obstruction after an average of 4 months employment. At standardized methacholine provocation tests (MPT), 17 of 19 workers with normal spirometry showed airway hyperreactivity with a fall of FEV1 of greater than or equal to 15% after 0.1% methacholine. We followed 15 initially asthmatic workers for 2-5 years with MPT. Mean TD 15% FEV1 in 11 workers did not change significantly after an average of 41 months of non-exposure. Six workers continuously exposed for 48 months also failed to change their TD 15% FEV1 MCh. In 1983, only one subject had returned to normal airway reactivity. We have no reason to suspect inducing agents other than aluminium salts.

MeSH terms

  • Adult
  • Alum Compounds*
  • Aluminum / adverse effects*
  • Aluminum Compounds*
  • Asthma / diagnosis
  • Asthma / etiology*
  • Bronchial Provocation Tests
  • Fluorides*
  • Follow-Up Studies
  • Forced Expiratory Volume
  • Humans
  • Male
  • Methacholine Chloride
  • Methacholine Compounds
  • Occupational Diseases / diagnosis
  • Occupational Diseases / etiology*
  • Respiratory Sounds / etiology
  • Smoking
  • Sulfates / adverse effects
  • Time Factors
  • Vital Capacity

Substances

  • Alum Compounds
  • Aluminum Compounds
  • Methacholine Compounds
  • Sulfates
  • Methacholine Chloride
  • aluminum sulfate
  • Aluminum
  • Fluorides
  • aluminum fluoride