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Case Reports
. 2005 Feb;25(2):386-8.
doi: 10.1183/09031936.05.00024304.

Metabisulphite-induced occupational asthma in a radiographer

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Free article
Case Reports

Metabisulphite-induced occupational asthma in a radiographer

R Merget et al. Eur Respir J. 2005 Feb.
Free article

Abstract

There is epidemiological evidence for an increased prevalence of occupational asthma among radiographers. However, the causes of darkroom disease are not yet defined. A 37-year-old female radiographer reported work-related asthma approximately 2 yrs after starting work in a local hospital. She was atopic and showed bronchial hyperresponsiveness to methacholine. Occupational-type exposure with a fixing agent, but not with a developer, produced an immediate-type asthmatic reaction. As the fixing agent contained sodium metabisulphite (SMBS), a substance known to cause asthma, bronchial challenges with SMBS were performed in the patient and nine asthmatic controls. The patient showed a positive bronchial immediate reaction on 2 separate days after inhalation of 48 and 96 microg SMBS, and one control also showed a significant fall in forced expiratory volume in one second after inhalation of 12 microg SMBS. The positive reaction in the control subject argues for a greater susceptibility of both persons to SMBS or its reaction product sulphur dioxide, rather than for a new occupational allergen. It is concluded that sodium metabisulphite exposure should be recognised as a cause of darkroom asthma.

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