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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Persulfate salts are among the most frequently implicated causes of occupational asthma&#46; The aim of this study was to describe the course of bronchial hyperresponsiveness and immunologic test results in patients with occupational asthma due to persulfate salts&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Ten patients with occupational asthma due to persulfate salts were studied&#46; Diagnosis was based on specific bronchial challenge tests performed at least 3 years before enrollment&#46; An exhaustive medical and work history was taken during interviews with all patients&#44; and all underwent spirometry and nonspecific bronchial challenge testing&#46; Total immunoglobulin E levels were determined and skin prick tests to several persulfate salts were performed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">At the time of evaluation&#44; 7 patients had avoided workplace exposure to persulfate salts&#46; The bronchial hyperresponsiveness of 3 of those 7 patients had improved significantly&#46; No improvement was observed in patients who continued to be exposed&#46; Specific skin prick tests became negative in 3 patients who were no longer exposed at the time of the follow-up evaluation&#46; Most of the patients continued to report symptoms&#44; although improvements were noted&#46; One patient&#44; however&#44; reported worsening of symptoms in spite of avoidance of exposure&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Although asthma symptoms and bronchial hyperresponsiveness may persist for patients with occupational asthma due to persulfate salts&#44; their condition seems to improve if they avoid exposure&#46; This course does not seem to differ from that reported for other cases of occupational asthma&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Las sales de persulfato son uno de los agentes m&#225;s frecuentemente implicados en el origen del asma ocupacional &#40;AO&#41;&#46; El objetivo de este estudio ha sido establecer la evoluci&#243;n de la hiperrespuesta bronquial y de las pruebas inmunol&#243;gicas en pacientes con AO por persulfatos en funci&#243;n de que persista o no la exposici&#243;n a dichas sales&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudi&#243; a 10 pacientes con AO por exposici&#243;n a sales de persulfato&#44; diagnosticados con prueba de provocaci&#243;n bronquial espec&#237;fica&#44; en los que como m&#237;nimo hab&#237;an transcurrido 3 a&#241;os tras el diagn&#243;stico&#46; En todos los casos se realizaron un exhaustivo interrogatorio cl&#237;nico y laboral&#44; espirometr&#237;a forzada y prueba de provocaci&#243;n bronquial inespec&#237;fica con metacolina&#44; se determinaron los valores de inmunoglobulina E total y se practicaron pruebas cut&#225;neas con las distintas sales de persulfato&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En el momento del control evolutivo&#44; 7 pacientes hab&#237;an abandonado la exposici&#243;n a persulfatos&#46; De los pacientes con hiperrespuesta bronquial positiva que hab&#237;an abandonado el trabajo&#44; se observ&#243; una mejor&#237;a significativa de &#233;sta en 3 de ellos&#46; Este hecho no se observ&#243; en ninguno de los pacientes que siguieron expuestos&#46; La prueba cut&#225;nea espec&#237;fica se negativiz&#243; en 3 pacientes que no estaban expuestos en el momento del control evolutivo&#46; Desde el punto de vista cl&#237;nico&#44; la mayor&#237;a de los pacientes continuaron presentando s&#237;ntomas&#44; aunque &#233;stos hab&#237;an mejorado&#44; excepto en un caso en que&#44; a pesar de evitar la exposici&#243;n&#44; empeoraron&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque pueden persistir los s&#237;ntomas de asma y la hiperrespuesta bronquial positiva&#44; la evoluci&#243;n de los pacientes con AO por persulfato parece ser favorable si se evita la exposici&#243;n&#46; Esta respuesta no parece diferir de la comunicada en otros casos de AO&#46;</p>"
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Original Articles
Course of Bronchial Hyperresponsiveness in Patients With Occupational Asthma Caused by Exposure to Persulfate Salts
Xavier Muñoza,b,c,
Corresponding author
xmunoz@vhebron.net

Correspondence: Dr X. Muñoz Servei de Pneumologia, Hospital General Vall d'Hebron Pg. Vall d'Hebron, 11908035 Barcelona, Spain
, Susana Gómez-Ollésa,b, María Jesús Cruza,b, María Dolores Untoriaa,b, Ramon Orriolsa,b, Ferran Morella,b
a Servei de Pneumologia, Hospital Vall d'Hebron, Barcelona, Spain
b CIBER Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
c Departament de Biologia Cel·lular, Fisiologia, Immunologia, Universitat Autònoma de Barcelona, Barcelona, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Persulfate salts are among the most frequently implicated causes of occupational asthma&#46; The aim of this study was to describe the course of bronchial hyperresponsiveness and immunologic test results in patients with occupational asthma due to persulfate salts&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Ten patients with occupational asthma due to persulfate salts were studied&#46; Diagnosis was based on specific bronchial challenge tests performed at least 3 years before enrollment&#46; An exhaustive medical and work history was taken during interviews with all patients&#44; and all underwent spirometry and nonspecific bronchial challenge testing&#46; Total immunoglobulin E levels were determined and skin prick tests to several persulfate salts were performed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">At the time of evaluation&#44; 7 patients had avoided workplace exposure to persulfate salts&#46; The bronchial hyperresponsiveness of 3 of those 7 patients had improved significantly&#46; No improvement was observed in patients who continued to be exposed&#46; Specific skin prick tests became negative in 3 patients who were no longer exposed at the time of the follow-up evaluation&#46; Most of the patients continued to report symptoms&#44; although improvements were noted&#46; One patient&#44; however&#44; reported worsening of symptoms in spite of avoidance of exposure&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Although asthma symptoms and bronchial hyperresponsiveness may persist for patients with occupational asthma due to persulfate salts&#44; their condition seems to improve if they avoid exposure&#46; This course does not seem to differ from that reported for other cases of occupational asthma&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Las sales de persulfato son uno de los agentes m&#225;s frecuentemente implicados en el origen del asma ocupacional &#40;AO&#41;&#46; El objetivo de este estudio ha sido establecer la evoluci&#243;n de la hiperrespuesta bronquial y de las pruebas inmunol&#243;gicas en pacientes con AO por persulfatos en funci&#243;n de que persista o no la exposici&#243;n a dichas sales&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudi&#243; a 10 pacientes con AO por exposici&#243;n a sales de persulfato&#44; diagnosticados con prueba de provocaci&#243;n bronquial espec&#237;fica&#44; en los que como m&#237;nimo hab&#237;an transcurrido 3 a&#241;os tras el diagn&#243;stico&#46; En todos los casos se realizaron un exhaustivo interrogatorio cl&#237;nico y laboral&#44; espirometr&#237;a forzada y prueba de provocaci&#243;n bronquial inespec&#237;fica con metacolina&#44; se determinaron los valores de inmunoglobulina E total y se practicaron pruebas cut&#225;neas con las distintas sales de persulfato&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En el momento del control evolutivo&#44; 7 pacientes hab&#237;an abandonado la exposici&#243;n a persulfatos&#46; De los pacientes con hiperrespuesta bronquial positiva que hab&#237;an abandonado el trabajo&#44; se observ&#243; una mejor&#237;a significativa de &#233;sta en 3 de ellos&#46; Este hecho no se observ&#243; en ninguno de los pacientes que siguieron expuestos&#46; La prueba cut&#225;nea espec&#237;fica se negativiz&#243; en 3 pacientes que no estaban expuestos en el momento del control evolutivo&#46; Desde el punto de vista cl&#237;nico&#44; la mayor&#237;a de los pacientes continuaron presentando s&#237;ntomas&#44; aunque &#233;stos hab&#237;an mejorado&#44; excepto en un caso en que&#44; a pesar de evitar la exposici&#243;n&#44; empeoraron&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque pueden persistir los s&#237;ntomas de asma y la hiperrespuesta bronquial positiva&#44; la evoluci&#243;n de los pacientes con AO por persulfato parece ser favorable si se evita la exposici&#243;n&#46; Esta respuesta no parece diferir de la comunicada en otros casos de AO&#46;</p>"
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