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trimellitic anhydride allergic asthma
ICD-10 Codes
Description
Trimellitic Anhydride (TMA) Allergic Asthma: A Serious Occupational Hazard
Trimellitic anhydride (TMA) is a chemical compound that can cause severe allergic reactions, including asthma-like symptoms in humans. Exposure to TMA through inhalation or skin contact can lead to the development of occupational asthma, a condition characterized by episodic airway obstruction, inflammation, and non-specific airways hyperresponsiveness.
Symptoms of TMA-Induced Asthma
The symptoms of TMA-induced asthma typically occur 4-12 hours after exposure to the chemical. These may include:
- Shortness of breath
- Wheezing or coughing
- Delayed onset of symptoms, which can be a distinguishing feature from other types of asthma
Mechanism of Action
TMA causes respiratory sensitization and several well-defined immunologically-mediated respiratory syndromes, most notably asthma. The chemical binds to IgE antibodies on mast cells, leading to the release of histamine and other mediators that cause inflammation and airway constriction.
Prevention and Treatment
To prevent TMA-induced asthma, it is essential to avoid skin contact with the chemical in the workplace. If exposure occurs, prompt medical attention should be sought to manage symptoms and prevent long-term damage.
References:
- [1] Inhalation exposure to TMA results in shortness of breath, wheezing, or coughing (PubChem, CID = ...).
- [3] But it is characterised by a delayed onset of symptoms after exposure; typically, coughing and wheezing occur 4-12 hours after exposure to Trimellitic anhydride.
- [9] TMA causes respiratory sensitization and several well defined immunologically-mediated respiratory syndromes, most notably asthma (Grammer et al., 1997; Zeiss ...).
- [10] Occupational exposure to ... as acid anhydrides can result in occupational asthma, an allergic disease characterized by episodic airway obstruction, airways inflammation, and non specific airways hyperresponsiveness.
Additional Characteristics
- Trimellitic Anhydride (TMA) Allergic Asthma
- Occupational asthma, a condition characterized by episodic airway obstruction, inflammation, and non-specific airways hyperresponsiveness.
- Shortness of breath, wheezing or coughing symptoms occurring 4-12 hours after exposure to TMA
Signs and Symptoms
Symptoms of Trimellitic Anhydride Allergic Asthma
Trimellitic anhydride (TMA) is a chemical known to cause occupational asthma, characterized by symptoms similar to any asthma exacerbation. The signs and symptoms of TMA-induced allergic asthma include:
- Wheezing: A high-pitched whistling sound while breathing out, which can be a sign of airway constriction [1].
- Shortness of breath: Feeling like you can't catch your breath or feeling winded even when sitting still [1].
- Runny nose: Excessive mucus production in the nasal passages, leading to congestion and discomfort [2].
- Nasal congestion: Stuffy nose due to inflammation and swelling in the nasal passages [2].
- Eye irritation: Redness, itching, or burning sensations in the eyes due to chemical exposure [3].
- Asthma-like symptoms: Repeated or prolonged inhalation of TMA can cause asthma-like symptoms, including coughing, chest tightness, and difficulty breathing [4].
Additional Symptoms
In some cases, individuals exposed to TMA may experience additional symptoms, such as:
- Flu-like symptoms: Fever, chills, and general feeling of being unwell due to allergic reactions [5].
- Pulmonary disease-anaemia syndrome: A rare condition characterized by inflammation in the lungs and anemia (low red blood cell count) [6].
Important Note
Asthma-like symptoms caused by TMA exposure can persist for months or even years after initial exposure, making it essential to seek medical attention if you suspect occupational asthma [7].
Additional Symptoms
- Shortness of breath
- Eye irritation
- Runny nose
- Difficulty breathing
- Coughing
- wheezing
- nasal congestion
- chest tightness
Diagnostic Tests
Diagnostic Tests for Trimellitic Anhydride Allergic Asthma
Trimellitic anhydride (TMA) allergic asthma can be diagnosed through various tests, which are essential for confirming the condition and ruling out other possible causes. Here are some of the diagnostic tests used to diagnose TMA allergic asthma:
- Skin Prick Test: This test involves pricking the skin with a small amount of TMA solution to check for an allergic reaction (1). A positive result indicates that the individual is sensitive to TMA.
- Blood Tests: Blood tests can measure the levels of IgE antibodies in the blood, which are indicative of an allergic response. Elevated levels of IgE antibodies specific to TMA can confirm the diagnosis (5).
- Spirometry and Chest Radiography: These tests can help assess lung function and rule out other respiratory conditions that may be causing symptoms (8).
- Serial Peak Flow Recordings: This test involves measuring peak expiratory flow rates over time to monitor changes in lung function (10).
Evaluation by a Qualified Allergist
It is essential to consult a qualified allergist for an accurate diagnosis. They will conduct a thorough evaluation, including careful exposure history and special testing, to confirm the presence of TMA allergic asthma (4).
Additional Diagnostic Tests
- Blood Tests
- Skin Prick Test
- Serial Peak Flow Recordings
- Spirometry and Chest Radiography
Treatment
Trimellitic anhydride (TMA) allergic asthma is a type of occupational asthma caused by exposure to TMA, a highly reactive chemical used in industry.
Treatment Options
According to the available information, treatment for TMA-induced allergic asthma may include:
- Medications: Medications such as corticosteroids can be effective in controlling symptoms and improving bronchial hyperresponsiveness [7]. Topical corticosteroids have been shown to improve symptoms by reducing airway inflammation [7].
- Avoiding Exposure: The most effective treatment is avoiding exposure to TMA. This may involve relocating workers who are exposed to TMA or implementing measures to reduce exposure.
- Other Treatment Options: Other treatment options may include medications to control asthma, such as bronchodilators and anti-inflammatory medications [5].
Important Considerations
It's essential to note that the cause of TMA-induced allergic asthma can be either allergic or nonallergic in nature. Symptoms may improve with treatment, but it's crucial to identify the underlying cause to develop an effective treatment plan.
References
- The use of corticosteroids in treating asthma is supported by [7].
- Avoiding exposure to TMA is essential for preventing and managing TMA-induced allergic asthma [4].
- Other treatment options may include medications such as bronchodilators and anti-inflammatory medications [5].
Note: The above information is based on the search results provided, which include studies and reports on trimellitic anhydride (TMA) exposure and its effects on human health.
Recommended Medications
- Corticosteroids
- Bronchodilators
- Anti-inflammatory medications
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Trimellitic Anhydride (TMA) and Occupational Asthma
Trimellitic anhydride (TMA) is a small molecular weight industrial compound that can cause asthma-like symptoms in humans. According to various studies, TMA exposure is associated with a spectrum of lung diseases, including asthma, rhinitis, late respiratory systemic syndrome, and pulmonary disease.
Causes of Occupational Asthma
Occupational asthma is often caused by exposure to inhaled irritants in the workplace. In the case of TMA, it can cause acute effects on the respiratory tract, leading to symptoms such as shortness of breath, wheezing, cough, and/or chest tightness.
Symptoms and Effects
The symptoms induced by TMA inhalation include:
- Acute effects on the respiratory tract
- Shortness of breath
- Wheezing
- Cough
- Chest tightness
These symptoms can occur after a latency period of sensitization, which means that exposure to TMA may not immediately cause asthma-like symptoms.
Occupational Asthma and TMA
Occupational asthma is often reversible, but repeated exposure to TMA can lead to more severe respiratory problems. In fact, studies have shown that workers exposed to TMA in the plastics industry experienced a range of respiratory syndromes, including asthma, rhinitis, and pulmonary disease.
Conclusion
In conclusion, trimellitic anhydride (TMA) is a small molecular weight industrial compound that can cause asthma-like symptoms in humans. Exposure to TMA can lead to acute effects on the respiratory tract, shortness of breath, wheezing, cough, and/or chest tightness. Occupational asthma caused by TMA exposure is often reversible but repeated exposure can lead to more severe respiratory problems.
References
- [1] Trimellitic anhydride (TMA) causes asthma after a latency period of sensitization.
- [2] It is one of the main causes of occupational asthma and anhydrides are associated with allergic sensitisation of the respiratory tract and occupational asthma.
- [3] Trimellitic Anhydride may cause an asthma-like allergy. Future exposure can cause asthma attacks with shortness of breath, wheezing, cough, and/or chest tightness.
- [4] Occupational asthma is a type of asthma caused by exposure to inhaled irritants in the workplace. Occupational asthma is often a reversible condition.
- [5] This report describes a spectrum of lung diseases associated with TMA exposure, including asthma, rhinitis, late respiratory systemic syndrome, and pulmonary disease.
- [6] Workers exposed to TMA in the plastics industry experienced a range of respiratory syndromes, including asthma, rhinitis, and pulmonary disease.
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