Cockcroft A, Edwards J, McCarthy P, Andersson N
Lancet. 1981 Apr 11;1(8224):827-30. doi: 10.1016/s0140-6736(81)92693-3.
179 people working with small laboratory animals were studied by questionnaire, lung-function tests, skin tests with common allergen extracts and extracts of the serum and urine of five animal species, and serology. 49 people had symptoms related to animal contact, most commonly rhinitis but also asthma and skin rashes. Skin reactivity to animal extracts was related to symptoms, particularly asthma, but many people with rhinitis only had negative skin tests. Positive skin tests without symptoms were rare. 3 people had additional late skin reactions. Atopic individuals were no more likely than non-atopics to have animal-related symptoms but were more likely to have asthma. Gel diffusion revealed no precipitating antibodies, and no specific IgG was detected with the ELISA technique. Lung-function measurements were normal. Sensitisation to laboratory animals may involve heavy antigen exposure, so that relatively unreactive individuals can be affected. Exclusion of atopic individuals from work with laboratory animals will not eliminate the problem.
通过问卷调查、肺功能测试、用常见变应原提取物以及五种动物血清和尿液提取物进行皮肤测试以及血清学检测,对179名从事小型实验动物工作的人员进行了研究。49人有与动物接触相关的症状,最常见的是鼻炎,也有哮喘和皮疹。对动物提取物的皮肤反应性与症状有关,尤其是哮喘,但许多鼻炎患者皮肤测试呈阴性。皮肤测试呈阳性但无症状的情况很少见。3人有额外的迟发性皮肤反应。特应性个体出现与动物相关症状的可能性并不比非特应性个体高,但患哮喘的可能性更大。凝胶扩散未显示沉淀抗体,ELISA技术也未检测到特异性IgG。肺功能测量结果正常。对实验动物的致敏可能涉及大量抗原暴露,因此相对无反应的个体也可能受到影响。将特应性个体排除在实验动物工作之外并不能消除这个问题。