Case-control study of serum immunoglobulin-E antibodies reactive with soybean in epidemic asthma.

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Title: Case-control study of serum immunoglobulin-E antibodies reactive with soybean in epidemic asthma.
Authors: Sunyer, J (AUTHOR), Antó, J M (AUTHOR), Rodrigo, M J (AUTHOR), Morell, F (AUTHOR)
Source: Lancet. 1/28/1989, Vol. 333 Issue 8632, p179-182. 4p.
Subjects: Immunoglobulin analysis, Asthma, Comparative studies, Dust, Epidemics, Research methodology, Medical cooperation, Medical emergencies, Research, Soybean, Disease relapse, Evaluation research
Geographic Terms: Spain
Abstract: Since 1981, twenty-six asthma outbreaks have been identified in Barcelona, all coinciding with the unloading of soybean in the harbour. Serum from patients with epidemic asthma and individually matched controls with non-epidemic asthma was assayed for immunoglobulin-E (IgE) antibodies against soybean antigens by means of a radioallergosorbent test. In 64 of 86 cases (74.4%) there was a reaction with commercial soybean antigen extracts, compared with only 4 of the 86 controls (4.6%) (odds ratio = 61; lower 95% confidence limit = 8.1). The statistical significance was greater for reactions with extracts of soybean dust taken from Barcelona harbour (odds ratio, unquantifiably high; lower 95% confidence limit = 11.7). No other serological covariate (total serum IgE levels or specific IgE levels against the commonest airborne allergens or legumes) confounded the association between serum anti-soybean IgE antibodies and epidemic asthma. These results support a causal relation between the release of dust during unloading of soybean at the harbour and the occurrence of asthma outbreaks, suggesting an underlying allergic mechanism. [ABSTRACT FROM AUTHOR]
Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Case-control study of serum immunoglobulin-E antibodies reactive with soybean in epidemic asthma.
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  Data: <searchLink fieldCode="AR" term="%22Sunyer%2C+J%22">Sunyer, J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Antó%2C+J+M%22">Antó, J M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rodrigo%2C+M+J%22">Rodrigo, M J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morell%2C+F%22">Morell, F</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="DE" term="%22Immunoglobulin+analysis%22">Immunoglobulin analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Asthma%22">Asthma</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Dust%22">Dust</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemics%22">Epidemics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cooperation%22">Medical cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+emergencies%22">Medical emergencies</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Soybean%22">Soybean</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+relapse%22">Disease relapse</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink>
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  Data: Since 1981, twenty-six asthma outbreaks have been identified in Barcelona, all coinciding with the unloading of soybean in the harbour. Serum from patients with epidemic asthma and individually matched controls with non-epidemic asthma was assayed for immunoglobulin-E (IgE) antibodies against soybean antigens by means of a radioallergosorbent test. In 64 of 86 cases (74.4%) there was a reaction with commercial soybean antigen extracts, compared with only 4 of the 86 controls (4.6%) (odds ratio = 61; lower 95% confidence limit = 8.1). The statistical significance was greater for reactions with extracts of soybean dust taken from Barcelona harbour (odds ratio, unquantifiably high; lower 95% confidence limit = 11.7). No other serological covariate (total serum IgE levels or specific IgE levels against the commonest airborne allergens or legumes) confounded the association between serum anti-soybean IgE antibodies and epidemic asthma. These results support a causal relation between the release of dust during unloading of soybean at the harbour and the occurrence of asthma outbreaks, suggesting an underlying allergic mechanism. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
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      – Type: doi
        Value: 10.1016/s0140-6736(89)91201-4
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 4
        StartPage: 179
    Subjects:
      – SubjectFull: Immunoglobulin analysis
        Type: general
      – SubjectFull: Asthma
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Dust
        Type: general
      – SubjectFull: Epidemics
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Medical cooperation
        Type: general
      – SubjectFull: Medical emergencies
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Soybean
        Type: general
      – SubjectFull: Disease relapse
        Type: general
      – SubjectFull: Evaluation research
        Type: general
      – SubjectFull: Spain
        Type: general
    Titles:
      – TitleFull: Case-control study of serum immunoglobulin-E antibodies reactive with soybean in epidemic asthma.
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            NameFull: Sunyer, J
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            NameFull: Antó, J M
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            NameFull: Rodrigo, M J
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            NameFull: Morell, F
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            – D: 28
              M: 01
              Text: 1/28/1989
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              Y: 1989
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              Value: 333
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              Value: 8632
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