Asthma caused by maiko dust


Occupations
  • Food industry
Agents
Armorphophalus konjac, Maiko.
 
Incidence
Incidence: 5 to 16% of exposed subjects.
 
Neighbours up to 500m away may also be affected.
 
Atopy probably has an influence.
 
IgE-dependent mechanism. The allergen is a protein contained in the root.
 
Conditions
Powder extracted from the crushed root of a plant called "the devils tongue" which is used in Japanese cooking to make konnyaku.
 
Symptoms
Asthma in young adults. Sensitization may take up to three years.
 
Diagnostic methods
Skin tests are possible.
 
No immunological assay (allergen not commercially available).
 
Bronchial provocation test (in hospital).

References

  1. Allergology Amsterdam, 1979, Excerpta Medica Ed.

As in all diagnostic testing, the diagnosis is made by the physican based on both test results and the patient history.