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Beta-galactosidase에 의한 직업성 비염 및 천식 1예

Occupational asthma induced by beat-galactosidase

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주제분류소아과학

초록

Galactosidase is generated from Aspergillus oryzae, which is widely used for antidiarrhea medicine to infants. Antibiotics and digestives were reported as a causative allergen inducing occupational asthma. Galatosidase-induced occupational asthma has not been reported yet. A forty-year-old female has suffered from rhinorrhea, sneezing, and nasal obstruction 1 year after handling galactosidase at obstetric and pediatric hospital, and then dyspnea appeared later. Skin prick test with inhalent allergens, beta-galactosidase, and Aspergillus oryzae showed strong positive reaction to beta-galactosidase only. Immunoinhibition test with beta-galactosidase and A. oryzae revealed inhibition to beta-galactosidase only. Bronchial provocation test with beta-galactosidase showed the dual asthmatic response. With these results, we confirmed that the patient has beta-galactosidase-induced occupational asthma and rhinitis.

Abstract

Galactosidase is generated from Aspergillus oryzae, which is widely used for antidiarrhea medicine to infants. Antibiotics and digestives were reported as a causative allergen inducing occupational asthma. Galatosidase-induced occupational asthma has not been reported yet. A forty-year-old female has suffered from rhinorrhea, sneezing, and nasal obstruction 1 year after handling galactosidase at obstetric and pediatric hospital, and then dyspnea appeared later. Skin prick test with inhalent allergens, beta-galactosidase, and Aspergillus oryzae showed strong positive reaction to beta-galactosidase only. Immunoinhibition test with beta-galactosidase and A. oryzae revealed inhibition to beta-galactosidase only. Bronchial provocation test with beta-galactosidase showed the dual asthmatic response. With these results, we confirmed that the patient has beta-galactosidase-induced occupational asthma and rhinitis.

참고문헌 (7)

  1. Korean Society of Allergy and Immunology, "Asthma and allergic disease", pp.286~293 (2012), Yeo Moon Gak
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  3. Vera C, "Synthesis of galacto-oligosaccharides by β-galactosidase from Aspergillus oryzae using partially dissolved and supersaturated solution of lactose", Enzyme Microb Technol, 50, pp.188~194 (2012)
  4. 김성무, "박트림에 의한 아나필락시스 1예", 대한내과학회지, 80(3), pp.365~369 (2011), 대한내과학회
  5. Knuf C, "Aspergilli: systems biology and industrial applications", Biotechnol J, 7, pp.1147~1155 (2012)
  6. Sangwan V, "Galactooligosaccharides: novel components of designer foods", J Food Sci, 76, pp.R103~R111 (2011)
  7. Peden DB, "Advances in environmental and occupational disorders in 2012", J Allergy Clin Immunol, 131, pp.668~674 (2013)

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