Chemical dusts, vapours, and fumes causing asthma

Allergic respiratory disease due to common allergens of organic origin is wwell known. Less familiar, but of increasing importance, are chemicals of organic and inorganic nature, met as dusts, vapours, and fumes. Their relevance is shown in occupational respiratory allergic disorders. Confirmation is given by “real life,” simulated, occupational-type provocation tests. Controlled exposure with minute amounts for brief periods, thus closely simulating allergic sensitivity, can precisely identify etiological causes in often complex exposures. The capacity of these widely different agents in different forms to elicit the different patterns of asthmatic reactions, is a pointed example of their potential role, as well as the role of chemical agents in general. The introduction into indoor environments of such materials demands consideration of their possible allergenic ffects and of the need to recognise the various forms of allergic respiratory reaction they may cause.