Rhinitis caused by ninhydrin develops into occupational asthma

Eur Respir J. 1997 Aug;10(8):1918-21. doi: 10.1183/09031936.97.10081918.

Abstract

Ninhydrin (2,2-dihydroxy-1,3-indanedione or 1,2,3-triketo-hydrindene hydrate) is a chemical used in the detection of free amino and carboxyl groups in proteins and peptides. Allergic, immunoglobulin E (IgE)-mediated rhinitis caused by ninhydrin was diagnosed earlier in a 41 yr old woman working as a laboratory technician in a forensic laboratory. Despite handling ninhydrin only in a flow cabinet, symptoms of dyspnoea developed 6 months later. Peak flow was found to vary by 20% during working days. In the specific inhalation challenge it was shown that occupational asthma had also developed due to continuing slight exposure to ninhydrin. The titre of ninhydrin-specific IgE also increased from 0.6 to 1.1 kU x L(-1) in the follow-up. This case stresses the importance of cessation of allergen exposure in occupational allergic rhinitis, in order to prevent asthma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Asthma / chemically induced*
  • Female
  • Humans
  • Immunoglobulin E / physiology
  • Medical Laboratory Personnel
  • Ninhydrin / adverse effects*
  • Occupational Diseases / chemically induced*
  • Rhinitis, Allergic, Perennial / chemically induced*
  • Time Factors

Substances

  • Immunoglobulin E
  • Ninhydrin