Clinical Experience
IgE mediated reactions
Rat allergens found in dust, urine (containing serum proteins), epithelium and saliva are a frequent cause of asthma, allergic rhinitis and allergic conjunctivitis, mainly in laboratory workers but also in ordinary individuals (14-16).
There is a strong association between work-related symptoms and specific sensitisation (17). Workers exposed to laboratory animals are at risk of developing asthma, rhinitis, angioedema, conjunctivitis, and urticaria. Between 10% and 33% of scientists and technicians handling small animals will develop laboratory animal allergy symptoms within 3 years of employment. Many of them will have severe symptoms requiring a change of occupation (11, 18-20).
In workers exposed to Rats, Rat urinary allergen sensitisation risk increased with increasing exposure intensity. Workers who were atopic had a clearly elevated sensitisation risk at low allergen exposure levels (21). In a cross-sectional study performed on 540 workers at 8 facilities to quantify the exposure-response relationship for allergy to Rats, no clear exposure-response relationship was observed. However, in the group of workers with less than 4 years of working experience with laboratory animals, the prevalence rate of sensitisation to Rat allergens was clearly associated with exposure levels. The exposure-response relationship was steepest for workers with atopy-associated risk factors, i.e., self-reported allergy or sensitisation to Cats or Dogs, or elevated total serum IgE. The prevalence rates of sensitisation to Rat allergens for these workers were about 15, 9.5, and 7.3 times higher in the high-, medium-, and low-exposure group, respectively, compared with the internal reference group (22).
A large epidemiological study of 5,000 laboratory workers reported symptoms in 26% exposed to Mice, 25% to Rats, 31% to Guinea Pigs, 30% to Rabbits, 26% to Hamsters, 25% to Dogs, 30% to Cats and 24% to Monkeys (23).
Two hundred and sixty-three United Arab Emirates nationals with a respiratory disease suspected of being of allergic origin were submitted to skin- and serum-specific IgE measurement. Of these individuals, 8.3% were sensitised to Cat fur, 4.9% to Goat hair, and 0.7% to Rat hair and Mouse hair (24).
The suitability of radioallergosorbent test (RAST) inhibition to quantify occupational exposure to Rat urinary aeroallergen (RUA) has been assessed. The authors conclude that, in view of the complexity of Rat allergens, RAST inhibition is an appropriate method for the quantification of occupational exposure to Rats (25).