0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

A Severe Response to Substances Released From Cotton

Stanley S. Lefkowitz, PhD; Doris L. Lefkowitz, MS
JAMA. 1984;251(14):1835-1836. doi:10.1001/jama.1984.03340380021015.
Text Size: A A A
Published online

To the Editor.—  Cotton dust has been implicated in the etiology of byssinosis as well as other important respiratory diseases.1 It also has been reported that inhalation of cotton dust can result in antibody-independent complement activation causing histamine release resulting in airway changes.2,3

Report of a Case.—  A 39-year-old woman with a history of asthma was having continual respiratory problems. Initially she had laryngeal edema coupled with headaches and frequent lethargy. These symptoms seemed to be somewhat cyclic, with remissions in the evenings and on Sundays. Because of the time of the year, it was suggested that her symptoms could relate to cotton ginning, which is of considerable importance in this area. It was subsequently noted that when she left the cotton ginning and growing area, her symptoms would disappear. These severe manifestations, however, would recur after she returned to the area.A number of radioallergosorbent tests as

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();