Here is a report of a diver with an asthma attack in the Journal of Allergy and Clinical Immunology.
Divers asthma attack linked to pollen in air tank
NEW YORK, Oct 26,1999 (Reuters Health) A scuba divers life-threatening asthma attack some 27 meters (almost 90 feet) below the surface was apparently caused by exposure to pollen from the Mediterranean nettle Parietaria, according to Italian researchers.
The investigators warn divers who are allergic to pollen to make sure that a filter is used to remove allergens from air used to fill air tanks. Reporting in the September, 1999 issue of the Journal of Allergy and Clinical Immunology, Dr. Gennaro DAmato and colleagues, of Azienda Ospedaliera ad Alta Specialita A. Cardarelli, Naples, note that their patient had had long experience of underwater diving without untoward effects.
The 37-year-old man also had bronchial asthma and had tested positive for allergy to the nettle.
Before the dive in question, the diver used a new supplier to recharge his air tanks. When the investigators later inspected the premises of this supplier, they found that:
the compressor was not fitted with an air filter and the area was rich in Parietaria plants, suggesting that air containing pollen from the plant was used to fill the tanks.
In subsequent experiments using air from tanks and pollen traps, DAmatos team detected damaged granules of Parietaria pollen that could have released specific allergens responsible for the asthma in the diver.
The evidence that the asthma attack was pollen related is very persuasive, DAmato and colleagues say. They advise divers at risk for pollen-induced breathing disorders to check that the air used to recharge their tanks is filtered to prevent the passage of respirable pollen grains.
SOURCE: Journal of Allergy and Clinical Immunology
1999;104:710
D'Amato G, Noschese P, Russo M, Gilder J, Liccardi G.
Pollen asthma in the deep.
J Allergy Clin Immunol. 1999 Sep;104(3 Pt 1):710.