Medical Case Studies On Asthma

Medical Case Studies On Asthma-43
Spirometry and non-specific bronchial responsiveness should be measured, but carefully performed and validly analysed serial peak expiratory flow or forced expiratory volume in one second (FEV) measurements are more specific and confirm occupational asthma in about 82% of those still exposed to the causative agent.Skin prick testing or specific immunoglobulin E assays are useful to document allergy to high molecular weight allergens.

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Several epidemiological questionnaires are in current use [26–28].

Questions about work exposure and association of symptoms to work may be used in clinical diagnosis.

All working patients with asthma and COPD should be asked whether their symptoms improve on days away from work or on holidays.

Further investigation is required for all positive respondents. Questionnaires are extensively used as screening tools in epidemiological studies.Asthma relapsing or becoming more severe some time after exposure to a new occupational allergen may be due to occupational asthma, and does not preclude the diagnosis.A thorough clinical and occupational history should be obtained in all cases [12, 13].The diagnosis and consequently an opportunity for prevention are often missed in practice.Based on recent studies and systematic reviews of the literature methods for detection of WRA and identification of specific causes of allergic WRA are discussed.All workers should be asked whether symptoms improve on days away from work or on holidays.Positive answers should lead to further investigation.By continuing to use this site, you consent to the use of cookies.We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services.Finally, if the diagnosis remains unclear a follow-up with serial measurements of FEVAt least 15% of adult asthma is induced or triggered by factors in the workplace [1].Early diagnosis can improve the prognosis of work-related asthma since cessation of exposure after appearance of asthmatic symptoms and identification of specific sensitization within the first months after onset of symptoms, may permit a full recovery.


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