Medical Case Studies On Asthma

Medical Case Studies On Asthma-86
Obvious preconditions for considering a diagnosis of WRA are typical diagnostic findings of asthma (see below) and an association of asthma symptoms with exposure at work.Asthma present before occupational exposure but associated with worsening at the start of a new occupational exposure indicates a diagnosis of work-aggravated asthma (WAA).

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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.

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.

Diagnosis of work-related asthma is in many cases a complex undertaking consisting of various diagnostic tests and procedures.

The main object of diagnosis is to identify the cause of the asthma, in particular to separate occupational asthma from asthma unrelated to work, assisting decisions about intervention to prevent further exposure to the patient and is also important for handling compensation claims.To learn more or modify/prevent the use of cookies, see our Cookie Policy and Privacy Policy.Work-related asthma (WRA) is a major cause of respiratory disease in modern societies.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.The diagnosis of WRA can be performed in three steps: Asthma diagnosis is performed according to recent international guidelines [14, 15].However, the diagnosis of asthma is not always straightforward.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.


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