Work-Related Asthma: Diagnosis and Prognosis of Immunological Occupational Asthma and Work-Exacerbated Asthma

被引:0
|
作者
Munoz, X. [1 ,2 ,3 ]
Cruz, M. J. [1 ,2 ]
Bustamante, V. [4 ]
Lopez-Campos, J. L. [2 ,5 ]
Barreiro, E. [2 ,6 ]
机构
[1] Univ Autonoma Barcelona, Hosp Univ Vall Hebron, Dept Med, Pulmonol Serv, E-08193 Barcelona, Spain
[2] Ctr Invest Red Enfermedades Resp CIBERES, Inst Salud Carlos III, Madrid, Spain
[3] Univ Autonoma Barcelona, Dept Cell Biol Physiol & Immunol, E-08193 Barcelona, Spain
[4] Osakidetza Univ Basque Country,Spain, Hosp Univ Basurto, Dept Pneumol, Bilbao, Spain
[5] Univ Seville, Hosp Univ Virgen Rocio, Inst Biomed Sevilla IBIS, Unidad Medicoquirurg Enfermedades Resp, Seville, Spain
[6] Univ Pompeu Fabra, Inst Hosp Mar Invest Mediques IMIM, Muscle Res & Resp Syst Unit URMAR,Hosp Mar, Dept Expt & Hlth Sci CEXS,Dept Pulmonol,PRBB, Barcelona, Spain
关键词
Specific inhalation challenge; Peak expiratory flow; Workplace; Irritants; PEAK EXPIRATORY FLOW; EXHALED BREATH CONDENSATE; NONSPECIFIC BRONCHIAL HYPERRESPONSIVENESS; THORACIC-SOCIETY STATEMENT; NEW-ONSET ASTHMA; INHALATION CHALLENGE; NITRIC-OXIDE; FOLLOW-UP; AIRWAY INFLAMMATION; NONINVASIVE METHODS;
D O I
暂无
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
The incidence and prevalence of asthma are increasing. One reason for this trend is the rise in adult-onset asthma, especially occupational asthma, which is 1 of the 2 forms of work-related asthma. Occupational asthma is defined as asthma caused by agents that are present exclusively in the workplace. The presence of pre-existing asthma does not rule out the possibility of developing occupational asthma. A distinction has traditionally been made between immunological occupational asthma (whether IgE-mediated or not) and nonimmunological occupational asthma caused by irritants, the most characteristic example of which is reactive airway dysfunction syndrome. The other form of work-related asthma is known as work-exacerbated asthma, which affects persons with pre-existing or concurrent asthma that is worsened by work-related factors. It is important to differentiate between the 2 entities because their treatment, prognosis, and medical and social repercussions can differ widely. In this review, we discuss diagnostic methods, treatment, and avoidance/nonavoidance of the antigen in immunological occupational asthma and work-exacerbated asthma.
引用
收藏
页码:396 / 405
页数:10
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