Pulmonology Book

http://www.fpnotebook.com/

Work-Related Asthma

Aka: Work-Related Asthma, Occupational Asthma, Work-Aggravated Asthma, Asthma in the Workplace
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  1. Types
    1. Work-Aggravated Asthma
      1. Preexisting Asthma worsened by workplace exposure
      2. See Intrinsic Asthma
    2. Occupational Asthma
      1. Reactive Airway Dysfunction Syndrome
      2. Allergic Occupational Asthma
  2. Risk Factors
    1. Atopy
    2. Tobacco abuse
  3. Approach
    1. Diagnose Asthma
      1. Spirometry
    2. Determine if Asthma is work related
      1. Pre-work and post-work Spirometry
      2. Serial peak expiratory flow log qid
    3. Determine type of Occupational Asthma (see above)
  4. Management
    1. See Asthma Management
  5. Prevention
    1. Offending irritant or allergen exposure
    2. Adequate respiratory protection
  6. Resources
    1. National Institute Occupational Safety Health (NIOSH)
      1. http://www.cdc.gov/niosh/homepage.html
    2. Occupational Safety and Health (OSHA)
      1. http://www.osha.gov/index.html
  7. References
    1. Chan-Yeung (1995) Chest 108:1084-117
    2. Friedman-Jimenez (2000) Am J Ind Med 37:121-41
    3. Youakim (2001) Am Fam Physician 64(11):1839-48

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