Work-exacerbated asthma

  title={Work-exacerbated asthma},
  author={Paul K. Henneberger},
  journal={Current Opinion in Allergy and Clinical Immunology},
  • P. Henneberger
  • Published 1 April 2007
  • Medicine
  • Current Opinion in Allergy and Clinical Immunology
Purpose of review To summarize recent findings on work-exacerbated asthma, based on medical literature published during 2005 and the first 10 months of 2006. Recent findings Although prevalence estimates varied considerably among six recent epidemiologic studies, collectively they contribute to the conclusion that work-exacerbated asthma is common. Median work-exacerbated asthma prevalence estimates were 18% of adults with asthma, 25% of working adults with asthma and 45% of all work-related… 
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Management of sensitizer-induced occupational asthma is notable for the central importance of removal from the causative agent; but if not feasible, this may require changes in the work process or ultimately, removal of the worker from the workplace.
Work-exacerbated asthma in a workers' compensation population.
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Work related asthma - diagnosis and management.
Optimal management of work related asthma requires early recognition and accurate diagnosis and the introduction of effective workplace control should reduce the prevalence of WRA and the overall burden of asthma in the authors' community.
Work-related exacerbation of asthma among adults treated by pulmonary specialists
Self-reported allergy, high-risk exposures, and occupations unique to processing, manufacturing, and utilities were estimated to be risk factors of WRS.
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  • Medicine
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  • 2012
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This article addresses the main practical aspects of that Consensus Statement, including clinical clues to diagnosis of work-related asthma from the medical history, exposure assessment, targeted diagnostic tests, and directed patient management.


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A marked role of the work environment in the aggravation of symptoms of established asthma in employed adults with asthma is suggested.
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The percentage with workplace exacerbation of asthma was elevated for high-risk jobs and no similar elevation was observed for individuals with current physician-diagnosed asthma, which might have resulted, in part, from a healthy worker effect.
Characteristics of work related asthma: results from a population based survey
Examination of differences between work related and non-work related asthma with respect to healthcare use and asthma control characteristics in Massachusetts found work related asthma is associated with increased frequency of asthma attacks and use of healthcare services.
Work-related Exacerbation of Asthma
Those with workplace exacerbation were more likely to have never attended college, be current or former smokers, have a history of other respiratory diseases, have missed work or usual activities at least one day in the past four weeks, and report their asthma was moderate, severe, or very severe.
Future advances in work-related asthma and the impact on occupational health.
  • J. Malo
  • Medicine
    Occupational medicine
  • 2005
Various aspects of WRA are reviewed with an emphasis on OA and key issues that need to be further studied, proposed and applied in at-risk workplaces in order to improve recognition, diagnosis and management of this condition.
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Asthma severity and demographic and occupational characteristics were associated with adverse occurrences, and patients attribute daily and long-term adverse work outcomes to asthma.
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Data from the California, Massachusetts, Michigan, and New Jersey state-based surveillance systems of work-related asthma were used to identify cases of asthma associated with exposure to cleaning products at work, and individuals identified were generally women, white non-Hispanic, and 45 years or older.
Diagnosis and management of work-related asthma: American College Of Chest Physicians Consensus Statement.
The substantial prevalence of WRA supports consideration of the diagnosis in all who present with new-onset or worsening asthma, followed by appropriate investigations and intervention including consideration of other exposed workers.
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The prevalence of work related asthma was high, and was associated with low schooling, probably because of low socioeconomic level, and the disease may be a consequence of poverty.
The frequency of workplace exacerbation among health maintenance organisation members with asthma
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