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Evaluation and Management of Work-Related Asthma

  • Ambrose Lau
  • Susan M. TarloEmail author
Chapter
  • 429 Downloads
Part of the Respiratory Medicine book series (RM)

Abstract

Work-related asthma should be considered in all adult working asthmatics. Failure to diagnose a work component to asthma can lead to unnecessary morbidity and increasing medication requirements for asthma. In a patient with confirmed asthma, the clinical history that includes key questions for work-related asthma has a high sensitivity for the diagnosis. However, objective tests are needed to confirm a diagnosis of sensitizer-induced occupational asthma, and these tests can most readily be arranged while the patient is still working. Diagnosis of irritant-induced occupational asthma relies largely on the exposure history and timing of onset of asthma symptoms. Work-exacerbated asthma is more common than occupational asthma and ranges from a single transient episode to daily worsening at work. Management depends on the correct diagnosis; in addition to usual asthma management, work modification may be needed. Outcomes are best with early diagnosis and intervention.

Keywords

Asthma Work-related asthma Occupational asthma Work-exacerbated asthma Irritant-induced asthma Diagnosis Management 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Toronto Western HospitalTorontoCanada
  2. 2.St Michael’s HospitalTorontoCanada
  3. 3.Department of Medicine and Dalla Lana School of Public HealthUniversity of Toronto, Respiratory Division, Toronto Western HospitalTorontoCanada

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