Work-Related Asthma: A Case-Based Approach to Management - 05/10/11

Doi : 10.1016/j.iac.2011.07.006

Karin A. Pacheco, MD, MSPH ^a, Susan M. Tarlo, MB BS, FRCP(C) ^b,^⁎
^a Department of Medicine, National Jewish Health, Colorado School of Public Health, University of Colorado, CO, USA
^b Department of Medicine, University of Toronto, and Dalla Lana School of Public Health, Toronto Western Hospital, EW7-449, 399 Bathurst Street, Toronto, Ontario, M5T 2S8, Canada

Corresponding author.

Résumé

The management of work-related asthma has some differences from management of other asthma. Components of management include not only making as accurate a diagnosis as possible, identifying the causative agent or triggers at work, and managing the asthma with pharmacologic treatment as for other patients with asthma, but also advising on the appropriate work changes that may be needed, assisting the worker with appropriate compensation claims, and supporting protective measures for coworkers. This article discusses the approaches that may be taken for patients with different forms of work-related asthma.

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Keywords : Occupational asthma, Work-exacerbated asthma, Work-aggravated asthma, Work-related asthma, Management

Plan

High-molecular-weight sensitizer-induced asthma

Case Example

LMW sensitizer-induced asthma

Case Example with Very Transient WEA

WEA Case Example with Frequent Work-Related Symptoms

Overview of Workers’ Compensation Systems

Summary

	Disclosures: Dr Susan Tarlo has received peer-reviewed research grant funding from the Ontario Workplace Safety and Insurance Board and from WorkSafeBC and the Workers’ Compensation Board of Newfoundland and Labrador for studies on work-related asthma.
	Disclosure: Dr Karin Pacheco has received research funding from the National Institute of Allergy and Infectious Diseases, National Institutes of Health for studies on occupational asthma.