[Occupational respiratory tract allergies].
Numerous occupation-related substances of plant, animal, microbial and chemical origin are potent immunogens and allergens. In the Federal Republic of Germany, the most common form of occupational obstructive airways disease is baker's asthma, caused by the inhalation of flour dust and other related substances. Compliance with the industrial threshold limit values (TIL) at the workplace reduce the risk of contracting disease, but cannot exclude it completely. Apart from obtaining a detailed history, and performing a physical examination, the diagnostic work-up also requires inclusion of special allergy tests (prick, intradermal, RAST)--in equivocal cases also, after a prior exposure--free preparatory period, re-exposure and inhalative work-place-related provocative testing. Therapeutically, elimination of exposure heads the list of measures; in concrete terms, this can also mean a change of occupation or even occupational re-training.
Baur
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Abteilung für Pneumologie und Allergologie, Bergmannsheil Universitätsklinik.
D000485:Allergens / Q000276:immunology; D000542:Alveolitis, Extrinsic Allergic / Q000175:diagnosis; D001991:Bronchitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D009784:Occupational Diseases / Q000209:etiology*; D012129:Respiratory Function Tests; D012130:Respiratory Hypersensitivity / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012882:Skin Tests
D000485:Allergens
Berufsbedingte Atemwegsallergien.