title: Dermatological powder as hidden cause of occupational allergy due to casein: a case report.
abstract: We report a case of occupational asthma due to hidden casein, contained in a dermatological powder. A 44 year old nurse reported the recent onset of rhinitis and asthma, clearly related to the work environment. Skin tests for food allergens revealed a positivity for milk proteins. The source of dispersed milk proteins in the work environment was found to be a dermatological formulation of an inert refreshing powder, used to treat excoriated areas in the elderly. Skin prick tests confirmed the positivity to casein and to the commercial product.
authors.affiliation: Allergy Unit, Verona General Hospital, Verona, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Bonadonna
authors.forename: G
authors.initials: G
authors.lastname: Senna
authors.forename: G
authors.initials: G
authors.lastname: Passalacqua
mesh_terms: D000328:Adult; D000485:Allergens / Q000009:adverse effects; D001249:Asthma / Q000209:etiology*; D002364:Caseins / Q000009:adverse effects*; D002614:Chelating Agents / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009784:Occupational Diseases / Q000209:etiology*; D016273:Occupational Exposure / Q000009:adverse effects; D011208:Powders / Q000009:adverse effects*; D012882:Skin Tests
chemical_list: D000485:Allergens; D002364:Caseins; D002614:Chelating Agents; D011208:Powders