Occupational asthma is a lung disorder characterized by attacks of breathing difficulty, wheezing, prolonged exhalation, and cough. It is caused by various agents found in the work place (see also bronchial asthma). These symptoms are usually due to spasms of the muscles lining the airways, which cause them to narrow excessively.
Asthma - occupational exposure; Irritant-induced reactive airways disease
There are many agents in the workplace that can cause occupational asthma. Most commonly, these include protein molecules (wood dust, grain dust, animal dander, fungi) or other chemicals (especially di-isocyanates).
Though the actual rate of occurrence of occupational asthma is unknown, it is suspected to cause 2-20% of all cases of asthma in industrialized nations.
The following workers are at higher risk:
Symptoms usually occur shortly after exposure to the offending agent (the allergen) and often improve or disappear when the affected person leaves the workplace. The symptoms often worsen as the work week progresses and resolve on weekends or vacations. Some people may experience a delayed onset of symptoms, occurring as many as 12 hours after exposure to the allergen.
The medical history reveals a pattern of worsening symptoms associated with exposure to a specific agent or workplace environment. Making the association with the correct allergen can be very difficult.
Wheezing may be heard when listening to the chest with a stethoscope (auscultation).
Tests used in the diagnosis of occupational asthma may include the following:
Call your health care provider if signs of occupational asthma develop.
Call your health care provider if you have occupational asthma and signs of respiratory infection, or if other new symptoms, develop.